Relationship between symptoms and motoric subtype of delirium
Relationship between symptoms and motoric subtype of delirium
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DOI：
10.1176/jnp.12.1.51
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发表时间：
2000-12-01
影响因子：
2.9
通讯作者：
Trzepacz, PT
中科院分区：
文献类型：
--
作者：
Meagher, DJ;O'Hanlon, D;Trzepacz, PT
对于46例连续转诊至咨询联络精神病学服务的谵妄患者，作者描述了谵妄评定量表评定的症状与Liptzin和Levkoff标准定义的谵妄运动亚型之间的关系。大多数病例为混合亚型（46%），24%为活动减退，30%为活动过度。运动亚型组之间的总体评分差异显着，最高的活动过度，最低的活动不足，和中间的混合。在项目得分上，低活动组在妄想、情绪不稳定、睡眠-觉醒周期紊乱和症状变异性方面的得分低于多动组，但仅在情绪不稳定方面低于混合组。结果表明，谵妄表现为运动亚型，根据症状特征和谵妄的严重程度而不同。这些亚型可能在其基础病理生理学、对治疗干预的反应性和结局方面有所不同。
For 46 patients with delirium who were consecutive referrals to a consultation-liaison psychiatry service, the authors describe the relationships between symptoms,as rated on the Delirium Rating Scale, and delirium motoric subtypes, as defined by Liptzin and Levkoff's criteria. Most cases were of the mixed subtype (46%), 24% were hypoactive, and 30% were hyperactive. Overall scores differed significantly among motoric subtype groups, being highest in the hyperactive, lowest in the hypoactive, and intermediate in the mixed. On item scores, the hypoactive group scored lower than the hyperactive group for delusions, mood lability, sleep-wake cycle disturbances, and variability of symptoms, but lower than the mixed group only for mood lability. The results suggest that delirium presents as motoric subtypes that differ according to symptom profile and severity of delirium. These subtypes may differ in their underlying pathophysiologies, responsiveness to therapeutic interventions, and outcome.