Journal of Geriatric Psychiatry and Neurology

 

Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Click here for more information

Sign In to gain access to subscriptions and/or personal tools.
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Reisberg, B.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Reisberg, B.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?
Journal of Geriatric Psychiatry and Neurology, Vol. 19, No. 3, 137-146 (2006)
DOI: 10.1177/0891988706291083
© 2006 SAGE Publications

Diagnostic Criteria in Dementia: A Comparison of Current Criteria, Research Challenges, and Implications for DSM-V

Barry Reisberg, MD

Department of Psychiatry and Silberstein Aging and Dementia Research Center, New York University School of Medicine, New York, New York, barry.reisberg{at}med.nyu.edu

Planning is being initiated for the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders 5th ed. (DSM-V). Therefore, the dementia diagnosis criteria in the American Psychiatric Association’s DSM-IVTR (4th ed, text revision, 2000) have been compared with the World Health Organization’s International Classification of Diseases (10th revision, 1992). Critiques are based primarily on (a) internal consistency and validity of the classification, (b) historical development of the field, (c) conclusions of consensus conferences, and (d) current knowledge and practice. It is suggested that (1) the entire category be labeled "cognitive disorders," to better characterize this group of disorders, (2) there is no longer any scientific basis for the presenile versus senile dementia dichotomy at age 65, (3) Alzheimer’s disease no longer should have unique status as a "diagnosis of exclusion," (4) future manuals should incorporate knowledge regarding the clinical manifestation and course of Alzheimer’s disease and other dementias, and (5) the classification "Pick’s disease" should be broadened to "frontotemporal dementias." DSM-V should incorporate continuing advances in the neuroscience knowledge base and understanding of these disorders. (J Geriatr Psychiatry Neurol 2006;19:137-146)

Key Words: dementia • diagnosis • cognitive disorders • DSM • ICD • disease classification


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?