ISSN:0254-4962    

DOI:10.1159/000284722

出版商:S. Karger AG    

年代:1991

数据来源: Karger

ISSN:0254-4962    

DOI:10.1159/000284723

出版商:S. Karger AG    

年代:1991

数据来源: Karger

摘要:

A sample of 83 first-admitted patients with delusional depression were diagnosed according to DSM-III, ICD-9 and reactive and endogenous types. They were followed up twice after a mean of 10 and 18.5 years. As to background, course and outcome variables DSM-III schizoaffective patients were closely related to affective patients. A small difference between reactive and endogenous type was accounted for by the endogenous subgroup of DSM-III schizoaffective patients. The study provides evidence for dismissing the reactive-endogenous distinction in terms of psychotic depressive disorder, but in terms of schizodepressive disorder the issue is less clarified based on course and outcome.

ISSN:0254-4962    

DOI:10.1159/000284724

出版商:S. Karger AG    

年代:1991

数据来源: Karger

摘要:

Langfeldt’s cases of schizophreniform psychoses were reclassified according to the ICD-9 and DSM-III-R diagnostic systems. The main purpose was to reexamine the validity of his concept of ‘schizophreniform psychoses’ to see whether it supported the existence of a ‘third psychosis’, and whether his material could be helpful in identifying good prognostic features in schizophrenia. Most of the schizophreniform psychoses turned out to be affective disorders with psychotic features. The number of other psychotic disorders was too small to facilitate a more thorough ex

ISSN:0254-4962    

DOI:10.1159/000284725

出版商:S. Karger AG    

年代:1991

数据来源: Karger

摘要:

All consecutively admitted patients suffering from paranoid psychoses and admitted to the Department of Psychiatry, University of Oslo, during two defined periods (1946–1948 and 1958–1961) have been personally followed up by the author after 5–18 years and by Stein Opjordsmoen after 22–39 years. After the first follow-up period 65 % were without psychotic symptoms, after the last period 44%. According to Scandinavian diagnostic tradition, there is a gradual shift from very good clinical and social outcome for patients with reactive psychoses to very poor outcome for schizophrenics, patients with schizophreniform psychoses being in between. According to the DSM-III system, patients with affective and schizoaffective psychoses score best, followed by those with paranoid and schizophreniform disorders. Those with schizophrenia score worst. Course and outcome are primarily dependent on the diagnostic category, not the type of delusion. Of the patients with Kraepelin’s paranoia, about one-third were without psychotic symptoms at last

ISSN:0254-4962    

DOI:10.1159/000284726

出版商:S. Karger AG    

年代:1991

数据来源: Karger

摘要:

A large sample of first-admitted hospitalized patients with delusional psychoses were personally followed up after a mean of 10 and 30 years. At last follow-up 42% showed good overall functioning and 44% were in ordinary work. Patients with affective disorder according to DSM-III had most homogeneous and favorable outcome, while a striking heterogeneity of outcome was noticed in schizophrenia, schizophreniform and paranoid disorder. Along with other reports the study showed that precipitating events indicated favorable prognosis for patients with schizophreniform, schizoaffective and paranoid disorder. Moreover, in the total sample the findings indicated that short duration of symptoms prior to admission was a good prognostic sign, indicating that early intervention is important for delusional patients.

ISSN:0254-4962    

DOI:10.1159/000284727

出版商:S. Karger AG    

年代:1991

数据来源: Karger

摘要:

The present paper shows that the short-term prognosis of patients with paranoid disorders hospitalized nowadays is poor for the majority. The best prognosis is attached to patients with affective or other not specified psychotic disorders. Socio-vocational variables at the time of first admission contain more predictive value than clinical variables. The term reactive psychosis as a term with good prognosis is questioned and the findings of a mortality study are presented in support of this view when concerned with hospital populations.

ISSN:0254-4962    

DOI:10.1159/000284728

出版商:S. Karger AG    

年代:1991

数据来源: Karger

摘要:

Polydiagnostic follow-up studies should explore whether certain definitions of a given disorder permit better prediction of the illness course than others and whether this good predictive validity is related to specific etiopathogenetic conditions. In order to carry out such studies successfully they should be based on broadly defined samples and comprise provisions for additional validation such as genetic data, neuropsychological testing etc. After an assessment at baseline and at discharge from hospital, the follow-up assessments should comprise five steps: (1) Identification of successful and unsuccessful diagnostic systems; (2) identification of features determining successful attribution; (3) analysis of successful systems; (4) analysis of unsuccessful systems, and (5) analysis of cases which have changed diagnostic attribution. The conclusions drawn from these analyses are intended to refine classification in psychiatry.

ISSN:0254-4962    

DOI:10.1159/000284729

出版商:S. Karger AG    

年代:1991

数据来源: Karger

摘要:

In this paper 4 studies on the course of delusional disorders of midlife, partly-diagnosed as ‘late schizophrenias’ in the sense of M. Bleuler, published up to the 70s and 3 studies on the same topic which were published in the 80s, all European, are analysed with regard to differences in their results in order to find out factors operating on these differences and to propose standards to be followed in such studies. Four such factors are stressed: different follow-up times leading to different rates of loss of probands by death, unreliable use of diagnostic terms and, probably more influential, unreliable use of terms describing the course, and different preconditions of the recruiting process by differences in the care systems the probands are collected in. Four conclusions are derived from this finding: the need for comprehensive and valid information, for reliable use of terms describing the course, for information about the care system the patients come from as an important precondition of the process of recruiting probands, and probably for the further development of a ‘language’ for the description of

ISSN:0254-4962    

DOI:10.1159/000284730

出版商:S. Karger AG    

年代:1991

数据来源: Karger

摘要:

Roughly 3,000 war veterans with moderate or severe brain injury have suffered from a psychiatric disturbance. Psychotic disorders are found in approximately 750 cases. The material of this preliminary report consists of the first 100 veterans with paranoid disorders. Delusional psychosis is the most common main diagnosis (28% of veterans), followed by major depression (21 %), delirium (18 %) and paranoid schizophrenia (14 %). Paranoid schizophrenia and paranoid schizophreniform psychosis develop earlier (in 23% of cases within 1 year) than delusional psychosis (4 %). Delusional psychosis lasted less than a year in 28 % of the cases and more than 5 years in 40% of cases. The corresponding figures for paranoid schizophrenia and paranoid schizophreniform psychoses are 26 and 63%. Jealousy or fear of being sexually betrayed constitutes the most prominent individual content of delusions.

ISSN:0254-4962    

DOI:10.1159/000284731

出版商:S. Karger AG    

年代:1991

数据来源: Karger