Oldham et al.
1propose a new model of delirium diagnosis in an article entitled “Refining delirium: a trans-theoretical model of delirium disorder with preliminary neurophysiological subtypes.” In this bold and provocative article, the authors propose a model for delirium that distinguishes the phenotype—the core attentional and arousal symptoms defined in the current diagnostic systems—from a delirium “disorder,” which they suggest should include consideration of specific precipitants of the syndrome, the protective baseline cognitive features, and the resultant neuropathological injury. They argue that this view is transtheoretical. Rather than advocating for one unifying model underlying the syndrome of delirium, this view allows for an interactive framework that starts with identifying precipitants as well as resilience and requires postulation as to neurophysiology and pathology.
- Oldham M.A.
- Flaherty J.
- Maldonado J.R.
Refining delirium: a trans-theoretical model of delirium disorder with preliminary neurophysiological subtypes.
Am J Geriatr Psychiatry. 2018; 26: 913-924
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- Refining delirium: a trans-theoretical model of delirium disorder with preliminary neurophysiological subtypes.Am J Geriatr Psychiatry. 2018; 26: 913-924
- Multifocal, diffuse, and metabolic brain diseases causing delirium, stupor and coma.in: Plum and Posner's Diagnosis of Stupor and Coma—Fourth Edition. Oxford University Press, New York2007: 181-183
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Published online: June 15, 2018
Accepted: May 16, 2018
Received: May 15, 2018
© 2018 Published by Elsevier Inc. on behalf of American Association for Geriatric Psychiatry.