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The Delirium Symptom Interview: An Interview for the Detection of Delirium Symptoms in Hospitalized Patients
Marilyn S. Albert, PhD
Departments of Psychiatry and Neurology, Massachusetts General Hospital (Dr Albert); the Department of Psychiatry, McLean Hospital (Dr Liptzin); the Department of Neurology (Dr Pilgrim), Department of Gerontology (Ms Reilly), and Department of Medicine (Dr Rowe), Beth Israel Hospital; the Department of Medicine, Brigham and Women's Hospital (Dr Evans); the Department of Social Medicine (Dr Levkoff), the Department of Health Care Policy (Dr Cleary) and the Division on Aging, Harvard Medical School, Boston, MA.
Sue E. Levkoff, ScD
Departments of Psychiatry and Neurology, Massachusetts General Hospital (Dr Albert); the Department of Psychiatry, McLean Hospital (Dr Liptzin); the Department of Neurology (Dr Pilgrim), Department of Gerontology (Ms Reilly), and Department of Medicine (Dr Rowe), Beth Israel Hospital; the Department of Medicine, Brigham and Women's Hospital (Dr Evans); the Department of Social Medicine (Dr Levkoff), the Department of Health Care Policy (Dr Cleary) and the Division on Aging, Harvard Medical School, Boston, MA.
Catherine Reilly, RN, MSN
Departments of Psychiatry and Neurology, Massachusetts General Hospital (Dr Albert); the Department of Psychiatry, McLean Hospital (Dr Liptzin); the Department of Neurology (Dr Pilgrim), Department of Gerontology (Ms Reilly), and Department of Medicine (Dr Rowe), Beth Israel Hospital; the Department of Medicine, Brigham and Women's Hospital (Dr Evans); the Department of Social Medicine (Dr Levkoff), the Department of Health Care Policy (Dr Cleary) and the Division on Aging, Harvard Medical School, Boston, MA.
Benjamin Liptzin, MD
Departments of Psychiatry and Neurology, Massachusetts General Hospital (Dr Albert); the Department of Psychiatry, McLean Hospital (Dr Liptzin); the Department of Neurology (Dr Pilgrim), Department of Gerontology (Ms Reilly), and Department of Medicine (Dr Rowe), Beth Israel Hospital; the Department of Medicine, Brigham and Women's Hospital (Dr Evans); the Department of Social Medicine (Dr Levkoff), the Department of Health Care Policy (Dr Cleary) and the Division on Aging, Harvard Medical School, Boston, MA.
David Pilgrim, MD
Departments of Psychiatry and Neurology, Massachusetts General Hospital (Dr Albert); the Department of Psychiatry, McLean Hospital (Dr Liptzin); the Department of Neurology (Dr Pilgrim), Department of Gerontology (Ms Reilly), and Department of Medicine (Dr Rowe), Beth Israel Hospital; the Department of Medicine, Brigham and Women's Hospital (Dr Evans); the Department of Social Medicine (Dr Levkoff), the Department of Health Care Policy (Dr Cleary) and the Division on Aging, Harvard Medical School, Boston, MA.
Paul D. Cleary, PhD
Departments of Psychiatry and Neurology, Massachusetts General Hospital (Dr Albert); the Department of Psychiatry, McLean Hospital (Dr Liptzin); the Department of Neurology (Dr Pilgrim), Department of Gerontology (Ms Reilly), and Department of Medicine (Dr Rowe), Beth Israel Hospital; the Department of Medicine, Brigham and Women's Hospital (Dr Evans); the Department of Social Medicine (Dr Levkoff), the Department of Health Care Policy (Dr Cleary) and the Division on Aging, Harvard Medical School, Boston, MA.
Denis Evans, MD
Departments of Psychiatry and Neurology, Massachusetts General Hospital (Dr Albert); the Department of Psychiatry, McLean Hospital (Dr Liptzin); the Department of Neurology (Dr Pilgrim), Department of Gerontology (Ms Reilly), and Department of Medicine (Dr Rowe), Beth Israel Hospital; the Department of Medicine, Brigham and Women's Hospital (Dr Evans); the Department of Social Medicine (Dr Levkoff), the Department of Health Care Policy (Dr Cleary) and the Division on Aging, Harvard Medical School, Boston, MA.
John W. Rowe, MD
Departments of Psychiatry and Neurology, Massachusetts General Hospital (Dr Albert); the Department of Psychiatry, McLean Hospital (Dr Liptzin); the Department of Neurology (Dr Pilgrim), Department of Gerontology (Ms Reilly), and Department of Medicine (Dr Rowe), Beth Israel Hospital; the Department of Medicine, Brigham and Women's Hospital (Dr Evans); the Department of Social Medicine (Dr Levkoff), the Department of Health Care Policy (Dr Cleary) and the Division on Aging, Harvard Medical School, Boston, MA.
To study delirium in hospitalized elderly, a delirium symptom interview (DSI) was developed by an interdisciplinary group of investigators. This interview was administered in an acute care hospital to 50 patients who were over the age of 65 years. Results from the interview were compared to assessments of major symptoms of delirium made independently by a neurologist and a psychiatrist. This interview had good validity and reliability. The sensitivity of the DSI was .90 and the specificity was .80, when compared with the clinical judgment of a psychiatrist and neurologist. Interrater reliability, using lay interviewers, was .90 for the detection of major symptoms of delirium. These results indicate that the DSI could be used by lay interviewers to assess reliably the symptoms of delirium. (J Geriatr Psychiatry Neurol 1992;5:14–21).
Journal of Geriatric Psychiatry and Neurology, Vol. 5, No. 1,
14-21 (1992)
DOI: 10.1177/002383099200500103
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