diagnostic criteria for dementia (DSM III/IV/V)
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Introduction
Impaired short-term memory & long-term memory
At least 1 of the following:
- impaired abstract thinking: difficulty defining words & concepts or finding similarities of differences
- impaired judgment: inability to plan or deal with important issues
- disturbances of higher cortical functioning:
- language (aphasia)
- praxis (apraxia)
- agnosia
- visuospatial skills
- personality change
* Work & social problems related to criteria above
* clinical diagnosis of dementia requires cognitive impairment that interferes with activities of daily living[4]
* Mental impairment not present solely during periods of delirium
Either one of the following:
- evidence from history, physical examination, or laboratory tests of specific organic etiologic factors
- exclusion of nonorganic mental disorders when no etiologic organic factor can be determined; e.g. depression as a cause of cognitive decline
More general terms
Additional terms
- dementia; Alzheimer's disease & related dementias (ADRD)
- Diagnostic & Statistical Manual of Mental Disorders (DSM)
References
- ↑ Ramsdell et al, J General Medicine 5:55, 1990
- ↑ Masterman D. In: Intensive Course in Geriatric Medicine & Board Review, Marina Del Ray, CA, Sept 12-15, 2001
- ↑ Eschweiler GW, Leyhe T, Kloppel S, Hull M. New developments in the diagnosis of dementia. Dtsch Arztebl Int. 2010 Oct;107(39):677-83. Review. PMID: https://www.ncbi.nlm.nih.gov/pubmed/20963198
- ↑ 4.0 4.1 Section II, Neurocognitve Disorders. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Washington DC: American Psychiatric Association; 2013:602
Mao HF, Chang LH, Tsai AY et al Diagnostic accuracy of Instrumental Activities of Daily Living for dementia in community-dwelling older adults. Age Ageing. 2018 Jul 1;47(4):551-557 PMID: https://www.ncbi.nlm.nih.gov/pubmed/29528375