The role of mental morbidity in the nursing home experience

Pearl S. German, Barry W. Rovner, Lynda C. Burton, Larry J. Brant, Rebecca Clark

Research output: Contribution to journalArticlepeer-review

61 Scopus citations


The history of a newly admitted cohort to eight nursing homes (N = 454) was studied prospectively over the first year of residence. Data were gathered at admission, 2 months, and 1 year, and included full psychiatric examination and staff reports of behavior. Chart reviews collected additional data on preadmission and postdischarge information. At admission, 80% of the population had mental illnesses, 60% of which were dementia, and about half of demented patients had other complicating mental illnesses. Use of mixed-effects linear model analysis revealed significant associations of mental morbidity, restraints, and psychotropic medication with behaviors indicative of noncoping and nonadaptation to the nursing home settings. Key Words: Behavior, Adaptation, Social support, Coping, Physical restraints.

Original languageEnglish (US)
Pages (from-to)152-158
Number of pages7
Issue number2
StatePublished - Apr 1992

ASJC Scopus subject areas

  • Gerontology
  • Geriatrics and Gerontology


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