Semiological Differences between Late-life Schizophrenia andSenile Dementia
| العنوان: | Semiological Differences between Late-life Schizophrenia andSenile Dementia |
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| المؤلفون: | Masaru Mimura, Min Ho Song, Hidemichi Hamada |
| المصدر: | The Keio Journal of Medicine. 63:34-38 |
| بيانات النشر: | Keio Journal of Medicine, 2014. |
| سنة النشر: | 2014 |
| مصطلحات موضوعية: | medicine.medical_specialty, business.industry, General Medicine, Middle Aged, Semiology, medicine.disease, Diagnosis, Differential, Alzheimer Disease, Schizophrenia, mental disorders, Schizophrenic Psychology, medicine, Humans, Dementia, Female, Medical history, Cognitive decline, business, Psychiatry, Geriatric psychiatry, Aged, Retrospective Studies, Psychopathology |
| الوصف: | It is sometimes difficult to distinguish late-life schizophrenia from senile dementia because elderly patients with schizophrenia can present in chronic remission and show gradual cognitive decline with aging. We aimed to elucidate the semiological characteristics of late-life chronic schizophrenia. Three patients aged between 60 and 66 years who were admitted to our hospital were included in this study. Detailed history taking and psychiatric interviews were performed and reviewed in the light of psychopathological semiology. Although the three patients with late-life schizophrenia showed significant cognitive decline on the Hasegawa dementia rating scale and their negative symptoms mimicked dementia, the following psychopathological characteristics clearly differentiated them from patients with senile dementia: (1) a shift of temporal organization toward the future with intact memory, (2) hypersensitivity, (3) ambivalent personal relationships, (4) systematic bodily delusions, and (5) an ante festum mindset. Identifying such clinical features of patients with late-life schizophrenia could be important for developing more effective pharmacotherapy and for providing appropriate psychotherapy. |
| تدمد: | 1880-1293 0022-9717 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4b5336feaf4fafdfa219644f5a024ffbTest https://doi.org/10.2302/kjm.2012-0009-oaTest |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....4b5336feaf4fafdfa219644f5a024ffb |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 18801293 00229717 |
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