Jean Manuel Morvillers
Sorbonne Paris Cité University, France
Title: Hospitalization in psychiatry 60 years and over: Peculiarities and normalities. A quantitative study
Biography
Biography: Jean Manuel Morvillers
Abstract
Introduction: According to the WHO, mental illness affects 15% of people aged 60 and over, and these disorders sometimes require hospitalization in psychiatry.
Objective: The main objective of our research was to measure the Therapeutic Alliance (AT) score in hospitalized psychiatric patients and to compare the scores of patients over 60 years old with those under 60 years of age.
Method: This is a cross-sectional, multicenter descriptive study conducted in four Parisian general psychiatric hospitalization centers. The STAR-P scale, translated into French by us, adapted to hospitalization and self-reported, was used to obtain the TA score between patients and nurses. Sociodemographic data as well as primary and secondary diagnoses were collected and analyzed.
Results: 240 patients were included including 41 people over 60 years old. The TA scores for the entire population included a normal distribution tending toward the highest scores (Median 10.0, IQR [8.0-12.0]). The descriptive analysis of the participants shows 5 variables with a significant difference between the 2 groups: the marital status (only 48% are single for 60 years and over vs. 68.8% p = 0.03), the living conditions: 37 , 5% of 60 years and older are owners vs. 9% (p less than 0.0001), the associated diagnosis 25% of those 60 years and older have mood disorders vs. 7.9% (p = 0.03), the mode admission to free hospitalization (65.9% vs. 48.7% p = 0.04) and the first visit to the Center Médico-Psychologique (CMP) for outpatient follow-up after discharge from hospital (97.4% vs 83.4%). , 7%, P = 0.02). The TA scores are comparable between the two populations and show rather favorable results [median 11.0 (8.0-12.0 and mean 9.9 (2.2)], for 26.8% of respondents this was their first hospitalization. Conclusion: People over 60, hospitalized in general psychiatry have a good therapeutic alliance with the nursing teams and they go massively to their first post-hospitalization appointment. It remains to show that there is a significant link between these two indicators.