Psychogenic XXXX . A retrospective study with special reference to clinical course and prognosis.

@entity1 @entity162 @entity1032 @entity914 @entity161 @entity716 @entity10963
The study comprises a retrospective evaluation of case records of 220 @entity1 admitted for the first time with @entity716 with special reference to clinical course and prognosis within a period of 13--14 years. The reliability of the diagnosis at the time of the first admission is about 60% when the evaluation is based on positive criteria for @entity716 . If the psychogenic @entity914 are divided into subgroups, the reliability of the diagnosis of psychogenic affective @entity914 is about 30%, whereas it is over 90% for psychogenic confusional @entity914 and psychogenic @entity10963 . If subsequent cases of other functional @entity914 ( @entity162 and @entity161 ) are subtracted, the diagnostic reliability is 50% (111 of 220 cases), which represents the number of retrospectively verified psychogenic @entity914 . The frequency of recurrence of @entity716 was 18% (40), corresponding to 36% of psychogenic @entity914 verified by retrospective evaluation (111 of 220 cases). The recurrences were mainly homologous, as heterologous recurrences developed only among the psychogenic affective @entity914 (slightly less than half of the recurrences in question). @entity161 developed in only 10% (23), and subsequent episodes of @entity162 occurred in 8% (18). The stability of @entity716 on recurrence of functional @entity716 was 49% expressed in relation to all subsequent cases of functional @entity716 . The over-all prognosis for the psychogenic/reactive @entity716 is thus good as regards subsequent @entity1032 . Chronic functional @entity716 ( @entity161 ) developed in only 10% (and in less than 20% if the prognosis is assessed on the basis of the reliability of the diagnosis at the time of the first admission (about 60%)). However, in the group of psychogenic/reactive @entity914 as a whole an overmortality of 100% was observed in the course of the 14 years, highest in the younger age groups.
