First Onset Functional Brief Psychoses in the Elderly
| Autor: | Daniel Levy, Henry Szor, Yoram Barak, Dov Aizenberg |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Psychosis
medicine.medical_specialty business.industry Brief psychotic disorder Persistent delusional disorder medicine.disease elderly Tertiary care outcome Retrospective analysis Medicine progression Diseases/diagnoses Geriatrics and Gerontology Medical diagnosis business Psychiatry Gerontology Original Research |
| Zdroj: | Scopus-Elsevier Canadian Geriatrics Journal : CGJ |
| ISSN: | 1925-8348 |
| Popis: | Background and Purpose The origin and nosological status of psychotic states first arising in late life remain uncertain. We aimed to evaluate the diagnostic stability of brief psychoses with late-life onset. Methods A 10-year retrospective analysis of all records of elderly patients with a first-ever episode of psychosis was undertaken. Results Of 2,072 admissions of elderly patients, 604 had their first brief psychotic disorder ( International Classification of Diseases diagnoses). All “organic” psychoses were excluded. The study sample comprised 83 individuals (36 male, 47 female) with a mean ± SD age of 75.4±9.3 years (range: 65–92). Mean follow-up duration was 27.7 months (range: 6–120). Distribution of diagnoses was as follows: unspecified nonorganic psychosis ( n = 71); persistent delusional disorder ( n = 10); other nonorganic psychosis ( n = 1); and acute and transient psychotic disorder ( n = 1). At follow-up, diagnosis of very late-onset schizophrenia-like psychosis and switch to another brief psychotic disorder were the most frequent outcomes. Conclusions The diagnosis of a nonorganic psychosis first manifesting in the elderly is not rare in tertiary care. Diagnostic shift at follow-up of these patients is more common than conceptualized, requiring flexibility on the part of treating physicians. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|