Blessed G, Wilson I D
Br J Psychiatry. 1982 Jul;141:59-67. doi: 10.1192/bjp.141.1.59.
A classificatory system for mental disorders in the elderly proposed by Roth in 1955 was examined in a contemporary population. Ninety per cent of patients could be allocated to the five psychosyndromes originally defined. Examination of outcome in the present sample, at six month and two years, showed important differences. The outlook for patients with paranoid psychoses showed an improvement though for those with affective illness (at 2 years) there was little change. Of special importance was the increased long-term survival of very elderly female patients with senile dementia. This, in conjunction with the general rise in admissions for mental disorders in the aged over the past 25 years, has considerable implications for the future development of psychiatric services for the elderly mentally ill.
1955年罗斯提出的老年精神障碍分类系统在当代人群中进行了检验。90%的患者可被归入最初定义的五种精神综合征。对本样本在6个月和2年时的结果检查显示出重要差异。偏执性精神病患者的预后有所改善，而情感性疾病患者（2年时）变化不大。特别重要的是，患有老年痴呆症的高龄女性患者长期生存率有所提高。这一点，再加上过去25年中老年人精神障碍住院人数的普遍增加，对老年精神病患者精神科服务的未来发展具有重大影响。
