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The incidence of first-onset psychotic symptoms and paranoid ideation in a representative population sample followed from age 70-90 years
 — relation to mortality and later development of dementia
Author(s)S Ostling, S P Pálsson, I Skoog
Journal titleInternational Journal of Geriatric Psychiatry, vol 22, no 6, June 2007
Pagespp 520-528
Sourcehttp://www.interscience.wiley.com
KeywordsPsychoses ; Symptoms ; Paranoia ; Dementia ; Death ; Correlation ; Longitudinal surveys ; Sweden.
AnnotationLimited data are available on the incidence of psychotic symptoms in older people. A 1971-72 population sample of 392 residents of Goteborg, Sweden born in 1901-1902 was assessed from age 70-90, with psychiatric examination, medical record reviews and from age 85, also with key-informant interviews. Individuals developing dementia were excluded. The cumulative incidence of first-onset psychotic symptoms was 4.8% (8% including key informant reports in the total sample) and 19.8% in those who survived to age 85. 64% of those with first-onset hallucinations later developed dementia, compared to 30% of those with delusions and 25% of those without psychotic symptoms. One fifth of non-demented older people who survive up to age 85 develops first-onset psychotic symptoms. Hallucinations predict dementia, but most older individuals with first-onset psychotic symptoms do not develop dementia. (RH).
Accession NumberCPA-070627225 A
ClassmarkEL: CT: ELP: EA: CW: 49: 3J: 76P

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