Opjordsmoen S
University of Oslo, Gaustad Hospital, Norway.
Psychopathology. 1993;26(2):85-9. doi: 10.1159/000284804.
This article briefly reviews the duration criteria for delusional disorder in current diagnostic systems. Furthermore, a sample of 72 first-admitted patients with delusional disorder, personally re-examined after a mean of 10 and 27 years, has been analysed as to duration of delusional symptoms. One third of the sample displayed delusions for less than 6 months at admission. During the observation period one half of these patients (one sixth of the total sample), displayed delusional symptoms for less than 6 months, recovered fully, and functioned excellently at follow-up, while patients with a total duration of delusions for more than 6 months functioned worse. This report adds further support to setting up a dividing line of 6 months for the separation of acute from persistent delusional disorder.
本文简要回顾了当前诊断系统中妄想障碍的病程标准。此外，对72例首次入院的妄想障碍患者样本进行了分析，这些患者在平均10年和27年后接受了个人复查，分析内容为妄想症状的持续时间。三分之一的样本在入院时妄想持续时间不足6个月。在观察期内，这些患者中有一半（占总样本的六分之一）妄想症状持续时间不足6个月，完全康复，随访时功能良好，而妄想总持续时间超过6个月的患者功能较差。本报告进一步支持将6个月作为区分急性妄想障碍和持续性妄想障碍的分界线。
