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Clinical features of pathological pseudoreligiosity in patients with mental disorders

Published online by Cambridge University Press:  13 August 2021

O. Borisova ,
G. Kopeyko ,
E. Gedevani  and
V. Kaleda
O. Borisova*
Affiliation:
Investigation Group Of Specific Psychopathological Forms At Department Of Youth Psychiatry, Federal State Budgetary Scientific Institution «Mental Health Research Center», Moscow, Russian Federation
G. Kopeyko
Affiliation:
Investigation Group Of Specific Psychopathological Forms At Department Of Youth Psychiatry, Federal State Budgetary Scientific Institution «Mental Health Research Center», Moscow, Russian Federation
E. Gedevani
Affiliation:
Investigation Group Of Specific Psychopathological Forms At Department Of Youth Psychiatry, Federal State Budgetary Scientific Institution «Mental Health Research Center», Moscow, Russian Federation
V. Kaleda
Affiliation:
Department Of Youth Psychiatry, FSBSI «Mental Health Research Centre», Moscow, Russian Federation
*
*Corresponding author.

Abstract

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Introduction

The term pathological pseudoreligiosity (PPR) has been chosen for description of mental disorders with religious content (MDRC), accompanied with distortion of acceptance and assimilation of religious convictions, and with significant changes in patient’s religious behavior and way of life.

Objectives

To assess the entire spectrum of mental pathology with religious content and relate it to the depth of mental disorder.

Methods

857 patients (300 males, 557 females), with religious worldview and mental disorders were observed with psychopathological and follow-up methods.

Results

The pathological pseudoreligiosity was detected in 326 patients – 38%. Follow-up period estimated mean 9,5 years. Next mental disorders with religious content were identified and described. Specific PPR types were correlated with register of the depth of mental disorder (K. Schneider):

Types of PPRPtsThe register of mental disorders
Toxic faith61,8%Personality disorders
Anorexia due to overvalued religious convictions123,7%Neurotic register
Depressive with congruent religious ideas of sinfulness, feeling of being abandoned by God6319,3%Affective register
Depressive states with overvalued doubts of belief choice.113,4%
Overvalued religious behavior134%Affective-delusional
Delusion of spiritual hypochondria72,2%Delusional
Eschatological delusion216,4%
Anorexia in the form of delusional behavior with religious contents113,4%Hallucinatory-delusional
Apocalyptic delusion329,8%
Religious delusion13842,3%
Religious standing, stiffening, mutism41,2%Catatonic
Fragmentary religious ideas82,5%Organic

Conclusions

Management and treatment of patients suffering from MDRC with pathological pseudoreligiosity requires a particular approach. The consideration must be given to religious content of mental disorders and to clinical specifics of these disorders.

Disclosure

No significant relationships.

Keywords

psychopathologyreligious delusionspathological pseudoreligiosity
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S771
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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