Phenomenology Of Delirium: A Cross-Sectional Study Among Referred Cases Of Delirium

Authors

  • S K Verma Department of Psychiatry, NMC, Biratnagar
  • A K Pandey Department of Psychiatry, BPKIHS,Dharan
  • B R Adhikari Department of Psychiatry, BPKIHS, Dharan
  • L Mallick Department of Psychiatry, USTC, Chittagong

DOI:

https://doi.org/10.3126/jpan.v3i2.12394

Keywords:

Delirium, Phenomenology, Referral, DRS–R98

Abstract

Introduction: Studies from developing countries are few, on phenomenology of Delirium, even though it is a common diagnosis among psychiatric referrals. We studied the phenomenology of delirium in a teaching hospital in western region of Nepal by using standard assessment methods.

Aim: The aim of the study was to assess the phenomenological characteristics of delirium based on Delirium Rating Scale-Revised-98 (DRS–R98).

Methods: All consecutive patients of delirium who were referred to department of psychiatry for assessment were enrolled over a period of 12 months. Socio-demographic variables and other medical information were collected by using standardized data-collection forms developed by the department of Psychiatry. Assessments were based on all available information obtained from the patients, caregivers, medical staff, and medical records.

Results and conclusions: A total of 62 cases were studied out of which 83.9% were male. Mean age of the subjects was 47 years. Mean delirium severity was 21.35 (SD=3.54). Orientation, attention and short term memory was impaired in all of the cases. Long term memory impairment was noted in 98.4% of cases. Sleep wake cycle disturbance was present in 60 (96.8%) cases, perceptual abnormalities in 49 (79%) cases, some form of delusion was present in 19 (30.6%), lability of affect could be appreciated in 27(43.5%). Language, thought process abnormalities and impaired visuo-spatial ability was present in 19 (30.6%), 3 (4.8%) and 13 (21%) cases respectively.

J Psychiatric Association of Nepal Vol .3, No.2, 2014, pp: 43-47

DOI: http://dx.doi.org/10.3126/jpan.v3i2.12394

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Author Biographies

S K Verma, Department of Psychiatry, NMC, Biratnagar

Lecturer

A K Pandey, Department of Psychiatry, BPKIHS,Dharan

Additional Prof,

B R Adhikari, Department of Psychiatry, BPKIHS, Dharan

Asst. Prof.

L Mallick, Department of Psychiatry, USTC, Chittagong

Assistant Professor

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Published

2015-04-01

How to Cite

Verma, S. K., Pandey, A. K., Adhikari, B. R., & Mallick, L. (2015). Phenomenology Of Delirium: A Cross-Sectional Study Among Referred Cases Of Delirium. Journal of Psychiatrists’ Association of Nepal, 3(2), 43–47. https://doi.org/10.3126/jpan.v3i2.12394

Issue

Section

Original Articles