LATE-ONSET PARANOIA - DISTINCT FROM PARAPHRENIA

被引:46
作者
FLINT, AJ
RIFAT, SL
EASTWOOD, MR
机构
[1] CLARKE INST PSYCHIAT,EPIDEMIOL & BIOSTAT SECT,TORONTO M5T 1R8,ONTARIO,CANADA
[2] CLARKE INST PSYCHIAT,PSYCHIAT & PREVENT MED & BIOSTAT,TORONTO M5T 1R8,ONTARIO,CANADA
关键词
LATE PARAPHRENIA; PARANOIA; ORGANIC DELUSIONAL SYNDROME; STROKE; CT SCAN; PROGNOSIS;
D O I
10.1002/gps.930060209
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Using Kraepelin's distinction between paraphrenia and paranoia, 21 patients with late paraphrenia were compared with 12 with late‐onset paranoia. The paranoia group had significantly more clinically unsuspected (silent) cerebral infarction on CT brain scan and was less responsive to antipsychotic medication. The results suggest that cerebral organicity, especially stroke, is an important risk factor for late‐onset paranoia and may contribute to a relatively poor prognosis. Copyright © 1991 John Wiley & Sons, Ltd.
引用
收藏
页码:103 / 109
页数:7
相关论文
共 27 条
[1]  
*AM PSYCH ASS, 1987, DSM III R DIAGN STAT
[2]   ORGANIC DELUSIONS - PHENOMENOLOGY, ANATOMICAL CORRELATIONS, AND REVIEW [J].
CUMMINGS, JL .
BRITISH JOURNAL OF PSYCHIATRY, 1985, 146 (FEB) :184-197
[3]  
DAVISON K, 1983, PSYCHIAT DEV, V1, P1
[4]   SENILE SCHIZOPHRENIA [J].
FISH, F .
JOURNAL OF MENTAL SCIENCE, 1960, 106 (444) :938-946
[5]   MINI-MENTAL STATE - PRACTICAL METHOD FOR GRADING COGNITIVE STATE OF PATIENTS FOR CLINICIAN [J].
FOLSTEIN, MF ;
FOLSTEIN, SE ;
MCHUGH, PR .
JOURNAL OF PSYCHIATRIC RESEARCH, 1975, 12 (03) :189-198
[6]  
GRAHAME PS, 1982, BRIT J HOSP MED, V27, P522
[8]  
*INT CLASS DIS 9, 1978, SECT V CLASS MENT DI
[9]   COMPUTED-TOMOGRAPHY IN THE ELDERLY .1. NORMAL POPULATION [J].
JACOBY, RJ ;
LEVY, R ;
DAWSON, JM .
BRITISH JOURNAL OF PSYCHIATRY, 1980, 136 (MAR) :249-255
[10]   ENVIRONMENTAL AND HEREDITARY FACTORS IN SCHIZOPHRENIAS OF OLD-AGE (LATE PARAPHRENIA) AND THEIR BEARING ON GENERAL PROBLEM OF CAUSATION IN SCHIZOPHRENIA [J].
KAY, DW ;
ROTH, M .
JOURNAL OF MENTAL SCIENCE, 1961, 107 (449) :649-+