Fuchs T
Psychiatrische Klinik, Technischen Universität, München, Germany.
Eur Arch Psychiatry Clin Neurosci. 1994;244(3):126-30. doi: 10.1007/BF02191885.
Biographical information was collected on 60 patients suffering from late-onset (> 50 years) paranoid psychosis (with and without hallucinations), 38 by chart review and 22 by personal examination. Of the patients 28 (47%) had been war refugees expelled from the eastern territories that Germany lost after World War II. This is more than twice the rate of the Bavarian general population. The onset of paranoid symptoms was usually 3 or 4 decades after immigration into western Germany. Among patients with Alzheimer's disease and with endogenous depression the proportion of former war refugees was significantly lower (22% each). The possible relevance of early uprooting and expulsion to the development of late-life paranoid psychosis is examined.
收集了60例迟发性（>50岁）偏执型精神病患者（有或无幻觉）的传记信息，其中38例通过病历回顾收集，22例通过个人检查收集。这些患者中，28例（47%）曾是二战后德国失去的东部领土上被驱逐的战争难民。这一比例是巴伐利亚普通人群的两倍多。偏执症状通常在移民到西德30或40年后出现。在阿尔茨海默病患者和内源性抑郁症患者中， former war refugees（原文有误，推测应为former war refugees）的比例显著较低（均为22%）。研究了早年背井离乡和被驱逐与晚年偏执型精神病发展之间可能的关联。
