Acurate diagnosis of delirium in elderly patients.

Abstract:

PURPOSE OF REVIEW:Delirium remains one of the most common complicating diagnoses in ailing elderly patients and a leading cause of morbidity, decreased quality of life, prolonged hospital stay, institutionalization and mortality. Despite its clinical importance and health-related costs, it often remains unrecognized or misdiagnosed. We evaluate currently available tools for the screening and diagnosis of delirium, their relevance and suitability for use in various clinical settings, as well as interobserver consistency amongst doctors and other nonclinician interviewers. RECENT FINDINGS:Extensive clinical trial evidence has been published recently concerning advances on the three fundamental elements of delirium assessment in elderly people: identification, severity assessment and reporting of existing predisposing and precipitating factors. SUMMARY:Despite advances on the pathophysiology and recognition of delirium, its detection relies on individual clinical expertise, a high index of suspicion and repeated cognitive testing of high-risk patients. Delirium diagnosis remains a clearly underresearched area; particularly, more work is required to adapt cognitive screening tools for use by nonclinicians, to develop cost-effective biochemical and molecular diagnostic techniques and to assess the effects of divulging updated consensus guidelines.

journal_name

Curr Opin Psychiatry

authors

Moraga AV,Rodriguez-Pascual C

doi

10.1097/YCO.0b013e3280ec52e5

subject

Has Abstract

pub_date

2007-05-01 00:00:00

pages

262-7

issue

3

eissn

0951-7367

issn

1473-6578

pii

00001504-200705000-00016

journal_volume

20

pub_type

杂志文章,评审
  • Smoking in schizophrenia: recent findings about an old problem.

    abstract:PURPOSE OF REVIEW:Recent epidemiology, biological and clinical findings correlate high cigarette consumption in patients with schizophrenia, impeding both treatment strategies and the effectiveness of antipsychotics. RECENT FINDINGS:New data suggests that despite world-wide efforts to curb cigarette consumption, smoki...

    journal_title:Current opinion in psychiatry

    pub_type: 杂志文章,评审

    doi:10.1097/YCO.0000000000000529

    authors: Sagud M,Mihaljevic Peles A,Pivac N

    更新日期:2019-09-01 00:00:00

  • Cognitive abnormalities in posttraumatic stress disorder.

    abstract:PURPOSE OF REVIEW:The current review aims to describe and evaluate research on cognitive difficulties associated with posttraumatic stress disorder (PTSD) published between January 2007 and June 2008. RECENT FINDINGS:The reviewed studies provide additional evidence that negative appraisals and decrements on verbal and...

    journal_title:Current opinion in psychiatry

    pub_type: 杂志文章,评审

    doi:10.1097/YCO.0b013e328314e3bb

    authors: Moore SA

    更新日期:2009-01-01 00:00:00

  • How does level of personality functioning inform clinical management and treatment? Implications for ICD-11 classification of personality disorder severity.

    abstract:PURPOSE OF REVIEW:The International Classification of Diseases, 11th Edition (ICD-11) classifies personality disturbance according to levels of severity. This article reviews the literature on levels of personality functioning in relation to clinical management and treatment, and proposes how these findings apply to th...

    journal_title:Current opinion in psychiatry

    pub_type: 杂志文章

    doi:10.1097/YCO.0000000000000658

    authors: Bach B,Simonsen S

    更新日期:2021-01-01 00:00:00

  • Using clinical registries, administrative data and electronic medical records to improve medication safety and effectiveness in dementia.

    abstract:PURPOSE OF REVIEW:Clinical registries, routinely collected administrative data and electronic medical records (EMRs) provide new opportunities to investigate medication safety and effectiveness. This review outlines the strengths and limitations of these data, and highlights recent research related to safe and effectiv...

    journal_title:Current opinion in psychiatry

    pub_type: 杂志文章,评审

    doi:10.1097/YCO.0000000000000579

    authors: Ilomäki J,Lai EC,Bell JS

    更新日期:2020-03-01 00:00:00

  • Sex and gender impacts on the behavioural presentation and recognition of autism.

    abstract:PURPOSE OF REVIEW:With increasing awareness of potential differences of autism presentation in nonmale versus male individuals, this review summarizes the rapidly evolving literature on sex and gender impacts on autism across nosology, behavioural presentation, developmental change and contextual recognition biases. R...

    journal_title:Current opinion in psychiatry

    pub_type: 杂志文章,评审

    doi:10.1097/YCO.0000000000000575

    authors: Lai MC,Szatmari P

    更新日期:2020-03-01 00:00:00

  • The importance of faith-based mental healthcare in African urbanized sites.

    abstract:PURPOSE OF REVIEW:This review highlights what current research says about how local beliefs and norms can facilitate expansion of mental healthcare to meet the large unmet need for services in Africa. RECENT FINDINGS:In contemporary Africa, religious beliefs exert important influences on mental health as well as the w...

    journal_title:Current opinion in psychiatry

    pub_type: 杂志文章

    doi:10.1097/YCO.0000000000000590

    authors: Ojagbemi A,Gureje O

    更新日期:2020-05-01 00:00:00

  • Recent neuro-imaging findings with respect to conduct disorder, callous-unemotional traits and psychopathy.

    abstract:PURPOSE OF REVIEW:To review recent neuro-imaging findings with respect to conduct disorder and callous-unemotional traits in childhood and comparable psychopathy in adult-hood that deepen the literature in important ways. RECENT FINDINGS:Recent structural findings particularly bring clarity to the literature. First, t...

    journal_title:Current opinion in psychiatry

    pub_type: 杂志文章

    doi:10.1097/YCO.0000000000000559

    authors: Blair RJR,Zhang R

    更新日期:2020-01-01 00:00:00

  • Antecedents, consequences and interventions for workplace bullying.

    abstract:PURPOSE OF REVIEW:The issue of workplace bullying has become an area of research interest in the last 3 decades. Much of the extant literature is published in the business management journals. This is problematic as the targets of workplace bullying may need psychiatric treatment; as a discipline, therefore psychiatris...

    journal_title:Current opinion in psychiatry

    pub_type: 杂志文章,评审

    doi:10.1097/YCO.0000000000000084

    authors: Kemp V

    更新日期:2014-09-01 00:00:00

  • Influence of legal status on the uptake of cannabis in young people.

    abstract:PURPOSE OF REVIEW:Policies that limit young people's access to cannabis may reduce early onset of use and minimize health-related harm. This review article provides an update of recent research examining the influence of the cannabis policy frameworks on the use of cannabis by young people. RECENT FINDINGS:There are s...

    journal_title:Current opinion in psychiatry

    pub_type: 杂志文章,评审

    doi:10.1097/YCO.0000000000000253

    authors: Dirisu O,Shickle D,Elsey H

    更新日期:2016-07-01 00:00:00

  • Pharmacotherapy and other treatments for cocaine abuse and dependence.

    abstract:PURPOSE OF REVIEW:This review examines progress being made in the treatment of cocaine abuse and dependence, with a particular focus on pharmacotherapies. Medications with apparently very different mechanisms of action have been reported to reduce cocaine use in controlled clinical trials in outpatient settings. This r...

    journal_title:Current opinion in psychiatry

    pub_type: 杂志文章

    doi:10.1097/01.yco.0000165596.98552.02

    authors: Vocci FJ,Elkashef A

    更新日期:2005-05-01 00:00:00

  • Treatment of the psychiatric problems associated with fragile X syndrome.

    abstract:PURPOSE OF REVIEW:This work reviews recent research regarding treatment of fragile X syndrome (FXS), the most common inherited cause of intellectual disability and autism spectrum disorder. The phenotype includes anxiety linked to sensory hyperarousal, hyperactivity, and attentional problems consistent with attention d...

    journal_title:Current opinion in psychiatry

    pub_type: 杂志文章,评审

    doi:10.1097/YCO.0000000000000131

    authors: Hagerman RJ,Polussa J

    更新日期:2015-03-01 00:00:00

  • Cerebrospinal fluid biomarkers for pathological processes in Alzheimer's disease.

    abstract:PURPOSE OF REVIEW:To review the rationale behind and the use of cerebrospinal fluid (CSF) biomarkers in Alzheimer's disease (AD). Established as well as new candidate biomarkers will be covered. RECENT FINDINGS:AD is a complex disorder and the AD brain is characterized by multiple pathological processes, in addition t...

    journal_title:Current opinion in psychiatry

    pub_type: 杂志文章,评审

    doi:10.1097/YCO.0b013e32835f6747

    authors: Rosén C,Zetterberg H

    更新日期:2013-05-01 00:00:00

  • Sex differences in Alzheimer's disease.

    abstract:PURPOSE OF REVIEW:Women are more impacted by Alzheimer's disease than men - they are at significantly greater risk of developing Alzheimer's disease, and recent research shows that they also appear to suffer a greater cognitive deterioration than men at the same disease stage. The purpose of this article is to review r...

    journal_title:Current opinion in psychiatry

    pub_type: 杂志文章,评审

    doi:10.1097/YCO.0000000000000401

    authors: Laws KR,Irvine K,Gale TM

    更新日期:2018-03-01 00:00:00

  • New findings on the genetic influences on alcohol use and dependence.

    abstract:PURPOSE OF REVIEW:Alcohol dependence is a complex disorder with a well documented highly hereditary nature. This article reviews the recent advances in our understanding of the direct and indirect genetic influences on alcohol use and dependence. RECENT FINDINGS:Recent findings can be summarized as follows: (a) twin s...

    journal_title:Current opinion in psychiatry

    pub_type: 杂志文章,评审

    doi:10.1097/01.yco.0000218595.54054.7a

    authors: Higuchi S,Matsushita S,Kashima H

    更新日期:2006-05-01 00:00:00

  • History of social psychiatry.

    abstract:PURPOSE OF REVIEW:The overview focuses on publications relating to the history of social psychiatry and the mental health movement, respectively. RECENT FINDINGS:The selected works show fundamental developments within psychiatry, which can be conceived in the broadest sense as sociomedical in nature. Main emphases are...

    journal_title:Current opinion in psychiatry

    pub_type: 历史文章,杂志文章,评审

    doi:10.1097/YCO.0b013e3283590509

    authors: Haack K,Kumbier E

    更新日期:2012-11-01 00:00:00

  • Addressing cardiometabolic risk during treatment with antipsychotic medications.

    abstract:PURPOSE OF REVIEW:To raise awareness of and inform evidence-based practice regarding medical and behavioral interventions for antipsychotic medication-induced metabolic abnormalities. RECENT FINDINGS:The current literature indicates that individuals with severe and persistent mental illness have significantly worse he...

    journal_title:Current opinion in psychiatry

    pub_type: 杂志文章,评审

    doi:10.1097/YCO.0b013e328314b74b

    authors: Amiel JM,Mangurian CV,Ganguli R,Newcomer JW

    更新日期:2008-11-01 00:00:00

  • Magnitude and impact of comorbidity of mental disorders from epidemiologic surveys.

    abstract:PURPOSE OF REVIEW:To consider comorbidity across multiple classes of disorders in data derived from recent large-scale community surveys. RECENT FINDINGS:There has been substantial recent progress in our understanding of patterns and implications of comorbidity of mental disorders. There is now converging evidence on ...

    journal_title:Current opinion in psychiatry

    pub_type: 杂志文章,评审

    doi:10.1097/YCO.0b013e3281c61dc5

    authors: Merikangas KR,Kalaydjian A

    更新日期:2007-07-01 00:00:00

  • Why do patients with schizophrenia smoke?

    abstract:PURPOSE OF REVIEW:Among the mentally ill, smoking prevalence is highest in patients with schizophrenia ( approximately 70-80%). This can impose a significant financial burden on patients, not to speak of increased smoking-related morbidity and mortality. Therefore, it is critical for clinicians to understand why patien...

    journal_title:Current opinion in psychiatry

    pub_type: 杂志文章,评审

    doi:10.1097/YCO.0b013e3283366643

    authors: Winterer G

    更新日期:2010-03-01 00:00:00

  • Decriminalization of drug use.

    abstract:PURPOSE OF REVIEW:To review the literature on decriminalization of drug use from 2016 to 2017 and suggest the way forward. RECENT FINDINGS:The systematic review of the literature on decriminalization resulted in seven articles that discuss decriminalization as compared with 57 published articles on legalization. Decri...

    journal_title:Current opinion in psychiatry

    pub_type: 杂志文章

    doi:10.1097/YCO.0000000000000429

    authors: Vicknasingam B,Narayanan S,Singh D,Chawarski M

    更新日期:2018-07-01 00:00:00

  • Do we need sex-oriented clinical practice guidelines for the treatment of schizophrenia?

    abstract:PURPOSE OF REVIEW:Clinical practice guidelines (CPGs) do not usually offer a sex-specific approach for the management of schizophrenia. With this narrative review, we aim to give an integrated and synthesized overview of the current state of knowledge regarding sex-specific aspects in schizophrenia and how this topic m...

    journal_title:Current opinion in psychiatry

    pub_type: 杂志文章

    doi:10.1097/YCO.0000000000000597

    authors: Fernando P,Sommer IEC,Hasan A

    更新日期:2020-05-01 00:00:00

  • Recent trends in behavioral medicine.

    abstract:PURPOSE OF REVIEW:Behavioral medicine is an interdisciplinary field, integrating research from a variety of disciplines. This review focuses on recent advances and developments in behavioral medicine. RECENT FINDINGS:Stress, as well as having a role in the etiology and maintenance of somatic disease and somatoform dis...

    journal_title:Current opinion in psychiatry

    pub_type: 杂志文章,评审

    doi:10.1097/01.yco.0000214345.37002.77

    authors: Nater UM,Gaab J,Rief W,Ehlert U

    更新日期:2006-03-01 00:00:00

  • Innovative strategies for closing the mental health treatment gap globally.

    abstract:PURPOSE OF REVIEW:In the field of global mental health, an enormous gap between what we know and what we do exists in the delivery of clinical care. Creative and effective strategies that surmount the barriers to provision of mental healthcare are essential to improve the lives of millions affected by mental illness. T...

    journal_title:Current opinion in psychiatry

    pub_type: 杂志文章,评审

    doi:10.1097/YCO.0000000000000068

    authors: Rebello TJ,Marques A,Gureje O,Pike KM

    更新日期:2014-07-01 00:00:00

  • Psychosis in neurodegenerative disorders: recent developments.

    abstract:PURPOSE OF REVIEW:This review presents the latest developments covered in the literature regarding psychosis in neurodegenerative disorders and discusses possible future research directions. RECENT FINDINGS:Recent findings in the field of psychosis and neurodegenerative disorders revolve around four main themes. The f...

    journal_title:Current opinion in psychiatry

    pub_type: 杂志文章,评审

    doi:10.1097/YCO.0000000000000476

    authors: Karameh WK,Murari G,Schweizer TA,Munoz DG,Fischer CE

    更新日期:2019-03-01 00:00:00

  • Cognitive behavioral therapy and predictors of weight loss in bariatric surgery patients.

    abstract:PURPOSE OF REVIEW:Bariatric surgery is the most effective treatment for morbid obesity. However, 20-30% of patients undergoing bariatric surgery experience premature weight stabilization or weight regain postoperatively. We report on the recent literature of predictors of weight loss and the efficacy of cognitive behav...

    journal_title:Current opinion in psychiatry

    pub_type: 杂志文章,评审

    doi:10.1097/YCO.0000000000000359

    authors: Paul L,van der Heiden C,Hoek HW

    更新日期:2017-11-01 00:00:00

  • Williams syndrome: recent advances in our understanding of cognitive, social and psychological functioning.

    abstract:PURPOSE OF REVIEW:Since the last review of Williams syndrome in Current Opinion (2001) there have been many advances in knowledge about the cognitive, social and psychological impairments that characterize the disorder. The present review focuses on current research in these areas. RECENT FINDINGS:Williams syndrome is...

    journal_title:Current opinion in psychiatry

    pub_type: 杂志文章,评审

    doi:10.1097/YCO.0000000000000477

    authors: Royston R,Waite J,Howlin P

    更新日期:2019-03-01 00:00:00

  • The effectiveness of psychological treatments for chronic pain in older adults: cautious optimism and an agenda for research.

    abstract:PURPOSE OF REVIEW:To explores the potential role of psychological treatments for older people who are affected by chronic pain. RECENT FINDINGS:It is now widely recognized that chronic pain is a highly prevalent health problem among older people, and guidelines have evolved to assist with the assessment and management...

    journal_title:Current opinion in psychiatry

    pub_type: 杂志文章,评审

    doi:10.1097/YCO.0000000000000090

    authors: McGuire BE,Nicholas MK,Asghari A,Wood BM,Main CJ

    更新日期:2014-09-01 00:00:00

  • Role of behavioral medicine in primary care.

    abstract:PURPOSE OF REVIEW:Behavioral medicine is a vast field with an ever-increasing knowledge base. We review important findings over the last 18 months. RECENT FINDINGS:We organized advances in behavioral medicine into four main topic areas: the doctor and patient, health-related behavior, integration of behavioral medicin...

    journal_title:Current opinion in psychiatry

    pub_type: 杂志文章,评审

    doi:10.1097/YCO.0b013e3283503576

    authors: Feldman MD,Berkowitz SA

    更新日期:2012-03-01 00:00:00

  • Smell identification function and Alzheimer's disease: a selective review.

    abstract:PURPOSE OF REVIEW:To provide an update of the recent studies on the olfactory function in Alzheimer's disease, with a focus on the olfactory identification function. RECENT FINDINGS:The studies reviewed here confirm previous reports on the poor olfactory function in Alzheimer's disease compared to health normal contro...

    journal_title:Current opinion in psychiatry

    pub_type: 杂志文章,评审

    doi:10.1097/YCO.0000000000000146

    authors: Velayudhan L

    更新日期:2015-03-01 00:00:00

  • New generation antipsychotic drugs and compliance behaviour.

    abstract:PURPOSE OF REVIEW:Antipsychotic therapy has been eclipsed by high rates of noncompliance; the problem was attributed to a lack of efficacy and the burden of side effects of neuroleptics. This review sought to examine whether the arrival of second generation (atypical) antipsychotic drugs with low side-effect liability ...

    journal_title:Current opinion in psychiatry

    pub_type: 杂志文章,评审

    doi:10.1097/YCO.0b013e3282f52851

    authors: Voruganti LP,Baker LK,Awad AG

    更新日期:2008-03-01 00:00:00

  • Emotion regulation and mental health: recent findings, current challenges, and future directions.

    abstract:PURPOSE OF REVIEW:In recent years, deficits in emotion regulation have been studied as a putative maintaining factor and promising treatment target in a broad range of mental disorders. This article aims to provide an integrative review of the latest theoretical and empirical developments in this rapidly growing field ...

    journal_title:Current opinion in psychiatry

    pub_type: 杂志文章,评审

    doi:10.1097/YCO.0b013e3283503669

    authors: Berking M,Wupperman P

    更新日期:2012-03-01 00:00:00