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N Retterstöl

Publications and source records attributed to N Retterstöl.

17 recordsLinked to original sources

Outcome in delusional disorder in different periods of time. Possible implications for treatment with neuroleptics.

The effect of neuroleptics in the treatment of schizophrenia is well established. Some reports indicate that at least pimozide may be effective in delusional disorder as well. In this article a long-term follow-up study of 72 first-admitted patients with delusional disorder is described. Outcome in patients admitted during 1946-1948 was compared with that of patients admitted during 1958-1961. We did not find a more favourable outcome in the group admitted after the introduction of neuroleptics. This contradicts our earlier finding for patients with schizophrenic psychoses, indicating that neuroleptics generally may be more effective for schizophrenics than for patients with delusional disorder. Controlled drug trials in delusional disorder are strongly needed.

Adolescent↗

Delusional disorder: the predictive validity of the concept.

A sample of 72 first-admitted patients with delusional disorder was personally re-examined after a mean of 10 years, and 42 of them after an average of 27 years. The mean observation period for all patients from admission to last follow-up was 20 years (3-39). There was a trend that patients with delusions of jealousy did better on course variables, but similar outcomes were revealed in groups with delusions of jealousy, persecution and a mixed group with different main delusions. Duration of symptoms prior to admission was a significant predictor of outcome, indicating dividing lines of 1 and 6 months at 10-year follow-up and 3 and 6 months at long-term follow-up. Based on the data, a minimal duration of 6 months is proposed for persistent delusional disorder.

Adolescent↗

[Suicidal problems in Norway (author's transl)].

The author gibes a review of suicide problems in Norway. The suicide rate has in Norway traditionally been low compared with the other Scandinavian countries, about one third, and has remained so for a century. In the last century the suicide rate increased with increasing age. In this century it has come to a peak in the age groups of 50-69 years for men and 50-59 years for women. There are only small differences in the suicide rate for the different parts of the country, with a slightly higher rate in the most densely populated areas. The ratio male/female is now 3:1, and has changed little. The suicidal methods are discussed, as is also the relation of suicidal acts to alcohol and drug problems. Precipitating factors are discussed, as are also vulnerable groups, among them the sailors, where the suicidal rate is about three times higher than of the average population of the same age and sex. Norwegian follow-up studies on the future fate of suicide attempters are mentioned. Finally, the author gives an outline of the present state of suicidology in Norway.

Adolescent↗