Jørgensen P
Acta Psychiatr Scand. 1985 Jan;71(1):30-7. doi: 10.1111/j.1600-0447.1985.tb05048.x.
The study comprises a retrospective evaluation of the case records of 49 first-admission patients with acute reactive paranoid psychosis and of the subsequent follow-up almost 10 years later, with special reference to clinical and social course and outcome. Ten of the 41 followed-up patients were diagnosed schizophrenic in the observation period and a further five fulfilled the Catego Class S+ at a PSE interview. Three patients were diagnosed affective psychosis and one fulfilled Class M?. Three patients were diagnosed paranoid psychosis and four more fulfilled Class P+/P? while six patients had reactive psychosis relapses but were non-psychotic at follow-up. During the observation period the number of disabled pensioners increased from three to 21, and at follow-up only seven patients were well-adjusted in their family and work. The need is stressed for valid predictors in the prognosis of acute paranoid psychoses with or without associated stressful life events.
该研究对49例首次入院的急性反应性偏执型精神病患者的病例记录进行了回顾性评估，并在近10年后进行了后续随访，特别关注临床和社会病程及转归。在41例接受随访的患者中，有10例在观察期被诊断为精神分裂症，另有5例在PSE访谈中符合Catego S+类标准。3例被诊断为情感性精神病，1例符合M?类标准。3例被诊断为偏执型精神病，另有4例符合P+/P?类标准，6例有反应性精神病复发，但在随访时无精神病症状。在观察期内，领取残疾抚恤金的人数从3人增加到21人，随访时只有7例患者在家庭和工作中适应良好。强调需要有有效的预测指标来判断急性偏执型精神病（无论是否伴有应激性生活事件）的预后。
