Clinical Characterization of Late- and Very Late-Onset First Psychotic Episode in Psychiatric Inpatients

Girard, Caroline; Simard, Martine

doi:10.1097/jgp.0b013e31816c7b3c

Cited by 43 publications

(39 citation statements)

References 51 publications

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“…11,52 A wider range of perceptual misperceptions or hallucinations may be more prevalent in patients with late-onset psychosis, 9 although another study did not consistently report these differences. 37 In keeping with Kraepelin's original description, patients with late-onset psychosis may be more likely to present paranoid symptoms compared to age-matched early-onset schizophrenia patients, 13 although no such difference was evident in a recent publication with a larger sample size.…”

Section: Phenomenologymentioning

confidence: 91%

“…1 As well, the diagnostic criteria proposed by the International Late-Onset Schizophrenia Group were not clearly outlined, 1 which has led to variable use of this term. 9,10,26,27 Subsequent studies directly comparing these proposed age categories on clinical and epidemiological aspects were equivocal. 9 In the current psychiatric diagnostic systems (DSM-V, ICD-10), schizophrenia and delusional disorder is only diagnostically allowed, and age-specific diagnostic terms are not included in DSM-V 24 or ICD-10.…”

Section: History Of Late-onset Psychotic Disordermentioning

confidence: 99%

“…The lack of nosocological clarity has spurred recent studies to adopt a combined diagnosis, such as schizophrenia with delusional disorder, 8,9 schizophreniform disorder, 9 schizoaffective disorder 9,10 and nonspecific psychotic disorder 9 under the umbrella terms of late-onset schizophrenia and/or very-lateonset schizophrenia-like psychosis.…”

Section: Late-onset Psychosis; Is It Real?mentioning

confidence: 99%

“…Proposed diagnostic criteria had been not clearly outlined, which has led to ongoing inconsistency and confusion about how the criteria should be applied clinically and in research studies. [8][9][10] Moreover, whether distinguishing schizo-…”

Section: Introductionmentioning

confidence: 99%

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Late-Onset Psychosis; Is It Real?

Kwak

Yang

Koo

2015

Dement Neurocognitive Disord

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The nature of late-onset psychosis in the absence of a dementia or secondary to organic dysfunctions in the fifth decade of life and beyond is contentious and unresolved. Different terminologies, diagnostic criteria and age cut-offs have been applied to late-onset psychosis, which have stymied clinicians and researchers. No official diagnostic designation for patients with late-onset psychosis is included in the current psychiatric diagnostic system (Diagnostic and Statistical Manual of Mental Disorders-V, International Classification of Diseases-10). The validity of this diagnostic exclusion has been questioned. Despite these problems, a relatively consistent clinical picture has reported. However, many questions remain regarding the underlying etiology, pathophysiological mechanisms, treatment and prognosis. Whether late-onset psychosis is distinct from schizophrenia and whether it might be a harbinger of dementia are unclear. Recent studies have suggested an underlying biological pathophysiology of late-onset psychosis.

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Section: Phenomenologymentioning

confidence: 91%

Section: History Of Late-onset Psychotic Disordermentioning

confidence: 99%

Section: Late-onset Psychosis; Is It Real?mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Late-Onset Psychosis; Is It Real?

Kwak

Yang

Koo

2015

Dement Neurocognitive Disord

View full text Add to dashboard Cite

show abstract

“…Studies on VLOSLP alone [18][19][20][21][22][23], as well as studies comparing the profile of patients with VLOSLP with that of patients with LOS [14,24,25], elderly EOS [14,24,[26][27][28][29] and healthy controls [30,31] were also realized to better differentially characterize the demographics, clinical symptoms and evolution [14,20,29] of VLOSLP patients.…”

Section: Introductionmentioning

confidence: 99%