• Int Psychogeriatr · Jan 1991

    Delirium in the medically ill elderly: operationalizing the DSM-III criteria.

    • G L Gottlieb, J Johnson, C Wanich, and E Sullivan.
    • Department of Psychiatry, Hospital of the University of Pennsylvania, Philadelphia.
    • Int Psychogeriatr. 1991 Jan 1;3(2):181-96.

    AbstractThis prospective study determined the incidence and prevalence of delirium in 235 consecutive subjects over age 70 admitted to a general medicine hospital service. The DSM-III criteria for delirium were operationalized. Using accepted screening procedures, patients were referred for evaluation by a psychiatrist who determined whether delirium was present by applying explicit operational definitions to each of the DSM-III criteria. Data on presence and severity of each of the DSM-III symptoms were recorded. Analysis of these data indicates that the DSM-III criteria describe a discrete, recognizable syndrome. However, some of the symptoms are more specific than others in identifying the syndrome in this population.

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