Evaluation and treatment of paranoid syndromes in the elderly: A review

Stoudemire, Alan; Riether, Anne Marie

doi:10.1016/0163-8343(87)90082-x

Cited by 17 publications

(5 citation statements)

References 28 publications

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“…More elaborate, systematic delusions are also possible. Some may be due to misrecognition or agnosia (eg, believing there are strangers in the house because one cannot recognize one's self in a mirror); others may result from a mood disorder accompanying dementia 4 . Preliminary observations suggest that different classes of delusions originate from different types of brain pathology.…”

mentioning

confidence: 89%

Delusions, Delirium, and Cognitive Impairment: The Challenge of Clinical Heterogeneity

Francis

1992

J American Geriatrics Society

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mentioning

confidence: 89%

Delusions, Delirium, and Cognitive Impairment: The Challenge of Clinical Heterogeneity

Francis

1992

J American Geriatrics Society

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“…Nevertheless, the confusion over terminology and concepts continued. Most of the authors (e.g., Stoudemire and Riether 1987; Gurland 1988; Flint et al 1991; Yassa 1991; Yassa and Suranyi-Cadotte 1993) did not distinguish studies of late-onset schizophrenia from those of late paraphrenia. It has become clear in the meantime that late-onset schizophrenia is a strictly defined “true” schizophrenia that usually begins between ages 40 and 60, while late paraphrenia is a heterogeneous group of disorders that includes paranoid and organic psychoses and only in part is schizophrenia with very late onset.…”

Section: Historical Development In North Americamentioning

confidence: 99%

“…Even so, this concept had some impact on the International Classification of Diseases (ICD; World Health Organization 1967, 1978, 1992) as well as on international research and literature. Thus, authors do not unequivocally distinguish between late-onset schizophrenia and late paraphrenia (e.g., Grahame 1984; Stoudemire and Riether 1987; Gurland 1988; Flint et al 1991; Yassa 1991; Hasset et al 1992; Howard et al 1993 b ; Yassa and SuranyiCadotte 1993). Reviews of late-onset schizophrenia do not adhere to a stringent definition of this disease, and they mix findings on late-onset schizophrenia with those on late paraphrenia (e.g., Castle and Howard 1992).…”

mentioning

confidence: 99%

Late-onset Schizophrenia and Late Paraphrenia

Riecher-Rössler¹,

Rössler²,

Förstl

et al. 1995

Schizophrenia Bulletin

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The term "late-onset schizophrenia" was first coined by Manfred Bleuler (1943) to describe a form of schizophrenia with an onset between the ages of 40 and 60. This concept has been adopted by German psychiatry. Until recently, British and American psychiatrists had little interest in this patient group. However, they often used the term "late-onset schizophrenia" interchangeably with late paraphrenia or as a generic term for both these diseases, even though the concept of late paraphrenia is quite different from that of late-onset schizophrenia. Late paraphrenia is a British concept that includes all delusional disorders starting after age 60. This confusion of terms and concepts is even more important now, because recent neuroimaging and neuropsychological studies suggest that an organic substrate probably exists in most cases of late paraphrenia, while only minor organic abnormalities can be found in late-onset schizophrenia. We believe it is of utmost importance to establish a clear boundary between late-onset schizophrenia and other delusional disorders in middle and old age, because the confusion in terminology and concepts is a serious impediment to comparative international research.

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“…tt is now well recognized that delusions and hallucinations occurring in late life can be the manifestations of many different medical or psychiatric illnesses, leading to diagnoses of dementia, delirium, or another organic mental disorder, mood disorder, schizophrenia, or delusional disorder (Stoudemire and Riether, 1987). Less than one century ago, psychoses in old age were considered 'the darkest area of psychiatry' (Emil Kraepelin, cited in Pearlson and Rabins, 1988); late onset psychoses were invariably attributed to either arteriosclerosis or senility (ie central nervous system (CNS) degeneration), even in the presence of associated features such as clouding of consciousness or prominent mood symptoms (Roth, 1955).…”

Section: Nosology Of Late Life Psychosesmentioning

confidence: 99%