2011
DOI: 10.1177/0957154x10390438
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What is a ‘mood-congruent’ delusion? History and conceptual problems

Abstract: This article investigates the history of the concept of mood-congruent delusions and the problems accompanying this concept. In the late nineteenth century, there were conflicting views regarding the relationship between the contents of an individual's delusional thought and his/her affective state. The differentiation between delusion-like ideas secondary to affective state and incomprehensible primary delusions was introduced in the early twentieth century; this differentiation is the origin of the present-d… Show more

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Cited by 9 publications
(6 citation statements)
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“…However, the fact that our study used skilled psychologists as interviewers, who systematically probed for specific types of delusions and hallucinations using the DIGS, and that we employed a best-estimate procedure based on both sources of information minimized the risk of this error. It should be noted that mood congruence criteria have been deemed to be ambiguous as, for instance, the content of delusional thoughts often do not concur with the subjective experience of the underlying mood (Smith et al 2017 ; Kumazaki 2011 ). Future studies could further assess the quality of delusions and hallucinations of mood episodes separately (Smith et al 2017 ), using both self-report measures of concurrent mood or emotions and objectively-rated measures of delusions by clinicians, for example.…”
Section: Discussionmentioning
confidence: 99%
“…However, the fact that our study used skilled psychologists as interviewers, who systematically probed for specific types of delusions and hallucinations using the DIGS, and that we employed a best-estimate procedure based on both sources of information minimized the risk of this error. It should be noted that mood congruence criteria have been deemed to be ambiguous as, for instance, the content of delusional thoughts often do not concur with the subjective experience of the underlying mood (Smith et al 2017 ; Kumazaki 2011 ). Future studies could further assess the quality of delusions and hallucinations of mood episodes separately (Smith et al 2017 ), using both self-report measures of concurrent mood or emotions and objectively-rated measures of delusions by clinicians, for example.…”
Section: Discussionmentioning
confidence: 99%
“…We will consider incorporating these measures in the next iteration of the schizobipolar scale. However, the reliability of assessing these measures is debatable especially when reviewing past episodes of the iillness (Cermolacce et al 2010; Kumazaki, 2011). …”
Section: Discussionmentioning
confidence: 99%
“…A more likely explanation is that the distinction between mood‐congruence and mood‐incongruence is used rigorously in clinical trials but to a much lesser extent in clinical practice. An alternative explanation is that patients who display mood‐incongruent psychotic symptoms during depression are systematically assigned other diagnosis than PD, e.g., schizoaffective disorder or schizophrenia .…”
Section: Discussionmentioning
confidence: 99%