Koehler K, Hornstein C
Eur Arch Psychiatry Neurol Sci. 1986;235(4):255-8. doi: 10.1007/BF00379981.
Modified stricter criteria for DSM-III paranoia were fulfilled by 63 (37%) of 169 Heidelberg probands given a diagnosis of "Case Record Paranoia" (CRP) during a 100-year period (1878-1977). Clinical findings were chiefly interpreted in light of the controversial issues of age, illness duration and type of delusional content pertinent to the formulation of a present-day valid definition for this disorder. With respect to diagnostic consistency over time, 56% of DSM-III paranoia cases with at least one further Heidelberg admission proved to be non-stable, non-consistency being overwhelmingly due to a change in a DSM-III schizophrenic direction.
在1878年至1977年的100年期间，169名海德堡先证者中有63名（37%）符合针对《精神疾病诊断与统计手册》第三版（DSM-III）偏执狂的修订后更严格标准，这些先证者被诊断为“病历偏执狂”（CRP）。临床发现主要根据与该疾病当今有效定义制定相关的年龄、病程和妄想内容类型等有争议问题进行解释。关于随时间的诊断一致性，至少有一次再次入住海德堡的DSM-III偏执狂病例中，56%被证明是不稳定的，不一致主要是由于向DSM-III精神分裂症方向的转变。
