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Criteria for Psychosis in Major and Mild Neurocognitive Disorders: International Psychogeriatric Association (IPA) Consensus Clinical and Research Definition

Authors :
Huali Wang
Raymond T.C.M. Koopmans
Raimundo Mateos
Zahinoor Ismail
Debby W. Tsuang
Susan Peschin
Tzung-Jeng Hwang
Lisa J. Bain
Corinne E. Fischer
Manuel Cruz
George T. Grossberg
Kate Zhong
Jeffrey L. Cummings
Luiz Cortez Pinto
Krista L. Lanctôt
Debby L. Gerritsen
Cristina Sampaio
Mary Sano
Dilip V. Jeste
Source :
American Journal of Geriatric Psychiatry, 28, 1256-1269, American Journal of Geriatric Psychiatry, 28, 12, pp. 1256-1269, Am J Geriatr Psychiatry
Publication Year :
2020

Abstract

Contains fulltext : 229856.pdf (Publisher’s version ) (Open Access) Psychosis is common among individuals with neurocognitive disorders, is difficult to manage, and causes considerable burden and stress to patients and caregivers. Developing effective treatments is a substantial unmet medical need but research has been slowed by the need for updated consensus diagnostic criteria. To address this need, the International Psychogeriatrics Association initiated a process to develop criteria for clinical use, research, and treatment development efforts. The process included clinical, regulatory, and industry stakeholders as well as input from a global network of experts in geriatric psychiatry responding to two surveys (N = 336). Results from the consensus process confirmed that clinicians wanted elaboration of aspects of the definition proposed by Jeste and Finkel in 2000 to ensure that the criteria are applied appropriately. Based on discussions, the survey, and emerging research, criteria were revised to apply to psychosis occurring with all major and mild neurocognitive disorders. Other important changes include providing examples of hallucinations and delusions and clarifying time course, impact, and exclusionary criteria. This definition of psychosis in major and mild neurocognitive disorders can be used to advance many types of research including development of much needed pharmacologic and nonpharmacologic interventions for psychosis in patients with neurocognitive disorders.

Details

ISSN :
10647481
Database :
OpenAIRE
Journal :
American Journal of Geriatric Psychiatry, 28, 1256-1269, American Journal of Geriatric Psychiatry, 28, 12, pp. 1256-1269, Am J Geriatr Psychiatry
Accession number :
edsair.doi.dedup.....96d8150d0e178f941e24c12aa77fd255