Delusional disorder: the predictive validity of the concept.
A sample of 72 first-admitted patients with delusional disorder was personally re-examined after a mean of 10 years, and 42 of them after an average of 27 years. The mean observation period for all patients from admission to last follow-up was 20 years (3-39). There was a trend that patients with delusions of jealousy did better on course variables, but similar outcomes were revealed in groups with delusions of jealousy, persecution and a mixed group with different main delusions. Duration of symptoms prior to admission was a significant predictor of outcome, indicating dividing lines of 1 and 6 months at 10-year follow-up and 3 and 6 months at long-term follow-up. Based on the data, a minimal duration of 6 months is proposed for persistent delusional disorder.
University of Oslo, Gaustad Hospital, Norway.
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Opjordsmoen
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Retterstöl
D000293:Adolescent; D000328:Adult; D000928:Antidepressive Agents / Q000627:therapeutic use; D014150:Antipsychotic Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003702:Delusions / Q000175:diagnosis* / Q000188:drug therapy / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization; D006801:Humans; D007578:Jealousy; D008297:Male; D008875:Middle Aged; D010260:Paranoid Personality Disorder / Q000175:diagnosis / Q000188:drug therapy / Q000523:psychology; D010552:Personality Assessment / Q000706:statistics & numerical data; D010554:Personality Disorders / Q000175:diagnosis / Q000188:drug therapy / Q000523:psychology; D011569:Psychiatric Status Rating Scales / Q000706:statistics & numerical data
D000928:Antidepressive Agents; D014150:Antipsychotic Agents