Long‐term course and outcome in delusional disorder

Opjordsmoen, Stein

doi:10.1111/j.1600-0447.1988.tb06387.x

Cited by 38 publications

(42 citation statements)

References 30 publications

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“…The basis material has been described elsewhere [16][17][18][19] . Patients were first-time delusional cases admitted to a University Psychiatric Clinic in Oslo, during 1946-1948 (long-term group, n = 132) and 1958-1961 (short-term group, n = 169).…”

Section: Methodsmentioning

confidence: 99%

Dimensions of Delusional Experiences and Their Value as Predictors of Long-Term Outcome

Opjordsmoen

Retterstøl²

2007

Psychopathology

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Background: Delusions are categorized as present or not in classificatory systems, but can fluctuate in intensity over time. They are sometimes difficult to describe, and might be better conceptualized as continuous on a number of dimensions. The predictive value of dimensional ratings of delusions was studied. Material and Methods: Out of 180 first-episode psychotic patients who had been personally followed up after 30 years, a subsample of 41 was randomly drawn, 21 of the 180, 10 of those with GAS scores of 70 or more, and 10 of those with GAS scores of 30 or less at follow-up. They represented three different groups – a good outcome (n = 17), an intermediate outcome (n = 12), and a poor outcome (n = 12) group. Based on case histories at first presentation, scores on the Dimensions of Delusional Experience Scale were recorded. Results: Poor compared to good outcome patients had delusions at index admission characterized by more conviction, extension, disorganization, bizarreness and pressure. Intermediate outcome patients had scores in between, but closer to the poor outcome group. Conclusions: Dimensional rating scales for assessing delusions might have predictive power, and consequently they should be used in future research, and if replicated these findings might have clinical implications.

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Section: Methodsmentioning

confidence: 99%

Dimensions of Delusional Experiences and Their Value as Predictors of Long-Term Outcome

Opjordsmoen

Retterstøl²

2007

Psychopathology

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“…Some studies, for instance those by Opjordsmoen [16] or Winokur [1], reported that men are more frequently represented; other studies, e.g. that by Yamada et al [12], found women were more often represented.…”

Section: Introductionmentioning

confidence: 99%

The Clinical and Sociodemographic Profile of Persistent Delusional Disorder

Wustmann¹,

Pillmann²,

Friedemann³

et al. 2012

Psychopathology

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“…In other words, we did not replicate the findings that reactive DD has a better prognosis than nonreactive DD and that precipitating events predict later remission in DD. 11,17 The studies of Opjordsmoen as well as DSM-III and ICD-10 had not been published at the time the patients were recruited; therefore, the diagnosis of DD had been made retrospectively. This limitation could have affected patients selection; in particular, these studies might have included subgroups of more acute onset and of better prognosis that are rarely found in studies employing modern operational criteria prospectively.…”

Section: Discussionmentioning

confidence: 99%

“…The diagnostic tradition of psychogenic or reactive psychotic conditions goes back to the work of the Danish psychiatrist August Wimmer. 10 In an influential paper, 11 Opjordsmoen postulated reactive DD (with precipitating factors) to differ clinically from nonreactive DD and to show a better prognosis. These differences were substantiated by a 30-year follow-up investigation of 71 patients who had initially been recruited by Retterstöl and had been rediagnosed according to the Kendler 6 criteria of DD.…”

Section: Limitationsmentioning

confidence: 99%

Clinical Course and Personality in Reactive, Compared with Nonreactive, Delusional Disorder

2012

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Objective: Reactive delusional disorder (DD) (with a precipitating factor) has been postulated to differ clinically from nonreactive DD and to show a better prognosis. Our study tests this hypothesis in a sample of patients with persistent DD (International Classification of Diseases,10th Revision) or DD (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition) followed during a period of more than 10 years. Method:As part of a long-term study on DD, 19 patients with DD and a stressful life event preceding the onset of the disorder were compared with 24 DD patients without such a life event. Diagnoses, social and biographical data, life events, and outcome were assessed by a semistructured interview and validated rating scales. Personality features were assessed by the NEO Five-Factor Inventory and by the Inventory of Clinical Personality Accentuations. Results:Patients with reactive DD tended to be somewhat younger but showed otherwise little differences to patients with nonreactive DD. In particular, there were no differences in the course of the disorder. However, patients with reactive DD were significantly more often in a stable relationship and showed higher values on neuroticism and more pronounced dependent and borderline personality accentuations in dimensional personality measures. Conclusions:Reactive DD was not found to have a better prognosis than nonreactive DD. However, the results suggest an increased vulnerability for interpersonal conflicts in these patients. W W WObjectif : Le trouble délirant (TD) réactionnel (avec un facteur déclenchant) est postulé différer cliniquement du TD non réactionnel et présenter un meilleur pronostic. Notre étude vérifie cette hypothèse chez un échantillon de patients souffrant de TD persistant (Classification internationale des maladies, 10e révision) ou de TD (Manuel diagnostique et statistique des troubles mentaux, 4e édition) suivis durant une période de plus de 10 ans.Méthode : Dans le cadre d'une étude à long terme sur le TD, 19 patients souffrant de TD et ayant vécu un événement stressant de la vie avant l'apparition du trouble ont été comparés avec 24 patients du TD sans un tel événement stressant. Les diagnostics, données sociales et biographiques, événements de la vie, et résultats ont été évalués par une entrevue semi-structurée et des échelles de cotation validées. Les traits de personnalité ont été évalués par l'inventaire NEO des 5 facteurs et par l'inventaire des accentuations de la personnalité clinique.Résultats : Les patients souffrant de TD réactionnel tendaient à être un peu plus jeunes mais ne présentaient autrement que de petites différences avec les patients souffrant de TD non réactionnel. En particulier, il n'y avait pas de différences dans l'évolution du trouble. Cependant, les patients souffrant de TD réactionnel étaient significativement plus souvent dans une relation stable et présentaient des valeurs plus élevées de névrosisme et des accentuations plus prononcées de personnalité dépendante et limite dans les mesures dimen...

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Long‐term course and outcome in delusional disorder

Cited by 38 publications

References 30 publications

Dimensions of Delusional Experiences and Their Value as Predictors of Long-Term Outcome

Dimensions of Delusional Experiences and Their Value as Predictors of Long-Term Outcome

The Clinical and Sociodemographic Profile of Persistent Delusional Disorder

Clinical Course and Personality in Reactive, Compared with Nonreactive, Delusional Disorder

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