Opjordsmoen S, Retterstöl N
University of Oslo, Gaustad Hospital, Norway.
Acta Psychiatr Scand. 1991 Sep;84(3):250-4. doi: 10.1111/j.1600-0447.1991.tb03139.x.
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.
对72例首次入院的妄想性障碍患者进行了个人复查，平均间隔10年，其中42例平均间隔27年。所有患者从入院到最后一次随访的平均观察期为20年（3 - 39年）。有一个趋势是，嫉妒妄想患者在病程变量方面表现较好，但在嫉妒妄想组、被害妄想组以及具有不同主要妄想的混合组中，结果相似。入院前症状持续时间是预后的一个重要预测因素，表明在10年随访时，分界线为1个月和6个月，在长期随访时为3个月和6个月。基于这些数据，建议持续性妄想性障碍的最短病程为6个月。
