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Non-Cognitive Symptoms and the Diagnosis of Dementia

Historical and Clinical Aspects

Published online by Cambridge University Press:  06 August 2018

G. E. Berrios
G. E. Berrios*
Affiliation:
Department of Psychiatry, University of Cambridge
*
Addenbrooke's Hospital (Level 4), Hills Road, Cambridge CB2 2QQ, UK
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Extract

The current characterisation of dementia as a state of global cognitive failure (DSM-III-R, 1987) cannot differentiate it reliably, in cross-sectional diagnosis, from other states of compromised cognition. This is likely to contribute to both the over- and under-diagnosis of dementia in clinical practice (Marsden & Harrison, 1972; Fleminger, 1975; Ron et al, 1979; Smith & Kiloh, 1981; Garcia et al, 1984; Klein et al, 1985). However, diagnostic discrimination between true dementia and its behavioural phenocopies (e.g. depressive pseudo-dementia, quiet delirium, etc.) can be improved in a number of ways. One such is the longitudinal assessment of symptom-clusters (e.g. those related to memory, personality, and cortical syndromes); another is the inclusion of new symptoms into the definition of dementia. The first of these strategies has been given more attention than the second.

Type
I. Nosological Aspects
Information
The British Journal of Psychiatry , Volume 154 , Issue S4: Psychiatric Diagnosis: Nosological, Biological and Psychological Aspects , May 1989 , pp. 11 - 16
Copyright
Copyright © The Royal College of Psychiatrists 

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