Phenomenology of delirium in cancer patients, as described by the Memorial Delirium Assessment Scale (MDAS) and the Delirium Rating Scale (DRS)

Marco Bosisio, Augusto Caraceni, Luigi Grassi

Research output: Contribution to journalArticle

Abstract

This study was based on the data collected on a consecutive sample of 106 cancer patients referred for mental status evaluation. All patients were evaluated by use of the Confusion Assessment Method (CAM) algorithm, the Delirium Rating Scale (DRS), the Memorial Delirium Assessment Scale (MDAS), and a question about the subjective perception of delirium. After comparing the diagnostic criteria of delirium on the DSM-III-R and DSM-IV, authors evaluated the ability of all DRS and MDAS items to discriminate delirium versus non-delirium patients, testing the difference in the distribution of the individual MDAS and DRS item scores. Authors also assessed the relationship between delirium diagnosis and the subjective perception of delirium. The MDAS showed a greater number of discriminating items. The items that proved to be less discriminating were "Hallucinations" and "Lability of Mood" on the DRS. Subjective perception only partially discriminated delirium from non-delirium patients. The way in which the DRS and MDAS reflected the DSM criteria are therefore partially different.

Original languageEnglish
Pages (from-to)471-478
Number of pages8
JournalPsychosomatics
Volume47
Issue number6
DOIs
Publication statusPublished - Nov 2006

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Delirium
Neoplasms
Cancer Patients
Phenomenology
Memorial
Rating Scales
Diagnostic and Statistical Manual of Mental Disorders
Confusion
Aptitude
Hallucinations
Mentally Ill Persons

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Psychology(all)

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Phenomenology of delirium in cancer patients, as described by the Memorial Delirium Assessment Scale (MDAS) and the Delirium Rating Scale (DRS). / Bosisio, Marco; Caraceni, Augusto; Grassi, Luigi.

In: Psychosomatics, Vol. 47, No. 6, 11.2006, p. 471-478.

Research output: Contribution to journalArticle

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