Delirium phenomenology: what can we learn from the symptoms of delirium?

Journal of Psychosomatic Research
Nitin GuptaDavid J Meagher

Abstract

This review focuses on phenomenological studies of delirium, including subsyndromal and prodromal concepts, and their relevance to other elements of clinical profile. A Medline search using the keywords delirium, phenomenology, and symptoms for new data articles published in English between 1998 and 2008 was utilized. The search was supplemented by additional material not identified by Medline but known to the authors. Understanding of prodromal and subsyndromal concepts is still in its infancy. The characteristic profile can differentiate delirium from other neuropsychiatric disorders. Clinical (motoric) subtyping holds potential but more consistent methods are needed. Studies are almost entirely cross-sectional in design and generally lack comprehensive symptom assessment. Multiple assessment tools are available but are oriented towards hyperactive features and few have demonstrated ability to distinguish delirium from dementia. There is insufficient evidence linking specific phenomenology with etiology, pathophysiology, management, course, and outcome. Despite the major advancements of the past decade in many aspects of delirium research, further phenomenological work is crucial to targeting studies of causation, pathophysio...Continue Reading

References

Dec 1, 1992·The British Journal of Psychiatry : the Journal of Mental Science·B Liptzin, S E Levkoff
Jan 1, 1992·Journal of Geriatric Psychiatry and Neurology·M S AlbertJ W Rowe
Jan 1, 1991·International Psychogeriatrics·C A RossM F Folstein
Dec 15, 1990·Annals of Internal Medicine·S K InouyeR I Horwitz
Mar 2, 1989·The New England Journal of Medicine·Z J Lipowski
Jan 1, 1988·Psychiatry Research·P T TrzepaczJ Greenhouse
Sep 1, 1987·The British Journal of Psychiatry : the Journal of Mental Science·J Cutting
Nov 1, 1983·The American Journal of Psychiatry·Z J Lipowski
Mar 1, 1995·General Hospital Psychiatry·P T Trzepacz, M A Dew
Jan 1, 1994·The Journal of Neuropsychiatry and Clinical Neurosciences·M M PlattP B Jacobsen
Apr 1, 1996·The British Journal of Psychiatry : the Journal of Mental Science·D J MeagherP R Casey
Sep 1, 1996·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·S M OlofssonC A Meyers
Nov 1, 1996·Psychosomatics·R P HartL E Rutherford
Mar 1, 1997·Journal of Pain and Symptom Management·W BreitbartS Passik
Jun 15, 1997·Biological Psychiatry·E MatsushimaT Kojima
Jun 1, 1997·The British Journal of Psychiatry : the Journal of Mental Science·B RobertssonC G Gottfries
Jun 3, 1998·The Journal of Neuropsychiatry and Clinical Neurosciences·P T TrzepaczG S Zubenko
Jan 23, 1999·Journal of Geriatric Psychiatry and Neurology·D J MeagherP T Trzepacz
Jan 23, 1999·Journal of Geriatric Psychiatry and Neurology·D J Meagher, P T Trzepacz
Jan 30, 1999·International Psychogeriatrics·J McCuskerF Primeau
Jun 1, 1999·Age and Ageing·S T O'Keeffe, J N Lavan
Sep 4, 1999·Dementia and Geriatric Cognitive Disorders·P T Trzepacz
Sep 4, 1999·Dementia and Geriatric Cognitive Disorders·S T O'Keeffe
Mar 4, 2000·The Journal of Neuropsychiatry and Clinical Neurosciences·D J MeagherP T Trzepacz
Dec 8, 2000·Psychosomatics·R Webster, S Holroyd
Jul 13, 2001·The Journal of Neuropsychiatry and Clinical Neurosciences·P T TrzepaczN Jimerson
Jan 5, 2002·American Journal of Surgery·H ShigetaK Ikeda
Feb 28, 2002·Medical Hypotheses·B G Charlton, J L Kavanau
May 17, 2002·Research in Nursing & Health·Inger S JohanssonGerry Larsson
May 25, 2002·Journal of the American Geriatrics Society·Edward MarcantonioNeil M Resnick
Jun 21, 2002·Psychosomatics·William BreitbartChristopher Gibson
Aug 31, 2002·Scandinavian Cardiovascular Journal : SCJ·Marléne ErikssonKarl Gunnar Engström
Oct 9, 2002·Journal of the American Geriatrics Society·Donna M FickSharon K Inouye
May 20, 2003·Research and Theory for Nursing Practice·Marieke J SchuurmansSijmen A Duursma
May 22, 2003·Journal of the American Geriatrics Society·Martin ColeLing Han
Aug 21, 2003·The Journal of Neuropsychiatry and Clinical Neurosciences·Silviu BalanBeni Habot
Sep 10, 2003·Alcoholism, Clinical and Experimental Research·Takehito OkuboSachio Matsushita

❮ Previous
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Citations

Nov 19, 2011·International Psychogeriatrics·Sandeep GroverDebasish Basu
Oct 1, 2011·Rejuvenation Research·Miranda van UitertBarbara C van Munster
Apr 20, 2013·Rejuvenation Research·Sophia E de Rooij, Barbara C van Munster
Oct 14, 2011·Nursing Research and Practice·Joaquim Cerejeira, Elizabeta B Mukaetova-Ladinska
Apr 16, 2013·Sleep & Breathing = Schlaf & Atmung·Aibek E MirrakhimovMadan M Kwatra
Nov 5, 2013·International Psychogeriatrics·C PeisahS Finkel
Nov 15, 2011·The British Journal of Psychiatry : the Journal of Mental Science·David MeagherMaeve Leonard
Apr 10, 2013·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·David J MeagherNiamh O'Regan
Apr 27, 2013·Medical Hypotheses·Aibek E MirrakhimovMadan M Kwatra
Mar 8, 2013·Asian Journal of Psychiatry·Aarya Krishnan RajlakshmiSandeep Grover
Jul 19, 2011·General Hospital Psychiatry·Gaurav JainParmanand Kulhara
Nov 30, 2011·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Eeva HölttäKaisu H Pitkälä
Apr 23, 2011·Journal of Psychosomatic Research·Sandeep GroverVineet Kumar
Jan 9, 2013·Perspectives in Psychiatric Care·Sandeep Grover, Ruchita Shah
Jun 14, 2012·Journal of the American Geriatrics Society·Li-Wen HuangEdward R Marcantonio
Apr 10, 2010·Perspectives in Psychiatric Care·Faruk UguzGökhan Altunbas
Sep 4, 2015·European Journal of Internal Medicine·G BellelliUNKNOWN REPOSI (REgistro POliterapie SIMI) Investigators
Mar 28, 2013·Current Gerontology and Geriatrics Research·Chantal J SlorJos F M de Jonghe
Sep 12, 2015·The Lancet. Psychiatry·Roisin O'SullivanDavid Meagher
May 27, 2014·Journal of Neurology, Neurosurgery, and Psychiatry·Rachel L GoreJohn T O'Brien
Nov 25, 2014·Orvosi hetilap·István Szendi
Sep 11, 2012·Cancer Treatment Reviews·Jung Hun KangEduardo Bruera
Feb 14, 2012·Journal of Psychosomatic Research·David J MeagherPaula T Trzepacz
Jul 31, 2013·Medical Hypotheses·Kristine E BrownMadan M Kwatra
Aug 7, 2013·Medical Hypotheses·James M FitzgeraldDavid J Meagher
Feb 11, 2015·Current Psychiatry Reports·Luigi GrassiMichelle Riba
Aug 3, 2014·International Journal of Psychiatry in Medicine·Akihiro TsudaJun Ishigooka
May 4, 2016·Journal of Clinical Nursing·Jenny Day, Isabel Higgins
Jul 14, 2018·PloS One·Soo-Hyun PaikMin-Hyuk Kim
Apr 16, 2016·International Psychogeriatrics·Anne J M Stroomer-van WijkHendrika J Luijendijk
Jan 5, 2012·Psychiatry Investigation·Hyo Jin LeeJeong Lan Kim
Oct 8, 2009·The Oncologist·Shirley H Bush, Eduardo Bruera
May 7, 2020·International Journal of Older People Nursing·Priyanka Shrestha, Donna M Fick
Jul 31, 2020·Palliative & Supportive Care·Leonie BodeSoenke Boettger
Jan 30, 2018·Frontiers in Medicine·Sin Wei ChoyChris Moran
May 7, 2019·Frontiers in Behavioral Neuroscience·Viviane S Hambrecht-WiedbuschGeorge A Mashour
Jun 11, 2020·Neurology·Mark A Oldham, Robert G Holloway
Aug 23, 2018·Psychogeriatrics : the Official Journal of the Japanese Psychogeriatric Society·Simone R F RitterEinstein F Camargos

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