100 years of DSM-III paranoia. How stable a diagnosis over time?
Modified stricter criteria for DSM-III paranoia were fulfilled by 63 (37%) of 169 Heidelberg probands given a diagnosis of "Case Record Paranoia" (CRP) during a 100-year period (1878-1977). Clinical findings were chiefly interpreted in light of the controversial issues of age, illness duration and type of delusional content pertinent to the formulation of a present-day valid definition for this disorder. With respect to diagnostic consistency over time, 56% of DSM-III paranoia cases with at least one further Heidelberg admission proved to be non-stable, non-consistency being overwhelmingly due to a change in a DSM-III schizophrenic direction.
Koehler
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K
Hornstein
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C
D000328:Adult; D000368:Aged; D003702:Delusions / Q000175:diagnosis; D003937:Diagnosis, Differential; D005260:Female; D006212:Hallucinations / Q000175:diagnosis; D006801:Humans; D008297:Male; D008370:Manuals as Topic; D008875:Middle Aged; D010259:Paranoid Disorders / Q000175:diagnosis* / Q000523:psychology; D012563:Schizophrenia, Paranoid / Q000175:diagnosis