Medical considerations in delusion of pregnancy: a systematic review

Gogia, Soumya; Grieb, Anastasia; Jang, Albert; Gordon, Mollie; Coverdale, John

doi:10.1080/0167482x.2020.1779696

Cited by 5 publications

(4 citation statements)

References 27 publications

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“…Despite the biopsychosocial explanations of delusional pregnancy, the need for a thorough physical examination and relevant investigations to rule out medical and surgical comorbidities cannot be overemphasized. A systematic review was conducted by Gogia et al [ 30 ] in 2020 to evaluate medical/surgical comorbidities associated in patients with delusions of pregnancy, which might contribute to the illness. The review found that 16.4% of delusional pregnancy case reports also had medical/surgical comorbidities including tubal cyst, papillary carcinoma of the left kidney, gallstone-related pain, constipation, large naval hernia, and uterine prolapse, among others.…”

Section: Discussionmentioning

confidence: 99%

Delusion of pregnancy: Case series

Sharma,

Singh,

Sahu

et al. 2024

Indian Journal of Psychiatry

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Delusion of pregnancy is a relatively uncommon manifestation in psychotic patients. Differentiating it from closely related clinical entities like pseudocyesis/pseudopregnancy can be a challenge in clinical setting. Diagnosis of a psychotic illness with delusional pregnancy as the presenting feature in the absence of other florid symptoms of psychosis is a different challenge altogether. Currently, there is no consensus on the pharmacotherapy and psychotherapy of delusional pregnancy. We present a case series on delusional pregnancy with the intent to answer some of these gaps in the literature.

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Section: Discussionmentioning

confidence: 99%

Delusion of pregnancy: Case series

Sharma,

Singh,

Sahu

et al. 2024

Indian Journal of Psychiatry

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“…With respect to potential risk factors, there are many other acknowledged contributory factors to DD such as genetics [34], immigration [35], minority status [36,37] socioeconomics [38], medical comorbidities [39], sensory impairment [40] and the menopausal loss of estrogen in women [28,41] that have not yet been fully investigated in DD.…”

Section: Discussionmentioning

confidence: 99%

Delusional Disorder in Old Age: A Hypothesis-Driven Review of Recent Work Focusing on Epidemiology, Clinical Aspects, and Outcomes

González-Rodríguez

Seeman

Izquierdo

et al. 2022

IJERPH

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The theme, strength, and duration of a delusion are considered important in distinguishing one psychosis of old age from another. Research results, however, are mostly based on studies conducted on one form of psychosis, namely schizophrenia. The aim of this hypothesis-driven narrative review is to gather clinically important information about the psychosis identified as delusional disorder (DD), as it affects persons of senior age. We hypothesized that DD becomes relatively prevalent in old age, especially in women; and that it is associated with demonstrable brain changes, which, in turn, are associated with cognitive defects and poor pharmacological response, thus increasing the risk of aggression and suicide. Computerized searches in PubMed and ClinicalTrials.gov were conducted using the following search terms: (delusional disorder) AND (elderly OR old OR aged OR psychogeriatrics). A total of 16 recent studies (including case reports) were reviewed. Our hypotheses could not be definitively confirmed because research evidence is lacking. In order to improve eventual outcomes, our literature search demonstrates the need for more targeted, well-designed studies.

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“…In the second group, the act was precipitated by the mother's belief, real or imagined, that the child was about to be taken away from her. In 39% of filicide cases, women are reported to also attempt suicide [61]. In general, filicide is considered multifactorial in aetiology, with aggressive/violent relationships and social isolation playing an important part in the behaviour.…”

Section: Decision-making Capacity and Reproductive Counsellingmentioning

confidence: 99%

Improving treatment of women with schizophrenia: a review of the recent literature

González-Rodríguez,

Cobo,

Seeman

2023

Exploration of Medicine

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Effective clinical management of women with schizophrenia is therapeutically challenging. While there have been recent advances in the understanding of neurobiological, hormonal, and female reproductive cycle factors that play a decisive role in the development and progression of schizophrenia in women, this knowledge has not yet been fully translated into treatment practice. The aim was to apply the best evidence available to optimally treat women with schizophrenia at various periods of the lifespan. A narrative review was conducted of recent advances (2018–2023) in aspects of schizophrenia in women that demand sex-specific treatment. Sex steroids impact antipsychotic absorption, distribution, metabolism, elimination, passage through the blood-brain barrier, and blood flow rate to the brain. For these reasons, premenopausal women with schizophrenia, as compared to male age peers, require lower doses of most antipsychotic drugs and suffer comparatively more adverse events (metabolic, sexual, and cardiovascular) at similar doses. Apart from pharmacologic treatment, women have specific reproductive planning needs and need protection from sexual exploitation and domestic abuse. In addition, when pregnant, schizophrenia women show a high risk of gestational diabetes and pre-eclampsia/eclampsia that requires prevention. Prevention is also needed against long-term health hazards for their offspring. Another period of therapeutic challenge specific to women is menopause. The collected evidence points to women-specific recommendations for both biological and psychosocial treatment strategies for schizophrenia.

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Medical considerations in delusion of pregnancy: a systematic review

Cited by 5 publications

References 27 publications

Delusion of pregnancy: Case series

Delusion of pregnancy: Case series

Delusional Disorder in Old Age: A Hypothesis-Driven Review of Recent Work Focusing on Epidemiology, Clinical Aspects, and Outcomes

Improving treatment of women with schizophrenia: a review of the recent literature

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