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KMID : 0378019860290030057
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New Medical Journal
1986 Volume.29 No. 3 p.57 ~ p.62
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The Characteristics of the Paranoid Psychoses Beginning after Age of 45
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Abstract
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The authors retrospectively reviewed 25 patients with late-onset paranoid psychoses whose age at onset was 45 years or older. All of them were in-patients between Jan. 1981 and Aug. 1985 at the department of psychiatry, Keimyung University Dongsan Medical Center.
Results are as follows:
1. They were 11. 8% of all 212 in-patients of same age during the same period. And rr ale to female ratio was 3 to 2.
2. Hearing difficulty and visual impairment were identified in 8% of all patients with late-onset paranoid psychoses respectively.
3. Premorbid social adaptive functioning was markedly impaired in about half of inlex patients.
4. Important thought pathologies were delusion of persecution (84%), of infidelity (36%),
of reference (24%) and so on. Auditory hallucination was identified in 40%, visual one in 32%. Of behavior disturbances, aggressive and excitable one was the most fregtent (64%).
5. The numbers of their children were 4.8 on average, and none of them were unmarri°d. 6. Almost all patients (84%) revealed symptomatic improvement during admission, with gaining even insight into their psychopathology in 32%.
7. According to DS YI-III, they could be divided into 2- diagnostic groups, eg. a typical psychosis (68%) and paranoid disorder (32%).
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