Obsessive Jealousy Masquerading as Delusional Disorder

In this article we report the first series of Turkish inpatients with late-onset psychosis, and describe our 9-year experience at the only inpatient geriatric psychiatry department in Turkey. Among 420 patients hospitalized between 1993 and 2002, 27 were psychotic. In this group, eight patients were diagnosed as having late-onset schizophrenia (LOS) and six very-late-onset schizophrenia-like psychosis (VLOSLP). Five patients had early-onset schizophrenia and eight had delusional disorder. Females were more frequently seen in the group with LOS and the group with VLOSLP. Except for one patient with LOS, all patients with VLOSLP and LOS had paranoid psychosis. Nihilistic delusions, delusions of poverty or guilt, thought withdrawal, thought insertion, and thought broadcasting were not seen in any of the patients. Additionally, none of the LOS or VLOSLP patients showed erotomanic delusions. Grandiose and mystic delusions were not seen in those with VLOSLP. Treatment results and antipsychotic dosages at discharge were similar to those in previous reports from other cultures.

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Care for Women with Delusional Disorder: Towards a Specialized Approach

Women ◽

10.3390/women1010004 ◽

2021 ◽

Vol 1 (1) ◽

pp. 46-59

Author(s):

Alexandre González-Rodríguez ◽

Mary V. Seeman ◽

Aida Álvarez ◽

Armand Guàrdia ◽

Nadia Sanz ◽

...

Keyword(s):

Psychological Health ◽

Psychiatric Treatment ◽

Adult Life ◽

Delusional Disorder ◽

Health Needs ◽

Psychotic Symptoms ◽

High Functioning ◽

Service Programs ◽

Prevalence Of Depression ◽

Specific Health

Delusional disorder is a difficult-to-treat clinical condition with health needs that are often undertreated. Although individuals with delusional disorder may be high functioning in daily life, they suffer from serious health complaints that may be sex-specific. The main aim of this narrative review is to address these sex-specific health needs and to find ways of integrating their management into service programs. Age is an important issue. Delusional disorder most often first occurs in middle to late adult life, a time that corresponds to menopause in women, and menopausal age correlates with increased development of both somatic and psychological health problems in women. It is associated with a rise in the prevalence of depression and a worsening of prior psychotic symptoms. Importantly, women with delusional disorder show low compliance rates with both psychiatric treatment and with medical/surgical referrals. Intervention at the patient, provider, and systems levels are needed to address these ongoing problems.

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Antipsychotics lower hospitalization risk in patients with delusional disorder

The Brown University Psychopharmacology Update ◽

10.1002/pu.30723 ◽

2021 ◽

Vol 32 (5) ◽

pp. 8-8

Keyword(s):

Delusional Disorder

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Clomipramine treatment of delusional disorder, somatic type

International Clinical Psychopharmacology ◽

10.1097/00004850-199905030-00006 ◽

1999 ◽

Vol 14 (3) ◽

pp. 181-184 ◽

Cited By ~ 7

Author(s):

T. Wada ◽

S. Kawakatsu ◽

T. Nadaoka ◽

N. Okuyama ◽

K. Otani

Keyword(s):

Delusional Disorder ◽

Clomipramine Treatment ◽

Delusional Disorder Somatic Type

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A descriptive case-register study of delusional disorder

European Psychiatry ◽

10.1016/j.eurpsy.2007.10.001 ◽

2008 ◽

Vol 23 (2) ◽

pp. 125-133 ◽

Cited By ~ 40

Author(s):

Enrique de Portugal ◽

Nieves González ◽

Josep M. Haro ◽

Jaume Autonell ◽

Jorge A. Cervilla

Keyword(s):

Community Mental Health Services ◽

Depressive Mood ◽

Delusional Disorder ◽

Register Study ◽

Global Functioning ◽

Case Register ◽

Axis Ii ◽

Paranoid Personality Disorder ◽

History Of ◽

Dsm Iv

AbstractObjectiveA few empirically based studies' data on delusional disorder (DD) exist. We aim to describe sociodemographic and clinical correlates of DD and to identify clinical profiles associated to DD and its subtypes.MethodsThis is a case-register study based on all those subjects attending community mental health services within a geographically well-defined area. Four hundred and sixty-seven patients had been diagnosed as DD cases at psychiatric services serving a catchment area of some 607,494 inhabitants living in South Barcelona (Spain) during a three-year period (2001–2003). A thorough systematic review of computerised medical records was used to establish DSM-IV diagnosis, rendering a valid sample of 370 patients who fulfilled DSM-IV criteria for DD. Independent variables gathered include sociodemographic data, family and personal psychiatric history, and comorbid diagnoses on all DSM-IV axes (including GAF). We used descriptive and univariate statistical methods to explore sample frequencies and correlates across DD types.ResultsThe mean age of the patients was 55 years and the sample had a mean GAF score of 51 suggesting a poor functionality; 56.5% of the patients were female. The most frequent DD types were persecutory (48%), jealous (11%), mixed (11%) and somatic (5%), whilst 23% qualified for the NOS type. Most frequent symptoms identified were self-reference (40%), irritability (30%), depressive mood (20%) and aggressiveness (15%). Hallucinations were present in 16% of the patients (6% tactile; 4% olfactory). Nearly 9% had a family history of schizophrenia (higher among those with the jealous subtype) and 42% had a comorbid axis II diagnosis (mostly paranoid personality disorder). Depression was significantly more frequent among the persecutory and jealous types. Finally, global functioning was significantly better among jealous and mixed types and worse amongst erotomanic and grandiose cases (p = 0.008).ConclusionsIn the absence of other similar empirical data, this modest study provides unique empirical evidence of some clinical and risk correlates of DD and its subtypes.

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