Schizophrenia and delusional disorders with onset in later life

Revista Brasileira de Psiquiatria

Anne Hassett¹ 

[1] ,University of Melbourne,Australia

关键词: Schizophrenia;    Psychotic disorders;    Psychoses;    Cognition;    Social isolation;    Aged;    Esquizofrenia;    Transtornos psicóticos;    Psicoses;    Cognição;    Isolamento social;    Idoso;   

DOI  :  10.1590/S1516-44462002000500015

来源: SciELO

【 摘 要 】

Schizophrenia-spectrum illness is most commonly associated with an onset in early adulthood. When non-affective psychotic symptoms emerge for the first time in later life, the clinical presentation has both similarities and differences with earlier-onset syndromes. This situation has resulted in continuing debate about the nosological status of late-onset psychosis, and whether there are particular risk factors associated with this late-life peak in incidence. Although early cognitive decline is frequently identified in these patients, studies, to date, have not established if there is a relationship with the dementing illnesses of old age. Sensory impairment, social isolation, and a family history of schizophrenia have been associated with late-onset psychosis, but appear to exert a nonspecific influence on vulnerability. While diagnostic issues remain unresolved, clinicians need to formulate treatment strategies that most appropriately address the constellation of symptoms in the clinical presentation of their psychotic elderly patients.

【 授权许可】

CC BY-NC   
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