Alici-Evcimen Yesne, Ertan Turan, Eker Engin
Department of Neurology, Istanbul University Cerrahpasa Medical School, Istanbul, Turkey.
Int Psychogeriatr. 2003 Mar;15(1):69-72. doi: 10.1017/s1041610203008767.
In this article we report the first series of Turkish inpatients with late-onset psychosis, and describe our 9-year experience at the only inpatient geriatric psychiatry department in Turkey. Among 420 patients hospitalized between 1993 and 2002, 27 were psychotic. In this group, eight patients were diagnosed as having late-onset schizophrenia (LOS) and six very-late-onset schizophrenia-like psychosis (VLOSLP). Five patients had early-onset schizophrenia and eight had delusional disorder. Females were more frequently seen in the group with LOS and the group with VLOSLP. Except for one patient with LOS, all patients with VLOSLP and LOS had paranoid psychosis. Nihilistic delusions, delusions of poverty or guilt, thought withdrawal, thought insertion, and thought broadcasting were not seen in any of the patients. Additionally, none of the LOS or VLOSLP patients showed erotomanic delusions. Grandiose and mystic delusions were not seen in those with VLOSLP. Treatment results and antipsychotic dosages at discharge were similar to those in previous reports from other cultures.
在本文中，我们报告了首批土耳其迟发性精神病住院患者系列，并描述了我们在土耳其唯一的老年精神病住院部9年的经验。在1993年至2002年期间住院的420名患者中，有27名患有精神病。在该组中，8名患者被诊断为迟发性精神分裂症（LOS），6名被诊断为极迟发性精神分裂症样精神病（VLOSLP）。5名患者患有早发性精神分裂症，8名患有妄想症。女性在LOS组和VLOSLP组中更为常见。除1名LOS患者外，所有VLOSLP和LOS患者均患有偏执型精神病。所有患者均未出现虚无妄想、贫穷或罪恶妄想、思维被抽离、思维插入和思维播散。此外，LOS或VLOSLP患者均未出现色情妄想。VLOSLP患者未出现夸大和神秘妄想。出院时的治疗结果和抗精神病药物剂量与其他文化背景下先前报告的结果相似。
