입원환자의 편집성증상에 관한 임상적 고찰

A Clinical Study on Paranoid Symptoms of Neuropsychiatric In-patients

The author studied i33 neuropsychiatric inpatients with paranoid symptoms and 144 neuropsychiatric inpatients without paranoid symptoms, who had been managed at the neuropsychiatric unit of Kyung- Hee University Hospital during a 18 month period. Data were analyzed and the following results were obtained. 1. Of the 277 patients admitted to the unit, 133 (48. 0%) were classified as paranoid on the basis of the criteria using derived from Paranoid Symptoms of Hamilton’s Depression Scale and Present State Examination. 2. Among the 133 paranoid patients, 52 patients (39%) were diagnosed as schizophrenia, 25(19%) affective disorder, 11(8%) organic brain syndrome and 11(8%) neurosis. 3. Paranoid symptoms were noticed in all of paranoia and acute paranoid reaction, 85% of schizophrenia, 76% of affective disorders, 36% of organic brain syndrome and 14% of neurosis. 4. The modes of treatment in paranoid patients were antipsychotics (68%), electro-convulsive therapy (22%) and antidepressants (12%), while those in non-paranoid patients were anxiolytics (48%), otherapy (25%), antipsychotics (16%) and antidepressants(12%). 5. Basic variables, such as age, sex, education, occupation and religion were not significantly correlated with either paranoid or non-paranoid symptoms