Table 2.
IPA Psychosis Survey 1.
| Question | Yes | No | Total | ||
|---|---|---|---|---|---|
| Q1 Characteristic symptoms are noted to be visual or auditory hallucinations or delusions. Would it be helpful to provide definitions of these symptoms (e.g., delusions are fixed false beliefs that the patient believes to be true)? | 230 | 68.45% | 106 | 31.55% | 336 |
| Q2 Would it be helpful to provide examples of these phenomena (e.g., silent individuals standing in the room; believing that one is not who one claims to be [Capgras syndrome], etc.)? | 262 | 77.98% | 74 | 22.02% | 336 |
| Q3 The primary diagnosis is noted to be dementia of the Alzheimer type. Should this be broadened to be any cognitive impairment syndrome (e.g., mild cognitive impairment, dementia with Lewy bodies, frontotemporal dementia, vascular dementia, etc.)? | 283 | 83.98% | 54 | 16.02% | 337 |
| Q4 Which cognitive impairment syndromes should be specifically identified: | |||||
| Mild cognitive impairment | 169 | 74.78% | 57 | 25.22% | 226 |
| Frontotemporal Dementia | 241 | 93.05% | 18 | 6.95% | 259 |
| Dementia with Lewy Bodies | 256 | 96.24% | 10 | 3.76% | 266 |
| Parkinson’s disease dementia | 245 | 94.96% | 13 | 5.04% | 258 |
| Vascular dementia | 248 | 96.12% | 10 | 3.88% | 258 |
| Progressive supranuclear palsy | 159 | 75.00% | 53 | 25.00% | 212 |
| Corticobasal degeneration | 157 | 73.02% | 58 | 26.98% | 215 |
| Traumatic brain injury | 159 | 73.27% | 58 | 26.73% | 217 |
| Others (comments listed at end) | 62 | 48.44% | 66 | 51.56% | 128 |
| Q5 If the criteria are broadened would it be better to use major and minor neurocognitive disorder as the major diagnostic designations? | 182 | 68.42% | 84 | 31.58% | 266 |
| Q6 If the criteria are broadened would it be better to use major and minor neurocognitive disorder as the major diagnostic designations followed by the specific diagnoses listed above? | 202 | 75.94% | 64 | 24.06% | 266 |
| Q7 The criteria note that the hallucinations and delusions cannot have been present before the onset of the dementia. Do you support this ordering with the presence of the dementia syndrome first followed by the onset of the symptoms of psychosis? | 154 | 57.46% | 114 | 42.54% | 268 |
| Q8 The criteria require that the symptoms of psychosis have been present at least intermittently for 1 month prior to diagnosis. What do you think is the appropriate interval of symptom duration prior to diagnosis? | . | 267 | |||
| 6 months | 33 | 12.36% | |||
| 2 months | 29 | 10.86% | |||
| 1 month | 95 | 35% | |||
| 2 weeks | 35 | 13.11% | |||
| 1 week | 8 | 3.00% | |||
| No specified duration | 67 | 25.09% | |||
| Q9 The criteria require that symptoms are severe enough to cause some disruption in patients’ and/or others’ functioning. Should “disruption” be defined such as interfering with the patient’s ability to accomplish activities of daily living or interact as usual socially. | 201 | 75.00% | 67 | 25.00% | 268 |
| Q10 The criteria include “duration and severity?” Should this section be divided into two, one section addressing duration and one section addressing severity? | 202 | 75.66% | 65 | 24.34% | 267 |
| Q11 Do you agree with the “patients’ or others’” functioning? | 180 | 67.42% | 87 | 32.58% | 267 |
| Q12 Should “others’ functioning” be changed or defined (e.g, interfering with the ability of others to care for or interact with the patient or causing distress to the partner). | 214 | 80.45% | 52 | 19.55% | 266 |
| Yes | No | Total | |||
| Q13 Would you add a reference to “posing a threat to the safety of self or others”? | 155 | 58.49% | 110 | 41.51% | 265 |
| Q14 Would you prefer that it pertains only to the patients’ functioning? | 87 | 32.71% | 179 | 67.29% | 266 |
| Q15 Should functioning be defined (e.g., being able to interact with family members and others, not being preoccupied with the hallucinations, etc)? | 194 | 73.21% | 71 | 26.79% | 265 |
| Q16 The definition requires that criteria for Schizophrenia, Schizoaffective Disorder, Delusional Disorder, or Mood Disorder with Psychotic Features have never been met. Do you agree with this criterion? | 168 | 63.16% | 98 | 36.84% | 266 |
| Q17 The criteria require that the disturbance does not occur exclusively during the course of a delirium. Could delirium be included as one of the cognitive impairment syndromes to which the new definition applies (e.g., “psychosis in delirium” as a diagnosis)? | 94 | 35.215 | 173 | 64.79% | 267 |
| Q18 Would you prefer to keep delirium as an exclusion for the diagnosis of psychosis in cognitive impairment? | 221 | 83.40% | 44 | 16.6% | 265 |
| Q19 The criteria require that the disturbance is not better accounted for by another general-medical condition or direct physiological effects of a substance (e.g., a drug of abuse, a medication).Could a general medical condition or effects of a substance be included as one of the cognitive impairment syndromes to which the new definition applies (e.g., “psychosis with hyperthyroidism” or other medical condition)? | 103 | 39.16% | 160 | 60.84% | 263 |
| Q20 Would you prefer to keep general medical conditions as an exclusion for the diagnosis of psychosis in cognitive impairment? | 212 | 80.30% | 52 | 19.70% | 264 |
| Q21 Would you prefer to keep effects of substances as exclusions for the diagnosis of psychosis in cognitive impairment? | 229 | 87.07% | 34 | 12.93% | 263 |
| Q22 Should we add that the psychosis is not “solely” attributable to another general-medical condition or direct physiological effects of a substance (e.g., a drug of abuse, a medication)? | 231 | 88.17% | 31 | 11.83% | 262 |
| Q23 The criteria specify that the psychotic symptoms are present with any of the following: agitation, negative symptoms, depression. Should “agitation” be continued as a notable accompanying syndrome in a new definition? | 203 | 76.32% | 63 | 23.68% | 266 |
| Q24 Should “aggression” be added a notable accompanying syndrome in the new definition? | 188 | 70.94% | 77 | 29.06% | 265 |
| Q25 Should “negative symptoms” be continued as a notable syndrome in a new definition? | 119 | 44.74% | 147 | 55.26% | 266 |
| Q26 Should “negative symptoms” replaced by “apathy” in a new definition? | 156 | 58.65% | 110 | 41.35% | 266 |
| Q27 Should “depression” be continued as a notable accompanying syndrome in a new definition? | 159 | 60.23% | 105 | 39.77% | 264 |
| Q28 Should depression with psychotic features be identified as a separate disorder to be excluded from the definition? | 189 | 71.05% | 77 | 28.95% | 266 |
| Q29 The symptoms are culturally appropriate (e.g., ancestor hallucinations in some cultures)? | 187 | 70.30% | 79 | 29.70% | 266 |
| Q30 Visual hallucinations are associated with blindness or other ocular diseases? | 197 | 74.06% | 69 | 25.94% | 266 |
| Q31 Auditory hallucinations are associated with hearing impairment? | 189 | 71.86% | 74 | 28.14% | 263 |
| Q32 Should distress of the patient be included as a criterion for psychosis in cognitive impairment? | 137 | 51.50% | 129 | 48.50% | 266 |
| Q33 Has distress of the patient as a criterion been adequately addressed in the previous questions on disturbance and functioning? | 155 | 58.49% | 110 | 41.51% | 265 |