Jørgensen P
Institute of Psychiatric Demography, Psychiatric Hospital in Aarhus, Risskov, Denmark.
Psychopathology. 1989;22(4):198-201. doi: 10.1159/000284597.
In a prospective study of nonschizophrenic, nonaffective delusional psychoses, 46 patients are classified according to ICD-8, DMS-III, Kendler's criteria for delusional disorder, Opjordsmoen's criteria for reactive delusional disorder, and Jørgensen and Jensen's criteria for reactive delusional psychosis. No single diagnostic group includes all patients. About one third of the patients are employed continuously, and less than half the patients have weekly social contacts. At a 2-year follow-up, big differences are revealed between the diagnostic groups as regards (1) signs and symptoms (no signs and symptoms 0-70%), (2) work status (employed continuously 11-60%), and (3) social contacts (weekly social contacts 11-60%). An overwhelming minority (0-25%) have an overall good outcome. To improve the classification of nonschizophrenic, nonaffective delusional psychoses with poor outcome (paranoia) and good outcome (reactive delusional psychosis), a multiaxial and polydiagnostic approach is recommended.
在一项针对非精神分裂症、非情感性妄想性精神病的前瞻性研究中，46名患者依据国际疾病分类第8版（ICD - 8）、精神疾病诊断与统计手册第3版（DMS - III）、肯德勒（Kendler）的妄想障碍标准、奥普约德斯莫恩（Opjordsmoen）的反应性妄想障碍标准以及约根森（Jørgensen）和延森（Jensen）的反应性妄想性精神病标准进行分类。没有一个单一的诊断组能涵盖所有患者。约三分之一的患者持续就业，不到一半的患者有每周的社交接触。在为期2年的随访中，各诊断组在以下方面呈现出巨大差异：（1）体征和症状（无体征和症状0 - 70%）、（2）工作状态（持续就业11 - 60%）以及（3）社交接触（每周社交接触11 - 60%）。绝大多数少数患者（0 - 25%）总体预后良好。为改善对预后不良（偏执狂）和预后良好（反应性妄想性精神病）的非精神分裂症、非情感性妄想性精神病的分类，建议采用多轴和多诊断方法。
