Phenomenological and neuropsychological profile across motor variants of delirium in a palliative care unit

Hdl Handle:
http://hdl.handle.net/10147/271662
Title:
Phenomenological and neuropsychological profile across motor variants of delirium in a palliative care unit
Authors:
Leonard, Maeve; Donnelly, Sinead; Conroy, Marion; Trzepacz, Paula; Meagher, David J
Affiliation:
Dept of Adult Psychiatry, Midwestern Regional Hospital, Limerick; Milford Care Centre, Milford, Limerick; Lilly Research Laboratories, Indianapolis, IN, USA.
Citation:
Phenomenological and neuropsychological profile across motor variants of delirium in a palliative-care unit. 2011, 23 (2):180-8 J Neuropsychiatry Clin Neurosci
Journal:
The Journal of neuropsychiatry and clinical neurosciences
Issue Date:
2011
URI:
http://hdl.handle.net/10147/271662
DOI:
10.1176/appi.neuropsych.23.2.180
PubMed ID:
21677247
Abstract:
Studies using composite measurement of cognition suggest that cognitive performance is similar across motor variants of delirium. The authors assessed neuropsychological and symptom profiles in 100 consecutive cases of DSM-IV delirium allocated to motor subtypes in a palliative-care unit: Hypoactive (N=33), Hyperactive (N=18), Mixed (N=26), and No-Alteration motor groups (N=23). The Mixed group had more severe delirium, with highest scores for DRS-R-98 sleep-wake cycle disturbance, hallucinations, delusions, and language abnormalities. Neither the total Cognitive Test for Delirium nor its five neuropsychological domains differed across Hyperactive, Mixed, and Hypoactive motor groups. Most patients (70%) with no motor alteration had DRS-R-98 scores in the mild or subsyndromal range even though they met DSM-IV criteria. Motor variants in delirium have similar cognitive profiles, but mixed cases differ in expression of several noncognitive features.
Item Type:
Article
Language:
en
Description:
Studies using composite measurement of cognition suggest that cognitive performance is similar across motor variants of delirium. The authors assessed neuropsychological and symptom profiles in 100 consecutive cases of DSM-IV delirium allocated to motor subtypes in a palliative-care unit: Hypoactive (N=33), Hyperactive (N=18), Mixed (N=26), and No-Alteration motor groups (N=23). The Mixed group had more severe delirium, with highest scores for DRS-R-98 sleep-wake cycle disturbance, hallucinations, delusions, and language abnormalities. Neither the total Cognitive Test for Delirium nor its five neuropsychological domains differed across Hyperactive, Mixed, and Hypoactive motor groups. Most patients (70%) with no motor alteration had DRS-R-98 scores in the mild or subsyndromal range even though they met DSM-IV criteria. Motor variants in delirium have similar cognitive profiles, but mixed cases differ in expression of several noncognitive features.
Keywords:
PALLIATIVE CARE
MeSH:
Aged; Aged, 80 and over; Delirium; Delusions; Female; Hallucinations; Humans; Male; Middle Aged; Neuropsychological Tests; Palliative Care; Psychiatric Status Rating Scales
ISSN:
1545-7222

Full metadata record

DC FieldValue Language
dc.contributor.authorLeonard, Maeveen_GB
dc.contributor.authorDonnelly, Sineaden_GB
dc.contributor.authorConroy, Marionen_GB
dc.contributor.authorTrzepacz, Paulaen_GB
dc.contributor.authorMeagher, David Jen_GB
dc.date.accessioned2013-03-11T12:49:43Z-
dc.date.available2013-03-11T12:49:43Z-
dc.date.issued2011-
dc.identifier.citationPhenomenological and neuropsychological profile across motor variants of delirium in a palliative-care unit. 2011, 23 (2):180-8 J Neuropsychiatry Clin Neuroscien_GB
dc.identifier.issn1545-7222-
dc.identifier.pmid21677247-
dc.identifier.doi10.1176/appi.neuropsych.23.2.180-
dc.identifier.urihttp://hdl.handle.net/10147/271662-
dc.descriptionStudies using composite measurement of cognition suggest that cognitive performance is similar across motor variants of delirium. The authors assessed neuropsychological and symptom profiles in 100 consecutive cases of DSM-IV delirium allocated to motor subtypes in a palliative-care unit: Hypoactive (N=33), Hyperactive (N=18), Mixed (N=26), and No-Alteration motor groups (N=23). The Mixed group had more severe delirium, with highest scores for DRS-R-98 sleep-wake cycle disturbance, hallucinations, delusions, and language abnormalities. Neither the total Cognitive Test for Delirium nor its five neuropsychological domains differed across Hyperactive, Mixed, and Hypoactive motor groups. Most patients (70%) with no motor alteration had DRS-R-98 scores in the mild or subsyndromal range even though they met DSM-IV criteria. Motor variants in delirium have similar cognitive profiles, but mixed cases differ in expression of several noncognitive features.en_GB
dc.description.abstractStudies using composite measurement of cognition suggest that cognitive performance is similar across motor variants of delirium. The authors assessed neuropsychological and symptom profiles in 100 consecutive cases of DSM-IV delirium allocated to motor subtypes in a palliative-care unit: Hypoactive (N=33), Hyperactive (N=18), Mixed (N=26), and No-Alteration motor groups (N=23). The Mixed group had more severe delirium, with highest scores for DRS-R-98 sleep-wake cycle disturbance, hallucinations, delusions, and language abnormalities. Neither the total Cognitive Test for Delirium nor its five neuropsychological domains differed across Hyperactive, Mixed, and Hypoactive motor groups. Most patients (70%) with no motor alteration had DRS-R-98 scores in the mild or subsyndromal range even though they met DSM-IV criteria. Motor variants in delirium have similar cognitive profiles, but mixed cases differ in expression of several noncognitive features.-
dc.language.isoenen
dc.rightsArchived with thanks to The Journal of neuropsychiatry and clinical neurosciencesen_GB
dc.subjectPALLIATIVE CAREen_GB
dc.subject.meshAged-
dc.subject.meshAged, 80 and over-
dc.subject.meshDelirium-
dc.subject.meshDelusions-
dc.subject.meshFemale-
dc.subject.meshHallucinations-
dc.subject.meshHumans-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshNeuropsychological Tests-
dc.subject.meshPalliative Care-
dc.subject.meshPsychiatric Status Rating Scales-
dc.titlePhenomenological and neuropsychological profile across motor variants of delirium in a palliative care uniten_GB
dc.typeArticleen
dc.contributor.departmentDept of Adult Psychiatry, Midwestern Regional Hospital, Limerick; Milford Care Centre, Milford, Limerick; Lilly Research Laboratories, Indianapolis, IN, USA.en_GB
dc.identifier.journalThe Journal of neuropsychiatry and clinical neurosciencesen_GB

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