Document Detail


Pseudodementia in schizophrenia and mania.
MedLine Citation:
PMID:  3370027     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The importance of differentiating depressive pseudodementia from true dementia seems to be well recognized by psychiatrists, yet there seems less recognition that other functional psychoses in the elderly can present with symptoms of cognitive impairment. In this report, we describe two patients--one suffering from late onset schizophrenia and one from a manic illness--who were diagnosed as suffering from dementia in the early stages of their illnesses. We discuss some of the difficulties in making diagnoses in these cases which include an historical tendency for clinicians, including psychiatrists, to assume an organic aetiology for first presentation psychoses in old age. Although the concept of pseudodementia has been criticised in recent years, we conclude that it retains its clinical utility in that it orientates the clinician to the importance of recognizing treatable functional psychoses in the elderly.
Authors:
J M Wright; D Silove
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Australian and New Zealand journal of psychiatry     Volume:  22     ISSN:  0004-8674     ISO Abbreviation:  Aust N Z J Psychiatry     Publication Date:  1988 Mar 
Date Detail:
Created Date:  1988-06-13     Completed Date:  1988-06-13     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0111052     Medline TA:  Aust N Z J Psychiatry     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  109-14     Citation Subset:  IM    
Affiliation:
School of Psychiatry, University of N.S.W., Randwick.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Bipolar Disorder / psychology*
Dementia / psychology
Diagnosis, Differential
Factitious Disorders / psychology*
Female
Humans
Referral and Consultation
Schizophrenic Psychology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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