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Late Paraphrenia or the Paraphrenias?

A Descriptive Study with a 10-year Follow-up

Published online by Cambridge University Press:  02 January 2018

N. L. Holden*
Affiliation:
Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF

Abstract

This study describes 47 cases of paranoid psychosis occurring for the first time after the age of 60. Cases were drawn from the Camberwell catchment area and were followed up for 10 years or until death. The clinical picture of patients showed few differences from those described in earlier studies. Subgroups are described with contrasting clinical features and differing outcome. The findings suggest that late paraphrenia is a heterogenous syndrome giving the appearance of a spectrum of overlapping conditions with paranoid delusions.

Type
Research Article
Copyright
Copyright © 1987 The Royal College of Psychiatrists 

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References

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd ed.) DSM-III. Washington, DC: American Psychiatric Association.Google Scholar
Bergmann, K. (1971) The neurosis of old age. In Recent Developments in Psychogeriatrics (ed. D. W. K. Kay & A. Walk). British Journal of Psychiatry Special Publication No. 6.Google Scholar
Davidson, K. & Bagley, C. R. (1969) Schizophrenia-like psychoses associated with organic disorders of the CNS: A review of the literature. In Current Problems in Neuropsychiatry (ed. R. N. Herrington). British Journal of Psychiatry Special Publication No. 4.Google Scholar
Grahame, P. S. (1984) Schizophrenia in Old Age (late paraphrenia). British Journal of Psychiatry, 145, 493495.CrossRefGoogle ScholarPubMed
Jacoby, R. J., Levy, R. & Bird, J. M. (1981) Computed tomography and the outcome of affective disorder: a follow-up study of elderly patients. British Journal of Psychiatry, 139, 288292.CrossRefGoogle ScholarPubMed
Kay, D. W. K. (1972) Schizophrenia and schizophrenia-like states in the elderly. In Contemporary Psychiatry (ed. T. Silverstone & B. Barraclough). London: Royal College of Psychiatrists.Google Scholar
Kay, D. W. K., Roth, M. (1961) Environmental and hereditary factors in the schizophrenias of old age (‘late paraphrenia’) and their bearing on the general problem of causation in schizophrenia. Journal of Mental Science, 107, 649686.CrossRefGoogle ScholarPubMed
Kay, D. W. K., Beamish, P. & Roth, M. (1964) Old age mental disorders in Newcastle-upon-Tyne Pt 1, a study of prevalence. British Journal of Psychiatry, 110, 146158.CrossRefGoogle Scholar
Notes On Eliciting and Recording Clinical Information (1973) The Department of Psychiatry Teaching Committee, The Institute of Psychiatry, London. Oxford: Oxford University Press.Google Scholar
Post, F. (1966) Persistent Persecutory States of the Elderly. Oxford: Pergamon Press.Google Scholar
Roth, M. (1955) The natural history of mental disorder in old age. Journal of Mental Science, 101, 281301.CrossRefGoogle ScholarPubMed
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