caa a22 4500 467935874 CHVBK 20180406152957.0 cr unu---uuuuu 170328e20060401xx s 000 0 eng 10.1007/s00455-006-9016-9 doi (NATIONALLICENCE)springer-10.1007/s00455-006-9016-9 Prevalence of Dysphagia in Acute and Community Mental Health Settings [Elektronische Daten] [J. Regan, R. Sowman, I. Walsh] The incidence of dysphagia in the population with mental health disorders may be higher as a result of a number of factors including the nature of the psychiatric disorder, effects of psychiatric medications, co-occurring neurologic conditions, and institutionalization and behavioral changes associated with the mental illness. This study aimed to determine the prevalence of dysphagia among adults with mental health disorders (MHDs) who attend acute and community mental health settings. Sixty attenders at a local area psychiatric service were assessed using a simple swallowing screening test. Subjects presented with a variety of mental health disorders and were attending an acute inpatient unit, day hospital, or long-term care setting. Thirty-two percent of those assessed demonstrated overt signs of oropharyngeal dysphagia. There was an increased prevalence in the inpatient unit (35%); the lowest prevalence of dysphagia was in those attending the day hospitals (27%). Thirty-one percent of those attending long-term care settings also had dysphagic symptoms. Twenty-three percent of individuals with schizophrenia in the total group had oropharyngeal dysphagia; this figure rose to 31% in the inpatient unit. Twenty-seven percent of individuals with bipolar affective disorder (BPAD) demonstrated overt signs of oropharyngeal dysphagia. Each of these individuals with BPAD was in an inpatient setting. The results of this study provide evidence to suggest that there is an increased incidence of dysphagia in those with mental health disorders. Of particular interest is the marked proportion (approximately one third) of those attending acute and long-term care settings with dysphagia. Possible contributing factors are discussed. Springer Science+Business Media, Inc., 2006 Dysphagia nationallicence Psychiatric disorder nationallicence Neuroleptic medication nationallicence Choking episodes nationallicence Acute and community settings nationallicence Deglutition nationallicence Deglutition disorders nationallicence Regan J. Speech and Language Therapy Department, Adelaide and Meath Hospital incorporating the National Children's Hospital, Dublin, Ireland aut Sowman R. Speech and Language Therapy Department, Adelaide and Meath Hospital incorporating the National Children's Hospital, Dublin, Ireland aut Walsh I. Department of Clinical Speech and Language Studies, Trinity College, Dublin, Ireland aut Dysphagia Springer-Verlag 21/2(2006-04-01), 95-101 0179-051X 21:2<95 2006 21 455 https://doi.org/10.1007/s00455-006-9016-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00455-006-9016-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Regan J. Speech and Language Therapy Department, Adelaide and Meath Hospital incorporating the National Children's Hospital, Dublin, Ireland aut NATIONALLICENCE 700 1- Sowman R. Speech and Language Therapy Department, Adelaide and Meath Hospital incorporating the National Children's Hospital, Dublin, Ireland aut NATIONALLICENCE 700 1- Walsh I. Department of Clinical Speech and Language Studies, Trinity College, Dublin, Ireland aut NATIONALLICENCE 773 0- Dysphagia Springer-Verlag 21/2(2006-04-01), 95-101 0179-051X 21:2<95 2006 21 455 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer