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Chapter 12 - Psychosis

Published online by Cambridge University Press:  21 June 2019

By
Andrew H. Ford  and
Osvaldo P. Almeida
Edited by
Rob Butler  and
Cornelius Katona
Rob Butler
Affiliation:
Waitemata DHB and North Shore Hospital, Auckland
Cornelius Katona
Affiliation:
Helen Bamber Foundation
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Summary

Psychotic symptoms (i.e. delusions or hallucinations) are relatively common in later life, with prevalence estimates ranging from 6% in the community to as high as 63% in residential care settings [1]. In some instances, these symptoms are the clinical expression of disorders that had their onset early in life (e.g., schizophrenia), but for a large proportion of older adults they arise for the first time in later life. Dementia-related conditions appear to be the most common cause of psychotic symptoms in older adults, with mood disorders, delirium and schizophrenia spectrum disorders contributing to the majority of the other cases [2]. These symptoms are a source of considerable distress for individuals and those who care for them, and will become a major health issue as the world’s population ages.

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Chapter
Information
Seminars in Old Age Psychiatry , pp. 133 - 142
Publisher: Cambridge University Press
Print publication year: 2019

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