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Diagnostic Accuracy in Presenile Dementia

Published online by Cambridge University Press:  29 January 2018

M. A. Ron ,
B. K. Toone ,
M. E. Garralda  and
W. A. Lishman
M. A. Ron
Affiliation:
The Bethlem and Maudsley Hospitals and the Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF
B. K. Toone
Affiliation:
The Bethlem and Maudsley Hospitals and the Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF
M. E. Garralda
Affiliation:
The Bethlem and Maudsley Hospitals and the Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF
W. A. Lishman
Affiliation:
The Bethlem and Maudsley Hospitals and the Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF
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Summary

A follow-up study of patients diagnosed as suffering from presenile dementia has revealed a high incidence of erroneous diagnoses. Of 52 patients discharged from hospital with this diagnosis, information was obtained 5–15 years later on 51. Eighteen were alive and the diagnosis was rejected in 16 (31 per cent). Possible reasons for the mistaken diagnoses are discussed.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 134 , Issue 2 , February 1979 , pp. 161 - 168
Copyright
Copyright © Royal College of Psychiatrists, 1979 

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References

Bayes, T. (1958) Essay towards solving a problem in the doctrine of changes. Biometrika, 45, 293–315.Google Scholar
Bergmann, K. (1977) Prognosis in chronic brain failure. Age and Ageing, 6 (Suppl.), 61–6.Google Scholar
Blessed, G., Tomlinson, B. E. & Roth, M. (1968) The association between some quantitative measures of dementia and senile change in the central grey matter of elderly subjects. British Journal of Psychiatry, 114, 797–811.CrossRefGoogle Scholar
Freemon, F. R. (1975) Evaluation of patients with progressive intellectual deterioration. Archives of Neurology, 33, 658–9.Google Scholar
Hodkinson, H. M. (1972) Evaluation of a mental test score for assessment of mental impairment in the elderly. Age and Ageing, 1, 233–9.Google Scholar
Irving, G., Robinson, R. A. & McAdam, W. (1970) The validity of some cognitive tests in the diagnosis of dementia. British Journal of Psychiatry, 117, 149–56.CrossRefGoogle ScholarPubMed
Kendell, R. (1974) The stability of psychiatric diagnosis. British Journal of Psychiatry, 124, 352–6.CrossRefGoogle ScholarPubMed
Letemendia, F. & Pampiglione, G. (1958) Clinical and electroencephalographic observations in Alzheimer's disease. Journal of Neurology, Neurosurgery and Psychiatry, 21, 211–40.Google Scholar
Mann, A. H. (1973) Cortical atrophy and air encephalography: a clinical and radiological study. Psychological Medicine, 3, 374–8.Google Scholar
Marsden, C. D. & Harrison, M. J. G. (1972) Outcome of investigations of patients with presenile dementia. British Medical Journal, 2, 249–52.CrossRefGoogle ScholarPubMed
Maxwell, A. E. (1961) Analysing Qualitative Data. London: Methuen.Google Scholar
Nott, P. N. & Fleminger, J. J. (1975) Presenile dementia: the difficulties of early diagnosis. Acta Psychiatrica Scandinavica, 51, 210–17.CrossRefGoogle ScholarPubMed
Post, F. (1975) Dementia, depression and pseudodementia. In Psychiatric Aspects of Neurological Disease (eds. Benson, F. and Blumer, D.). New York: Grune & Stratton.Google Scholar
Smith, S. J., Kiloh, L. G., Ratnavale, G. S. & Grant, D. A. (1976) The investigation of dementia. The results in 100 consecutive admissions. The Medical Journal of Australia, 2, 403–5.Google Scholar
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