The Delirium Rating Scale is a clinician-rated, 10-item symptom rating
scale for assessment of delirium severity. In order to better underst
and the relationship between items of the scale and whether they refle
ct one or more underlying groupings or dimensions, further analyses of
the originally published scale data were performed. Factor analysis r
evealed a strong single underlying dimension that could be further div
ided into two components: one comprising delusions, psychomotor behavi
or, cognition, sleep-wake cycle disturbance, and mood lability; the ot
her comprising temporal onset of symptoms, perceptual disturbances, ha
llucinations, and fluctuation of symptoms. Implications for improved p
henomenological understanding of delirium are discussed.