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Delusional disorders with religious content

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

Delusional Disorders with Religious Content (DDRC) require careful study concerning their prevalence, psychopathological heterogeneity and the risk of destructive behavior.

Objectives

To classify the clinical forms of DDRC

Methods

By clinical-psychopathological, follow-up and statistical approaches 2523 cases of patients with mental disorders who received inpatient care in a state clinic for year were analyzed; in 225 cases of total 2523 delusional disorders in schizophrenia (ICD-10: F20.0, F20.01, F20.02) were diagnosed.

Results

The comparative analysis of delusional disorders (225 cases, 100%) with religious (70 cases -31.1%) and non-religious content (155 cases - 69.9%) revealed prevalence of DDRC in non-believers (p <0.01). Delusional destructive behavior occurred in 47.1% of 70 cases in patients with DDRC (15% of total 225).

Delusional disorders 225 cases (100%)
DDRC (70 cases, 31,1%)Delusional disorders with non-religious content (155 cases - 69.9%)
BelieversNon-believersBelieversNon-believers
Total Cases18 (8%)52 (23,1%)4 (1,8%)151 (67,1%)
With Destructive behavior10 (4,4%)23 (10,2%)061 (27,1%)
33 (14,6 %)61 (27,1%)

The predominant content of DDRC (among the Delusions of Possession, Sinfulness/guilt, Messianism, Manichaean and the End-world Delusions) was the Delusions of Possession - 36.8%. Psychopathological heterogeneity of DDRC was identified and specific types of DDRC were described.

Conclusions

DDRC is associated with the development of massive psychopathological symptoms and significant severity, and often accompanied by various forms of destractive behavior. This circumstance requires constant and careful management of these patients, collection of their religious history and asks for specific therapeutic approaches.

Disclosure

No significant relationships.

Keywords

schizophréniareligious delusionsdestructive behaviorpsychopathology
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S769
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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