Opjordsmoen S
University of Oslo, Gaustad Hospital, Norway.
Acta Psychiatr Scand. 1989 Dec;80(6):613-9. doi: 10.1111/j.1600-0447.1989.tb03034.x.
A sample of 301 patients with delusional psychoses was personally followed up an average of 10 years after first admission (by Retterstöl), and 30 years after admission (by the author). Using a multivariate technique the following significant predictors of outcome emerged: discharge diagnosis according to DSM-III (accounted for most of the total variance), marital status, and Axis V at 10-year outcome, and diagnosis, marital status, and gender at 30-year outcome. No significant difference of outcome was found between patients living in urban and rural areas in bivariate or multivariate analyses. Women did slightly better than men at 10-year follow-up, but at 30-year follow-up men did significantly better. These results may be consistent with the hypothesis that other factors than those occurring during the premorbid period are manifest in the later course of the disorder. However, Axes IV and V proved useful, stressing the necessity of working with social as well as psychopathological issues when patients are treated.
对301例妄想性精神病患者进行了随访，首次入院后平均随访10年（雷特斯托尔进行），入院后30年（作者进行）。采用多变量技术得出以下显著的预后预测因素：根据《精神疾病诊断与统计手册》第三版（DSM-III）的出院诊断（占总方差的大部分）、婚姻状况以及10年预后时的轴V，以及30年预后时的诊断、婚姻状况和性别。在双变量或多变量分析中，未发现城乡地区患者的预后有显著差异。在10年随访中，女性的情况略好于男性，但在30年随访中，男性的情况明显更好。这些结果可能与以下假设一致，即在疾病后期病程中表现出来的因素并非病前阶段出现的那些因素。然而，轴IV和轴V被证明是有用的，强调了在治疗患者时处理社会问题以及精神病理学问题的必要性。
