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[老年虚构性类偏执狂精神病的疾病分类位置]

[Nosologic position of confabulatory-paraphrenic psychoses of old age].

作者信息

Popov Iu P

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1979;79(3):319-24.

PMID:442900
Abstract

Three groups of elderly patients were studied. The state of these patients was characterized by confabulatory-paraphrenic delusion which developed for the first in senility. The nozological character of the first two groups of patients did not cause any doubt about their close connection with senile dementia. The third group of patients varied only by the presence of the confabulatory-paraphrenic delusion without any signs of endogenous or senile-atrophic processes. The comparative study of the psychopathological traits of confabulatory-paraphrenic delusion in all patients showed that in all three groups there was a similarity of this symptomatology. Besides, the type of personality traits and hereditary loading in all three groups of patients appeared to be similar. It is suggested that nosologically studied group of psychoses in old age developing only with confabulatory-paraphrenic delusion without endogenous or organic dementia first appearing in seniscence should be referred to be senile dementia.

摘要

对三组老年患者进行了研究。这些患者的状态以虚构性类偏狂妄想为特征,该妄想首次出现在老年期。前两组患者的疾病特征使其与老年性痴呆的密切联系毋庸置疑。第三组患者仅表现为虚构性类偏狂妄想,无任何内源性或老年性萎缩过程的迹象。对所有患者虚构性类偏狂妄想的心理病理特征进行比较研究发现,所有三组患者的这种症状学具有相似性。此外,所有三组患者的人格特质类型和遗传负荷似乎也相似。有人提出,从疾病分类学角度研究的老年期精神病组,仅伴有虚构性类偏狂妄想,无内源性或器质性痴呆且首次出现在老年期,应归类为老年性痴呆。

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