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Criteria for Psychosis in Major and Mild Neurocognitive Disorders: International Psychogeriatric Association (IPA) Consensus Clinical and Research Definition
- 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.
- Subjects :
- medicine.medical_specialty
Psychosis
Consensus
Alzheimer`s disease Donders Center for Medical Neuroscience [Radboudumc 1]
Hallucinations
Geriatric Psychiatry
Article
Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18]
03 medical and health sciences
0302 clinical medicine
Medicine
Humans
In patient
Cognitive Dysfunction
Medical diagnosis
Association (psychology)
Psychiatry
Aged
030214 geriatrics
business.industry
medicine.disease
Clinical trial
Psychiatry and Mental health
Psychotic Disorders
Time course
Geriatrics and Gerontology
business
Neurocognitive
Geriatric psychiatry
Subjects
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