Late-Life Psychosis: Diagnosis and Treatment
Abstract Psychosis is one of the most common conditions in later life with a lifetime risk of 23 %. Despite its high prevalence, late-onset psychosis remains a diagnostic and treatment dilemma. There are no reliable pathognomonic signs to distinguish primary or secondary psychosis. Primary psychosis...
Ausführliche Beschreibung
Autor*in: |
Reinhardt, Michael M. [verfasserIn] Cohen, Carl I. [verfasserIn] |
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Format: |
E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2015 |
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Schlagwörter: |
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Übergeordnetes Werk: |
Enthalten in: Current psychiatry reports - Philadelphia, Pa. : Current Science Inc., 1999, 17(2015), 2 vom: 24. Jan. |
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Übergeordnetes Werk: |
volume:17 ; year:2015 ; number:2 ; day:24 ; month:01 |
Links: |
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DOI / URN: |
10.1007/s11920-014-0542-0 |
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Katalog-ID: |
SPR023023317 |
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520 | |a Abstract Psychosis is one of the most common conditions in later life with a lifetime risk of 23 %. Despite its high prevalence, late-onset psychosis remains a diagnostic and treatment dilemma. There are no reliable pathognomonic signs to distinguish primary or secondary psychosis. Primary psychosis is a diagnosis of exclusion and the clinician must rule out secondary causes. Approximately 60 % of older patients with newly incident psychosis have a secondary psychosis. In this article, we review current, evidence-based diagnostic and treatment approaches for this heterogeneous condition, emphasizing a thorough evaluation for the “six d’s” of late-life psychosis (delirium, disease, drugs dementia, depression, delusions). Treatment is geared towards the specific cause of psychosis and tailored based on comorbid conditions. Frequently, environmental and psychosocial interventions are first-line treatments with the judicious use of pharmacotherapy as needed. There is an enormous gap between the prevalence of psychotic disorders in older adults and the availability of evidence-based treatment. The dramatic growth in the elderly population over the first half of this century creates a compelling need to address this gap. | ||
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650 | 4 | |a Geriatric |7 (dpeaa)DE-He213 | |
650 | 4 | |a Elderly |7 (dpeaa)DE-He213 | |
650 | 4 | |a Dementia |7 (dpeaa)DE-He213 | |
650 | 4 | |a Neurocognitive disorders |7 (dpeaa)DE-He213 | |
650 | 4 | |a Schizophrenia |7 (dpeaa)DE-He213 | |
650 | 4 | |a Delirium |7 (dpeaa)DE-He213 | |
650 | 4 | |a Primary psychotic disorders |7 (dpeaa)DE-He213 | |
650 | 4 | |a Secondary psychotic disorders |7 (dpeaa)DE-He213 | |
650 | 4 | |a Psychotic disorder due to another medical condition |7 (dpeaa)DE-He213 | |
650 | 4 | |a Delusional disorder |7 (dpeaa)DE-He213 | |
650 | 4 | |a Schizoaffective disorder |7 (dpeaa)DE-He213 | |
650 | 4 | |a Major depressive disorder |7 (dpeaa)DE-He213 | |
650 | 4 | |a Bipolar disorder |7 (dpeaa)DE-He213 | |
650 | 4 | |a Substance/medication-induced psychotic disorder |7 (dpeaa)DE-He213 | |
700 | 1 | |a Cohen, Carl I. |e verfasserin |4 aut | |
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10.1007/s11920-014-0542-0 doi (DE-627)SPR023023317 (SPR)s11920-014-0542-0-e DE-627 ger DE-627 rakwb eng 610 ASE 44.91 bkl Reinhardt, Michael M. verfasserin aut Late-Life Psychosis: Diagnosis and Treatment 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Psychosis is one of the most common conditions in later life with a lifetime risk of 23 %. Despite its high prevalence, late-onset psychosis remains a diagnostic and treatment dilemma. There are no reliable pathognomonic signs to distinguish primary or secondary psychosis. Primary psychosis is a diagnosis of exclusion and the clinician must rule out secondary causes. Approximately 60 % of older patients with newly incident psychosis have a secondary psychosis. In this article, we review current, evidence-based diagnostic and treatment approaches for this heterogeneous condition, emphasizing a thorough evaluation for the “six d’s” of late-life psychosis (delirium, disease, drugs dementia, depression, delusions). Treatment is geared towards the specific cause of psychosis and tailored based on comorbid conditions. Frequently, environmental and psychosocial interventions are first-line treatments with the judicious use of pharmacotherapy as needed. There is an enormous gap between the prevalence of psychotic disorders in older adults and the availability of evidence-based treatment. The dramatic growth in the elderly population over the first half of this century creates a compelling need to address this gap. Late-life psychosis (dpeaa)DE-He213 Geriatric psychosis (dpeaa)DE-He213 Psychosis (dpeaa)DE-He213 Geriatric (dpeaa)DE-He213 Elderly (dpeaa)DE-He213 Dementia (dpeaa)DE-He213 Neurocognitive disorders (dpeaa)DE-He213 Schizophrenia (dpeaa)DE-He213 Delirium (dpeaa)DE-He213 Primary psychotic disorders (dpeaa)DE-He213 Secondary psychotic disorders (dpeaa)DE-He213 Psychotic disorder due to another medical condition (dpeaa)DE-He213 Delusional disorder (dpeaa)DE-He213 Schizoaffective disorder (dpeaa)DE-He213 Major depressive disorder (dpeaa)DE-He213 Bipolar disorder (dpeaa)DE-He213 Substance/medication-induced psychotic disorder (dpeaa)DE-He213 Cohen, Carl I. verfasserin aut Enthalten in Current psychiatry reports Philadelphia, Pa. : Current Science Inc., 1999 17(2015), 2 vom: 24. Jan. (DE-627)345293029 (DE-600)2076144-2 1535-1645 nnns volume:17 year:2015 number:2 day:24 month:01 https://dx.doi.org/10.1007/s11920-014-0542-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.91 ASE AR 17 2015 2 24 01 |
spelling |
10.1007/s11920-014-0542-0 doi (DE-627)SPR023023317 (SPR)s11920-014-0542-0-e DE-627 ger DE-627 rakwb eng 610 ASE 44.91 bkl Reinhardt, Michael M. verfasserin aut Late-Life Psychosis: Diagnosis and Treatment 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Psychosis is one of the most common conditions in later life with a lifetime risk of 23 %. Despite its high prevalence, late-onset psychosis remains a diagnostic and treatment dilemma. There are no reliable pathognomonic signs to distinguish primary or secondary psychosis. Primary psychosis is a diagnosis of exclusion and the clinician must rule out secondary causes. Approximately 60 % of older patients with newly incident psychosis have a secondary psychosis. In this article, we review current, evidence-based diagnostic and treatment approaches for this heterogeneous condition, emphasizing a thorough evaluation for the “six d’s” of late-life psychosis (delirium, disease, drugs dementia, depression, delusions). Treatment is geared towards the specific cause of psychosis and tailored based on comorbid conditions. Frequently, environmental and psychosocial interventions are first-line treatments with the judicious use of pharmacotherapy as needed. There is an enormous gap between the prevalence of psychotic disorders in older adults and the availability of evidence-based treatment. The dramatic growth in the elderly population over the first half of this century creates a compelling need to address this gap. Late-life psychosis (dpeaa)DE-He213 Geriatric psychosis (dpeaa)DE-He213 Psychosis (dpeaa)DE-He213 Geriatric (dpeaa)DE-He213 Elderly (dpeaa)DE-He213 Dementia (dpeaa)DE-He213 Neurocognitive disorders (dpeaa)DE-He213 Schizophrenia (dpeaa)DE-He213 Delirium (dpeaa)DE-He213 Primary psychotic disorders (dpeaa)DE-He213 Secondary psychotic disorders (dpeaa)DE-He213 Psychotic disorder due to another medical condition (dpeaa)DE-He213 Delusional disorder (dpeaa)DE-He213 Schizoaffective disorder (dpeaa)DE-He213 Major depressive disorder (dpeaa)DE-He213 Bipolar disorder (dpeaa)DE-He213 Substance/medication-induced psychotic disorder (dpeaa)DE-He213 Cohen, Carl I. verfasserin aut Enthalten in Current psychiatry reports Philadelphia, Pa. : Current Science Inc., 1999 17(2015), 2 vom: 24. Jan. (DE-627)345293029 (DE-600)2076144-2 1535-1645 nnns volume:17 year:2015 number:2 day:24 month:01 https://dx.doi.org/10.1007/s11920-014-0542-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.91 ASE AR 17 2015 2 24 01 |
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10.1007/s11920-014-0542-0 doi (DE-627)SPR023023317 (SPR)s11920-014-0542-0-e DE-627 ger DE-627 rakwb eng 610 ASE 44.91 bkl Reinhardt, Michael M. verfasserin aut Late-Life Psychosis: Diagnosis and Treatment 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Psychosis is one of the most common conditions in later life with a lifetime risk of 23 %. Despite its high prevalence, late-onset psychosis remains a diagnostic and treatment dilemma. There are no reliable pathognomonic signs to distinguish primary or secondary psychosis. Primary psychosis is a diagnosis of exclusion and the clinician must rule out secondary causes. Approximately 60 % of older patients with newly incident psychosis have a secondary psychosis. In this article, we review current, evidence-based diagnostic and treatment approaches for this heterogeneous condition, emphasizing a thorough evaluation for the “six d’s” of late-life psychosis (delirium, disease, drugs dementia, depression, delusions). Treatment is geared towards the specific cause of psychosis and tailored based on comorbid conditions. Frequently, environmental and psychosocial interventions are first-line treatments with the judicious use of pharmacotherapy as needed. There is an enormous gap between the prevalence of psychotic disorders in older adults and the availability of evidence-based treatment. The dramatic growth in the elderly population over the first half of this century creates a compelling need to address this gap. Late-life psychosis (dpeaa)DE-He213 Geriatric psychosis (dpeaa)DE-He213 Psychosis (dpeaa)DE-He213 Geriatric (dpeaa)DE-He213 Elderly (dpeaa)DE-He213 Dementia (dpeaa)DE-He213 Neurocognitive disorders (dpeaa)DE-He213 Schizophrenia (dpeaa)DE-He213 Delirium (dpeaa)DE-He213 Primary psychotic disorders (dpeaa)DE-He213 Secondary psychotic disorders (dpeaa)DE-He213 Psychotic disorder due to another medical condition (dpeaa)DE-He213 Delusional disorder (dpeaa)DE-He213 Schizoaffective disorder (dpeaa)DE-He213 Major depressive disorder (dpeaa)DE-He213 Bipolar disorder (dpeaa)DE-He213 Substance/medication-induced psychotic disorder (dpeaa)DE-He213 Cohen, Carl I. verfasserin aut Enthalten in Current psychiatry reports Philadelphia, Pa. : Current Science Inc., 1999 17(2015), 2 vom: 24. Jan. (DE-627)345293029 (DE-600)2076144-2 1535-1645 nnns volume:17 year:2015 number:2 day:24 month:01 https://dx.doi.org/10.1007/s11920-014-0542-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.91 ASE AR 17 2015 2 24 01 |
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10.1007/s11920-014-0542-0 doi (DE-627)SPR023023317 (SPR)s11920-014-0542-0-e DE-627 ger DE-627 rakwb eng 610 ASE 44.91 bkl Reinhardt, Michael M. verfasserin aut Late-Life Psychosis: Diagnosis and Treatment 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Psychosis is one of the most common conditions in later life with a lifetime risk of 23 %. Despite its high prevalence, late-onset psychosis remains a diagnostic and treatment dilemma. There are no reliable pathognomonic signs to distinguish primary or secondary psychosis. Primary psychosis is a diagnosis of exclusion and the clinician must rule out secondary causes. Approximately 60 % of older patients with newly incident psychosis have a secondary psychosis. In this article, we review current, evidence-based diagnostic and treatment approaches for this heterogeneous condition, emphasizing a thorough evaluation for the “six d’s” of late-life psychosis (delirium, disease, drugs dementia, depression, delusions). Treatment is geared towards the specific cause of psychosis and tailored based on comorbid conditions. Frequently, environmental and psychosocial interventions are first-line treatments with the judicious use of pharmacotherapy as needed. There is an enormous gap between the prevalence of psychotic disorders in older adults and the availability of evidence-based treatment. The dramatic growth in the elderly population over the first half of this century creates a compelling need to address this gap. Late-life psychosis (dpeaa)DE-He213 Geriatric psychosis (dpeaa)DE-He213 Psychosis (dpeaa)DE-He213 Geriatric (dpeaa)DE-He213 Elderly (dpeaa)DE-He213 Dementia (dpeaa)DE-He213 Neurocognitive disorders (dpeaa)DE-He213 Schizophrenia (dpeaa)DE-He213 Delirium (dpeaa)DE-He213 Primary psychotic disorders (dpeaa)DE-He213 Secondary psychotic disorders (dpeaa)DE-He213 Psychotic disorder due to another medical condition (dpeaa)DE-He213 Delusional disorder (dpeaa)DE-He213 Schizoaffective disorder (dpeaa)DE-He213 Major depressive disorder (dpeaa)DE-He213 Bipolar disorder (dpeaa)DE-He213 Substance/medication-induced psychotic disorder (dpeaa)DE-He213 Cohen, Carl I. verfasserin aut Enthalten in Current psychiatry reports Philadelphia, Pa. : Current Science Inc., 1999 17(2015), 2 vom: 24. Jan. (DE-627)345293029 (DE-600)2076144-2 1535-1645 nnns volume:17 year:2015 number:2 day:24 month:01 https://dx.doi.org/10.1007/s11920-014-0542-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.91 ASE AR 17 2015 2 24 01 |
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10.1007/s11920-014-0542-0 doi (DE-627)SPR023023317 (SPR)s11920-014-0542-0-e DE-627 ger DE-627 rakwb eng 610 ASE 44.91 bkl Reinhardt, Michael M. verfasserin aut Late-Life Psychosis: Diagnosis and Treatment 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Psychosis is one of the most common conditions in later life with a lifetime risk of 23 %. Despite its high prevalence, late-onset psychosis remains a diagnostic and treatment dilemma. There are no reliable pathognomonic signs to distinguish primary or secondary psychosis. Primary psychosis is a diagnosis of exclusion and the clinician must rule out secondary causes. Approximately 60 % of older patients with newly incident psychosis have a secondary psychosis. In this article, we review current, evidence-based diagnostic and treatment approaches for this heterogeneous condition, emphasizing a thorough evaluation for the “six d’s” of late-life psychosis (delirium, disease, drugs dementia, depression, delusions). Treatment is geared towards the specific cause of psychosis and tailored based on comorbid conditions. Frequently, environmental and psychosocial interventions are first-line treatments with the judicious use of pharmacotherapy as needed. There is an enormous gap between the prevalence of psychotic disorders in older adults and the availability of evidence-based treatment. The dramatic growth in the elderly population over the first half of this century creates a compelling need to address this gap. Late-life psychosis (dpeaa)DE-He213 Geriatric psychosis (dpeaa)DE-He213 Psychosis (dpeaa)DE-He213 Geriatric (dpeaa)DE-He213 Elderly (dpeaa)DE-He213 Dementia (dpeaa)DE-He213 Neurocognitive disorders (dpeaa)DE-He213 Schizophrenia (dpeaa)DE-He213 Delirium (dpeaa)DE-He213 Primary psychotic disorders (dpeaa)DE-He213 Secondary psychotic disorders (dpeaa)DE-He213 Psychotic disorder due to another medical condition (dpeaa)DE-He213 Delusional disorder (dpeaa)DE-He213 Schizoaffective disorder (dpeaa)DE-He213 Major depressive disorder (dpeaa)DE-He213 Bipolar disorder (dpeaa)DE-He213 Substance/medication-induced psychotic disorder (dpeaa)DE-He213 Cohen, Carl I. verfasserin aut Enthalten in Current psychiatry reports Philadelphia, Pa. : Current Science Inc., 1999 17(2015), 2 vom: 24. Jan. (DE-627)345293029 (DE-600)2076144-2 1535-1645 nnns volume:17 year:2015 number:2 day:24 month:01 https://dx.doi.org/10.1007/s11920-014-0542-0 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.91 ASE AR 17 2015 2 24 01 |
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author |
Reinhardt, Michael M. |
spellingShingle |
Reinhardt, Michael M. ddc 610 bkl 44.91 misc Late-life psychosis misc Geriatric psychosis misc Psychosis misc Geriatric misc Elderly misc Dementia misc Neurocognitive disorders misc Schizophrenia misc Delirium misc Primary psychotic disorders misc Secondary psychotic disorders misc Psychotic disorder due to another medical condition misc Delusional disorder misc Schizoaffective disorder misc Major depressive disorder misc Bipolar disorder misc Substance/medication-induced psychotic disorder Late-Life Psychosis: Diagnosis and Treatment |
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610 ASE 44.91 bkl Late-Life Psychosis: Diagnosis and Treatment Late-life psychosis (dpeaa)DE-He213 Geriatric psychosis (dpeaa)DE-He213 Psychosis (dpeaa)DE-He213 Geriatric (dpeaa)DE-He213 Elderly (dpeaa)DE-He213 Dementia (dpeaa)DE-He213 Neurocognitive disorders (dpeaa)DE-He213 Schizophrenia (dpeaa)DE-He213 Delirium (dpeaa)DE-He213 Primary psychotic disorders (dpeaa)DE-He213 Secondary psychotic disorders (dpeaa)DE-He213 Psychotic disorder due to another medical condition (dpeaa)DE-He213 Delusional disorder (dpeaa)DE-He213 Schizoaffective disorder (dpeaa)DE-He213 Major depressive disorder (dpeaa)DE-He213 Bipolar disorder (dpeaa)DE-He213 Substance/medication-induced psychotic disorder (dpeaa)DE-He213 |
topic |
ddc 610 bkl 44.91 misc Late-life psychosis misc Geriatric psychosis misc Psychosis misc Geriatric misc Elderly misc Dementia misc Neurocognitive disorders misc Schizophrenia misc Delirium misc Primary psychotic disorders misc Secondary psychotic disorders misc Psychotic disorder due to another medical condition misc Delusional disorder misc Schizoaffective disorder misc Major depressive disorder misc Bipolar disorder misc Substance/medication-induced psychotic disorder |
topic_unstemmed |
ddc 610 bkl 44.91 misc Late-life psychosis misc Geriatric psychosis misc Psychosis misc Geriatric misc Elderly misc Dementia misc Neurocognitive disorders misc Schizophrenia misc Delirium misc Primary psychotic disorders misc Secondary psychotic disorders misc Psychotic disorder due to another medical condition misc Delusional disorder misc Schizoaffective disorder misc Major depressive disorder misc Bipolar disorder misc Substance/medication-induced psychotic disorder |
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ddc 610 bkl 44.91 misc Late-life psychosis misc Geriatric psychosis misc Psychosis misc Geriatric misc Elderly misc Dementia misc Neurocognitive disorders misc Schizophrenia misc Delirium misc Primary psychotic disorders misc Secondary psychotic disorders misc Psychotic disorder due to another medical condition misc Delusional disorder misc Schizoaffective disorder misc Major depressive disorder misc Bipolar disorder misc Substance/medication-induced psychotic disorder |
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Late-Life Psychosis: Diagnosis and Treatment |
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Late-Life Psychosis: Diagnosis and Treatment |
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Reinhardt, Michael M. |
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Reinhardt, Michael M. Cohen, Carl I. |
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Reinhardt, Michael M. |
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late-life psychosis: diagnosis and treatment |
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Late-Life Psychosis: Diagnosis and Treatment |
abstract |
Abstract Psychosis is one of the most common conditions in later life with a lifetime risk of 23 %. Despite its high prevalence, late-onset psychosis remains a diagnostic and treatment dilemma. There are no reliable pathognomonic signs to distinguish primary or secondary psychosis. Primary psychosis is a diagnosis of exclusion and the clinician must rule out secondary causes. Approximately 60 % of older patients with newly incident psychosis have a secondary psychosis. In this article, we review current, evidence-based diagnostic and treatment approaches for this heterogeneous condition, emphasizing a thorough evaluation for the “six d’s” of late-life psychosis (delirium, disease, drugs dementia, depression, delusions). Treatment is geared towards the specific cause of psychosis and tailored based on comorbid conditions. Frequently, environmental and psychosocial interventions are first-line treatments with the judicious use of pharmacotherapy as needed. There is an enormous gap between the prevalence of psychotic disorders in older adults and the availability of evidence-based treatment. The dramatic growth in the elderly population over the first half of this century creates a compelling need to address this gap. |
abstractGer |
Abstract Psychosis is one of the most common conditions in later life with a lifetime risk of 23 %. Despite its high prevalence, late-onset psychosis remains a diagnostic and treatment dilemma. There are no reliable pathognomonic signs to distinguish primary or secondary psychosis. Primary psychosis is a diagnosis of exclusion and the clinician must rule out secondary causes. Approximately 60 % of older patients with newly incident psychosis have a secondary psychosis. In this article, we review current, evidence-based diagnostic and treatment approaches for this heterogeneous condition, emphasizing a thorough evaluation for the “six d’s” of late-life psychosis (delirium, disease, drugs dementia, depression, delusions). Treatment is geared towards the specific cause of psychosis and tailored based on comorbid conditions. Frequently, environmental and psychosocial interventions are first-line treatments with the judicious use of pharmacotherapy as needed. There is an enormous gap between the prevalence of psychotic disorders in older adults and the availability of evidence-based treatment. The dramatic growth in the elderly population over the first half of this century creates a compelling need to address this gap. |
abstract_unstemmed |
Abstract Psychosis is one of the most common conditions in later life with a lifetime risk of 23 %. Despite its high prevalence, late-onset psychosis remains a diagnostic and treatment dilemma. There are no reliable pathognomonic signs to distinguish primary or secondary psychosis. Primary psychosis is a diagnosis of exclusion and the clinician must rule out secondary causes. Approximately 60 % of older patients with newly incident psychosis have a secondary psychosis. In this article, we review current, evidence-based diagnostic and treatment approaches for this heterogeneous condition, emphasizing a thorough evaluation for the “six d’s” of late-life psychosis (delirium, disease, drugs dementia, depression, delusions). Treatment is geared towards the specific cause of psychosis and tailored based on comorbid conditions. Frequently, environmental and psychosocial interventions are first-line treatments with the judicious use of pharmacotherapy as needed. There is an enormous gap between the prevalence of psychotic disorders in older adults and the availability of evidence-based treatment. The dramatic growth in the elderly population over the first half of this century creates a compelling need to address this gap. |
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container_issue |
2 |
title_short |
Late-Life Psychosis: Diagnosis and Treatment |
url |
https://dx.doi.org/10.1007/s11920-014-0542-0 |
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author2 |
Cohen, Carl I. |
author2Str |
Cohen, Carl I. |
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up_date |
2024-07-03T16:21:36.423Z |
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score |
7.4009523 |