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Psychosis Occurring in the Senium

A Review of an Industrial Population

West Cumberland Group of Hospitals Church Hill, Hensingham, Whitehaven, Cumberland

ABSTRACT

One hundred consecutive admissions to two mental hospitals serving mainly industrial Tyneside were examined mentally and physically. Of these 45 had affective psychosis, 14 arteriosclerotic psychosis, nine paraphrenia, 11 senile psychosis, 11 delirium and 10 miscellaneous conditions. There was no loading of Social Classes 1 and 2 to increase the proportion of affective cases. The affective cases, particularly those who developed their first attack after the age of 60, showed a high incidence of coronary artery disease, and the cases of paraphrenia a high incidence of sensory deprivation. Follow-up a year after admission showed the outcome of the different diagnostic categories to be similar to that previously described.