Patients with delusions in a community psychiatric service: A follow‐up study
Patients with delusions in a community psychiatric service: A follow‐up study
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社区精神科服务中的妄想患者：一项随访研究
DOI：
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发表时间：
1986
影响因子：
6.7
通讯作者：
P. Munk
中科院分区：
文献类型：
--
作者：
P. Jørgensen;P. Munk
摘要：研究了546例首次转诊至社区精神病服务中心的患者的病例记录。56名患者表现出各种类型的妄想。女性/男性比例为2：1，平均年龄57岁。大多数偏执狂患者属于最低的社会经济群体。症状学，包括妄想类型，给予的治疗和诊断分类。妄想是所有主要精神病综合征的一部分，以器质性和情感性精神病为主。经过5-20年的观察，只有5%的患者完全缓解而没有复发。然而，妄想症的预测价值还没有得到充分的确立，并强调需要前瞻性研究的过程和预后的精神病妄想症。
Abstract— Case records of 546 patients referred for the first time to a community psychiatric service were studied. Fifty‐six patients revealed delusions of various types. The female/male ratio was 2:1, and the mean age 57 years. The majority of the paranoid patients belonged to the lowest socio‐economic groups. Symptomatology, including type of delusion, treatment given and diagnostic classification is presented. The delusions occurred as part of all major psychotic syndromes with a preponderance of organic and affective psychoses. After 5–20 years of observation a full remission without relapse was seen in only 5%. However, the predictive value of delusions has not been sufficiently established, and the need for prospective studies of course and prognosis of psychoses with delusions is stressed.