Achté K, Jarho L, Kyykkä T, Vesterinen E
Department of Psychiatry, University of Helsinki, Finland.
Psychopathology. 1991;24(5):309-15. doi: 10.1159/000284731.
Roughly 3,000 war veterans with moderate or severe brain injury have suffered from a psychiatric disturbance. Psychotic disorders are found in approximately 750 cases. The material of this preliminary report consists of the first 100 veterans with paranoid disorders. Delusional psychosis is the most common main diagnosis (28% of veterans), followed by major depression (21%), delirium (18%) and paranoid schizophrenia (14%). Paranoid schizophrenia and paranoid schizophreniform psychosis develop earlier (in 23% of cases within 1 year) than delusional psychosis (4%). Delusional psychosis lasted less than a year in 28% of the cases and more than 5 years in 40% of cases. The corresponding figures for paranoid schizophrenia and paranoid schizophreniform psychoses are 26 and 63%. Jealousy or fear of being sexually betrayed constitutes the most prominent individual content of delusions.
约3000名中度或重度脑损伤退伍军人患有精神障碍。约750例患有精神疾病。这份初步报告的资料来自首批100名患有偏执性障碍的退伍军人。妄想性精神病是最常见的主要诊断（占退伍军人的28%），其次是重度抑郁症（21%）、谵妄（18%）和偏执型精神分裂症（14%）。偏执型精神分裂症和偏执型分裂样精神病比妄想性精神病发病更早（23%的病例在1年内发病）（4%）。28%的妄想性精神病病例持续时间不到1年，40%的病例持续时间超过5年。偏执型精神分裂症和偏执型分裂样精神病的相应数字分别为26%和63%。嫉妒或害怕被性背叛是妄想最突出的个体内容。
