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The first psychotic episode with religious delusion in adolescence and young adults: premanifest stage

Published online by Cambridge University Press:  01 September 2022

V. Kaleda ,
U. Popovich ,
N. Romanenko  and
E. Gedevani
V. Kaleda*
Affiliation:
FSBSI «Mental Health Research Centre», Department Of Youth Psychiatry, Moscow, Russian Federation
U. Popovich
Affiliation:
FSBSI «Mental Health Research Centre», Department Of Youth Psychiatry, Moscow, Russian Federation
N. Romanenko
Affiliation:
FSBSI «Mental Health Research Centre», Department Of Youth Psychiatry, Moscow, Russian Federation
E. Gedevani
Affiliation:
FSBSI «Mental Health Research Centre», Researching Group Of Specific Forms Of Mental Disorders, Moscow, Russian Federation
*
*Corresponding author.

Abstract

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Introduction

The study of the premanifest stages of the first psychotic episode with religious delusion is relevant due to the lack of clarity in differentiating normal religiosity from pathological and, as a consequence, a relatively longer period of an untreated psychotic state, which negatively affects both the course of the disease and its outcomes. Another important factor is the high risk of antisocial, autoaggressive and suicidal behavior at different stages of the disease.

Objectives

The aim of the study is to identify the conditions for the formation of religious delusion in adolescence and young adults, to analyze the correlations between religiosity at the pre-manifest stage and the subsequent manifest psychotic episode with religious delusions of different content.

Methods

The 57 male patients at a young age (16-25 years) with a manifest psychotic episode (F20, F25 according to ICD-10) with religious delusion (delusion of sin (21,6 %), delusion of demonic possession (29,4 %), antagonistic and messianic delusion (39,2 %), oneiroid with religious content (9,8 %)) were studied with the clinical-psychopathological, psychometric (PAS) methods. The religiosity of patients in premorbid was assessed with the Duke University Religion Index (DUREL) questionnaire.

Results

Of greatest importance in the formation of psychotic episode with religious content is hereditary burden, premorbid personality structure, high scores on the PAS scale.

Conclusions

The presence or absence of religiosity in premorbid doesn’t matter to formation of psychotic episode with religious delusion.

Disclosure

No significant relationships.

Keywords

young agereligious delusionmanifest psychotic episodereligiosity in premorbid
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S774 - S775
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), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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