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Schizophrenia in Old Age (Late Paraphrenia)

Published online by Cambridge University Press:  29 January 2018

Peter S. Grahame*
Affiliation:
Severalls Hospital, Boxted Road, Colchester, Essex, CO4 5HG

Summary

Late paraphrenia is the form of expression of schizophrenia in old age. Twenty five patients diagnosed as suffering from the condition were studied, and their symptoms compared with the diagnostic criteria for schizophrenia of Spitzer et al (1975), the Catego system (Wing et al, 1974), Carpenter et al (1973a) and Langfeldt (1960). The study confirms late paraphrenia as one of the schizophrenias, and discusses differences with previous studies.

Type
Research Article
Copyright
Copyright © 1984 The Royal College of Psychiatrists 

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References

American Psychiatric Association (1981) DSM III Diagnostic and Statistical Manual of the Mental Disorders. 3rd edition. Washington D.C. Google Scholar
Berger, K. S. & Zarit, S. H. (1978) Late life paranoid states: assessment and treatment. American Journal of Orthopsychiatry, 48, 528–37.Google Scholar
Bland, R. C. & Orn, H. (1980). Schizophrenia: Schneiders first rank symptoms and outcome. British Journal of Psychiatry, 137, 63–8.CrossRefGoogle Scholar
Brockington, I. F., Kendell, R. E. & Leff, J. P. (1978) Definitions of schizophrenia: concordance and prediction of outcome. Psychological Medicine, 8, 387–98.Google Scholar
Carpenter, W. T., Strauss, J. S. & Bartko, J. J. (1973a) Flexible system for the diagnosis of schizophrenia: report from the WHO pilot study of Schizophrenia. Science, 182, 1275–8.Google Scholar
Carpenter, W. T., Strauss, J. S., Bartko, J. J., Holding, T. A. & Barraclough, B. M. & Muleh, S. (1973b) Are there pathognomonic symptoms of schizophrenia? Archives of General Psychiatry, 28, 847–52.CrossRefGoogle ScholarPubMed
Carpenter, W. T., Strauss, J. S., Bartko, J. J., Holding, T. A. & Barraclough, B. M. & Muleh, S. (1974) Cross cultural evaluation of Schneider's first rank symptoms of schizophrenia. American Journal of Psychiatry, 131, 682–87.CrossRefGoogle ScholarPubMed
Feighner, J. P., Robins, E., Guze, S. B., Woodruffe, R. A., Winokur, G. & Munoz, R. (1972) Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry, 26, 5763.Google Scholar
Fish, F. (1960) Senile schizophrenia. Journal of Mental Science, 106, 938–46.CrossRefGoogle ScholarPubMed
Gurland, B., Copeland, J. Sharpe, L. & Kelleher, M. (1976) The Geriatric Mental Status Interview (GMS). International Journal of Aging and Human Development, 7, 303–11.CrossRefGoogle ScholarPubMed
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, 649–86.Google Scholar
Kendell, R. E. (1972) Schizophrenia: the remedy for diagnostic confusion. In Contemporary Psychiatry (eds Silverstone, T. and Barraclough, B.). Ashford, Kent: Headley Brothers.Google Scholar
Koehler, K. (1979) First rank symptoms of schizophrenia: questions concerning clinical boundaries. British Journal of Psychiatry, 134, 236–48.Google Scholar
Langfeldt, G. (1960) Diagnosis and prognosis in schizophrenia. Proceedings of the Royal Society of Medicine, 53, 1047–52.Google Scholar
Lewine, R., Renders, B., Kirchhofer, M., Monsour, A. & Watt, N. (1982) The empirical hetereogeneity of first rank symptoms in schizophrenia. British Journal of Psychiatry, 140, 498502.Google Scholar
Mayer, W. (1921) On paraphrenic psychoses. Zentralblatt für die Gesante Neurologie und Psychiatrie, 71, 187206 Google Scholar
Mellor, C. S. (1970) First rank symptoms of schizophrenia. British Journal of Psychiatry, 117, 1523.Google Scholar
Mellor, C. S. (1982) The present status of first rank symptoms. British Journal of Psychiatry, 140, 423–4.CrossRefGoogle ScholarPubMed
Post, F. (1966) Persistent Persecutory States of the Elderly. Oxford: Pergamon Press.Google Scholar
Post, F. (1980) Paranoid, schizophrenia-like and schizophrenic states in the aged. In Handbook of Mental Health and Aging. (eds Binen, James E. and Bruce Sloane, R.). Englewood Cliffs, N.J.: Prentice-Hall.Google Scholar
Roth, M. (1955) The natural history of mental disorder in old age. Journal of Mental Science, 101, 281301.Google Scholar
Spitzer, R., Endicott, J. & Robins, E. (1975) Research Diagnostic Criteria. Instrument No. 58. New York: New York State Psychiatric Institute.Google Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) The Measurement and Classification of Psychiatric Symptoms. London: Cambridge University Press.Google Scholar
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