Robinson A D
Unit for Epidemiological Studies in Psychiatry, University Department of Psychiatry, Royal Edinburgh Hospital.
Br J Psychiatry. 1988 Aug;153:163-7. doi: 10.1192/bjp.153.2.163.
Two groups of patients admitted to psychiatric hospital in Dumfries were studied, drawn from the periods 1880-1889 and 1970-1979. Feighner criteria were applied to make three diagnostic categories - depression, mania and schizophrenia - and the occurrence and content of delusions were noted for each. A significant decline in the prevalence of delusional depressive illness was found between the two periods, and a similar trend was noted for delusional manic illness. In contrast, the prevalence of delusional schizophrenic illness was stable. This decline is taken to reflect a change in the phenomenology of affective illness since last century in South West Scotland. The content of delusions is also discussed.
对邓弗里斯一家精神病院收治的两组患者进行了研究，这两组患者分别来自1880年至1889年以及1970年至1979年。应用费格纳标准划分出三个诊断类别——抑郁症、躁狂症和精神分裂症，并记录了每组中妄想的发生情况和内容。研究发现，两个时期之间，妄想性抑郁疾病的患病率显著下降，妄想性躁狂疾病也呈现出类似趋势。相比之下，妄想性精神分裂症疾病的患病率保持稳定。这种下降被认为反映了自上世纪以来苏格兰西南部情感性疾病现象学的变化。文中还讨论了妄想的内容。
