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Chapter 17. Schizophrenia and Paranoid Disorders

Dilip V. Jeste, M.D.; Nicole M. Lanouette, M.D.; Ipsit V. Vahia, M.D.
DOI: 10.1176/appi.books.9781585623754.392770

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Delusions, hallucinations, and other psychotic symptoms can accompany a number of conditions in late life. These symptoms may be more common than previously thought; Swedish investigators found that the prevalence of any psychotic symptom in a population-based sample of 95-year-old individuals without dementia was 7.1%, with 6.7% experiencing hallucinations, 10.4% having delusions, and 0.6% experiencing paranoid ideation (Ostling and Skoog 2002; Ostling et al. 2007), and in a sample of 85-year-old people, the prevalence of psychotic symptoms was 10.1%, with 6.9% experiencing hallucinations, 5.5% having delusions, and 6.9% experiencing paranoid ideation (Ostling and Skoog 2002).

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Recent data suggest that patients with late-onset schizophrenia, in comparison with early-onset patients, have a lower prevalence of
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Factors distinguishing patients with very-late-onset schizophrenia-like psychosis (VLOSLP), wherein the onset of psychosis is after age 60 years, from "true" schizophrenia patients, include all of the following except
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