An empirical study of psychosocial and clinical correlates of delusional disorder: the DELIREMP study

Portugal, Enrique; González, Nieves; Vilaplana, Míriam; Haro, Josep María; Usall, Judit; Cervilla, Jorge

doi:10.1016/s2173-5050(09)70034-2

Cited by 9 publications

(20 citation statements)

References 34 publications

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“…[19][20][21] However, as an outpatient sample has several limitations, epidemiological findings should be treated with caution. Without controlling for potential confounders, women became ill and received psychiatric care at a later age than men.…”

Section: Discussionmentioning

confidence: 99%

Delusional disorder: no gender differences in age at onset, suicidal ideation, or suicidal behavior

González-Rodríguez

Molina-Andreu

Navarro

et al. 2014

Rev. Bras. Psiquiatr.

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Objective: To investigate gender differences in age at onset, psychopathology, and suicidal behavior rates in delusional disorder (DD). Methods: We conducted a prospective longitudinal study of 97 patients with DD. Demographic and clinical data at baseline were recorded. Gender differences were investigated by applying analysis of covariance, using age at onset and age at first psychiatric consultation as dependent variables, comorbid depression and gender as between-subject factors, and employment status, social support, and DD types as covariates. Results: Seventy-six percent of the patients were women. The average age at onset was 48.76612.67 years, mean age at first psychiatric consultation was 54.13613.67 years, and men were more likely to be employed than women (p = 0.041). Despite the earlier age at onset and at first psychiatric consultation in men, these differences tended to disappear when adjusted for potential confounders. There were no significant gender differences in depressive comorbidity, presence of suicidal ideation and behavior, or compliance rates at follow-up. Conclusions: Our findings could not confirm that male and female DD patients differ in age at onset, age at first psychiatric consultation, or suicidal ideation and behavior, even after controlling for potential confounders.

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Section: Discussionmentioning

confidence: 99%

Delusional disorder: no gender differences in age at onset, suicidal ideation, or suicidal behavior

González-Rodríguez

Molina-Andreu

Navarro

et al. 2014

Rev. Bras. Psiquiatr.

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“…Persecutory and jealous types were significantly associated with higher antidepressant use and personal history of depression in comparison to other types. The same authors assessed depressive symptoms by using the Montgomery-Asberg Depression Rating Scale (MADRS) in DD patients, which were included in the DELIREMP study 20 . DD patients with grandiose type symptoms showed significantly lower depressive symptoms scores than patients with other types.…”

Section: Resultsmentioning

confidence: 99%

Delusional disorder: an overview of affective symptoms and antidepressant use

et al. 2013

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-Background and Objectives:In clinical practice, the coexistence of delusions and affective symptoms is often observed. The current Diagnostic and Statistical Manual of Mental Disorders, fourth edition-Text Revision (DSM-IV-TR) accepts the existence of mood disturbances in delusional disorder. Little research has been done regarding this field and prevalence rates are unclear. Our purpose was to review the frequency of affective symptoms in delusional disorder patients and to identify the proportion of these patients that are reported to be treated with antidepressants.Methods: Three electronic databases were searched from 1980 to July 2012: MED-LINE, PsycINFO and PubMed, using the following keywords: delusional disorder, depression, affective illness, antidepressants and paranoia.Results: A high frequency of affective disturbances was found in this population (21-55.8%). In contrast, a low antidepressants prescription rate was shown. When focusing on delusional disorder somatic subtype, a particularly high mood disorder comorbidity rate was described and a good efficacy of antidepressant drugs was reported, in monotherapy or in combination with antipsychotics. ALEXANDRE GONZÁLEZ-RODRÍGUEZ ET AL. Background and objectives

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“…González-Rodríguez et al 24 , en un estudio de 97 casos TD con criterios DSM, informó que el 12,4% había intentado suicidarse al menos una vez, mientras que De Portugal y colaboradores 25 , en el estudio DELIREMP de 86 casos TD con criterios DSM, informó de un 20,9%. Estos resultados estarían dentro de lo convenido por González-Rodríguez et al 8 , pues señala que el porcentaje de comportamiento suicida en TD oscila entre el 8 y el 21%, cifras muy similares a la esquizofrenia.…”

Section: Discussionunclassified

“…En la población general, el sexo es uno de los predictores más importantes del suicidio entre las personas de edad. Los varones tienen mayor predisposición al suicidio 9,11 , que cometen en proporción tres veces superior a las mujeres, que apenas incrementan sus tasas en el período final de la vida 25 . Nuestros resultados no demuestran que el sexo podría ser un factor asociado con el suicido en los pacientes del TD, con más frecuencia entre los hombres con un 61%, aunque esto puede ser debido al tamaño de la muestra.…”

Section: Discussionunclassified

Trastorno delirante y conducta suicida: estudio descriptivo de 26 casos

Mármol-Bernal¹,

Luque-Luque

Allam

et al. 2018

Rev. chil. neuro-psiquiatr.

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Introduction/Background: Suicidal behavior in delusional disorder (DD) patients has been poorly studied. Objective: Investigate the demographic, environmental, psychosocial and clinical characteristics of the suicidal behavior in a group of patients with DD. Method: Retrospective descriptive study of DD cases registered at Psychiatry and Mental Hygiene Clinic of Cordoba according to DSM-IV criteria was conducted. We obtained a sample of 261 DD patients who met the inclusion criteria, of them 26 cases presented evidence of suicidal behavior. Data and variables collected were divided into 4 groups: I. Socio-demographic and general data. II. DD risk factors (personal and family). III. DD clinical picture and diagnosis (presentation, symptoms, disability, use of health care resources, treatment, and evolution) and lethal methods used. Results: The mean age of the patients was 47 years old and 60% were males. Socio-demographic data show that 46.2% of patients with suicidal behavior lived in rural areas, only 15.4% were analphabet, 57.7% were unemployed, and 26.9% were receiving a pension because of illness or retirement. The persecutory subtype with 8 cases was the most frequent presentation, followed by grandiose (6 cases) and jealous (6 cases), mixed (3 cases), erotomanic (2 cases) and somatic (1 case) subtypes. Discussion and conclusion: It is necessary to conduct future prospective studies to investigate the protective and risks factors associated with the suicidal behavior in DD patients.

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An empirical study of psychosocial and clinical correlates of delusional disorder: the DELIREMP study

Cited by 9 publications

References 34 publications

Delusional disorder: no gender differences in age at onset, suicidal ideation, or suicidal behavior

Delusional disorder: no gender differences in age at onset, suicidal ideation, or suicidal behavior

Delusional disorder: an overview of affective symptoms and antidepressant use

Trastorno delirante y conducta suicida: estudio descriptivo de 26 casos

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