Using DSM-III criteria to diagnose delirium in elderly general medical patients

J. C. Johnson, G. L. Gottlieb, Eileen Sullivan-Marx, C. Wanich, B. Kinosian, M. A. Forciea, R. Sims, C. Hogue

Research output: Contribution to journalArticle

Abstract

Studies of delirium in general medical populations have used criteria for delirium different from current DSM-III or DSM-IIIR criteria of the American Psychiatric Association, or have used DSM-III or DSM-IIIR criteria without operationalizing the components of these criteria. Therefore this prospective study was conducted to establish an approach to operationalizing DSM-III criteria and to determine the incidence and prevalence of delirium. Two hundred thirty-five consecutive subjects age 70 and over admitted to general medicine underwent daily standardized screening. Patients with low scores on screening tests or clinical evidence suggestive of any psychiatric disorder and controls were seen by a psychiatrist, who determined whether delirium was present by applying explicit operational definitions to each component of the DSM-III criteria for delirium. We conclude that the syndrome of delirium as defined by the American Psychiatric Association is prevalent on admission among elderly on general medical services, but the number of cases developing in the hospital is much less than often stated in the literature.

Original languageEnglish (US)
JournalJournals of Gerontology
Volume45
Issue number3
StatePublished - 1990

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Delirium
Diagnostic and Statistical Manual of Mental Disorders
Psychiatry
Medicine
Prospective Studies
Incidence
Population

ASJC Scopus subject areas

  • Aging

Cite this

Johnson, J. C., Gottlieb, G. L., Sullivan-Marx, E., Wanich, C., Kinosian, B., Forciea, M. A., ... Hogue, C. (1990). Using DSM-III criteria to diagnose delirium in elderly general medical patients. Journals of Gerontology, 45(3).

Using DSM-III criteria to diagnose delirium in elderly general medical patients. / Johnson, J. C.; Gottlieb, G. L.; Sullivan-Marx, Eileen; Wanich, C.; Kinosian, B.; Forciea, M. A.; Sims, R.; Hogue, C.

In: Journals of Gerontology, Vol. 45, No. 3, 1990.

Research output: Contribution to journalArticle

Johnson, JC, Gottlieb, GL, Sullivan-Marx, E, Wanich, C, Kinosian, B, Forciea, MA, Sims, R & Hogue, C 1990, 'Using DSM-III criteria to diagnose delirium in elderly general medical patients', Journals of Gerontology, vol. 45, no. 3.
Johnson JC, Gottlieb GL, Sullivan-Marx E, Wanich C, Kinosian B, Forciea MA et al. Using DSM-III criteria to diagnose delirium in elderly general medical patients. Journals of Gerontology. 1990;45(3).
Johnson, J. C. ; Gottlieb, G. L. ; Sullivan-Marx, Eileen ; Wanich, C. ; Kinosian, B. ; Forciea, M. A. ; Sims, R. ; Hogue, C. / Using DSM-III criteria to diagnose delirium in elderly general medical patients. In: Journals of Gerontology. 1990 ; Vol. 45, No. 3.
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