Coryell W, Tsuang M T
Arch Gen Psychiatry. 1982 Oct;39(10):1181-4. doi: 10.1001/archpsyc.1982.04290100051008.
A consecutive series of inpatients with primary unipolar depression was categorized by the presence or absence of delusions as noted in the charts. The systematically obtained follow-up material contained in these charts showed that delusional patients had a relatively poor short-term outcome regardless of whether they received somatic treatment. Recovery rate increased with longer follow-up periods in both groups. In accord with this, a 40-year follow-up revealed no differences between delusional and nondelusional groups in terms of marital, residential, or occupational status, psychiatric symptoms, a final diagnosis of bipolar disorder, or death by suicide.
根据病历记录中是否存在妄想，将一系列原发性单相抑郁症住院患者进行分类。这些病历中系统收集的随访资料显示，无论是否接受躯体治疗，有妄想的患者短期预后相对较差。两组患者的康复率均随随访时间延长而提高。与此一致的是，一项40年的随访显示，有妄想组和无妄想组在婚姻、居住或职业状况、精神症状、双相情感障碍的最终诊断或自杀死亡方面没有差异。
