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The British Journal of Psychiatry (1969) 115: 267-271. doi: 10.1192/bjp.115.520.267
© 1969 The Royal College of Psychiatrists
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Clinical Heterogeneity in Senile Dementia

CARRICK McDONALD M.D., D.P.M., M.A.N.Z.C.P.1

1 Senior Registrar, Maudsley Hospital, Denmark Hill, London, S.E.5

1. Following a study of the literature on senile dementia the author examined the possibility of dividing a group of such cases into two meaningful groups.

2. Those female senile dements in a psychogeriatric hospital who retained some cognitive ability were subjected to a series of common clinical tests plus the Weigl-Goldstein-Scheerer colour form sorting test. The results were noted, and six tests of parietal lobe function seemed to divide the group into two most satisfactorily, group B having relatively intact parietal function.

3. Using these tests 57 consecutive female admissions suffering from senile dementia were divided into the two groups, A and B. Group A had a significantly lower mean age than group B, and at six-months' follow-up 26 per cent. of them but only 4 per cent. of the older group were dead.

4. The findings are discussed.

Submitted on August 25, 1967




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Psychiatric Bulletin Advances in Psychiatric Treatment All RCPsych Journals
Copyright © 1969 The Royal College of Psychiatrists.