Diferencias de género en el trastorno delirante

  1. Román Avezuela, Nuria
  2. Esteve Díaz, Nuria
  3. Domarco Manrique, Leticia
  4. Domínguez Longás, Alberto
  5. Miguélez Fernández, Carolina
  6. Portugal Fernández del Rivero, Enrique de
Journal:
Revista de la Asociación Española de Neuropsiquiatría

ISSN: 0211-5735

Year of publication: 2015

Volume: 35

Issue: 125

Pages: 37-51

Type: Article

DOI: 10.4321/S0211-57352015000100004 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Revista de la Asociación Española de Neuropsiquiatría

Abstract

The objective of our study was to explore gender differences in Delusional Disorder (DD) comparing sociodemographic, clinical and risk factors and course´s characteristics. The sample was compound of 50 inpatients during their first psychiatric entrance and diagnosis of DD (according to SCID-I for DSM-IV criteria). Cases were evaluated retrospectively by means of medical records revision, OPCRIT 4.0 and an inventory created by authors, about not gathered aspects. The proportion woman-man was of 1.27:1. The age of the first psychiatric entrance was higher in women. Men presented greater prevalence of Disorders for use of drugs before; while the women suffered more social retirement and previous depressive symptoms. Men presented greater frequency of generalized, megalomaniac, and jealousy and persecution delusions; whereas women displayed greater frequency of erotomaniac delusions, as well as delusional affectivity and perceptions. Men presented greater frequency of increase of the esteem of the Self; and women displayed initial insomnia and of average night more frequently. Differences in other sociodemographic, clinical and risk factors, and course´s characteristics were not observed.

Bibliographic References

  • (1) de Portugal E, Cervilla JA. Trastorno delirante desde un punto de vista empírico. Monografías de psiquiatría 2007 Sept;19(3):3-18.
  • (2) de Portugal E, Gonzalez N, Haro JM, Autonell J, Cervilla JA. A descriptive case-register study of delusional disorder. Eur Psychiatry 2008 Mar;23(2):125-33.
  • (3) de Portugal E, Gonzalez N, Miriam V, Haro JM, Usall J, Cervilla JA. Gender differences in delusional disorder: Evidence from an outpatient sample. Psychiatry Res 2010 May 15;177(1- 2):235-9.
  • (4) Wustmann T, Pillmann F, Marneros A. Gender-related features of persistent delusional disorders. Eur Arch Psychiatry Clin Neurosci 2011;261:29-36.
  • (5) Kendler KS. Demography of paranoid psychosis (delusional disorder): a review and comparison with schizophrenia and affective illness. Arch Gen Psychiatry 1982 Aug;39(8):890-902.
  • (6) Rudden M, Sweeney J, Frances A, Gilmore M. A comparison of delusional disorders in women and men. Am J Psychiatry 1983 Dec;140(12):1575-8.
  • (7) Bada A, Albert U, Maina G, Bogetto F. Gender effects on clinical features in delusional disorder. Italian Journal of Psicopathology 2000;6:4.
  • (8) Maina G, Albert U, Bada A, Bogetto F. Occurrence and clinical correlates of psychiatric co-morbidity in delusional disorder. Eur Psychiatry 2001 Jun;16(4):222-8.
  • (9) Marino C, Nobile M, Bellodi L, Smeraldi E. Delusional disorder and mood disorder: can they coexist? Psychopathology 1993;26(2):53-61.
  • (10) Yamada N, Nakajima S, Noguchi T. Age at onset of delusional disorder is dependent on the delusional theme. Acta Psychiatr Scand 1998 Feb;97(2):122-4.
  • (11) Munro A, Mok H. An overview of treatment in paranoia/delusional disorder. Can J Psychiatry 1995 Dec;40(10):616-22.
  • (12) Galderisi S, Bucci P, Ucok A, Peuskens J. No gender differences in social outcome in patients suffering from schizophrenia. Eur Psychiatry 2011 May 24.
  • (13) Enoch D, Ball H. The Othello syndrome. In: Enoch D, Ball H, editors. Uncommon psychiatric syndromes. 4th ed. London: Arnold; 2001. p. 50-73.
  • (14) Munro A. Phenomenological aspects of monodelusional disorders. Br J Psychiatry Suppl 1991 Nov(14):62-4.
  • (15) Rucker J, Newman S, Gray J, Gunasinghe C, Broadbent M, Brittain P, et al. OPCRIT+: an electronic system for psychiatric diagnosis and data collection in clinical and research settings. Br J Psychiatry 2011 Aug;199:151-5.
  • (16) APA. Diagnostic and statistical manual of mental disorders (DSM-IV). 4th ed. Washington, DC1994.
  • (17) Grover S, Biswas P, Avasthi A. Delusional disorder: Study from North India. Psychiatry Clin Neurosci2007 Oct;61(5):462-70.
  • (18) Hsiao MC, Liu CY, Yang YY, Yeh EK. Delusional disorder: retrospective analysis of 86 Chinese outpatients. Psychiatry Clin Neurosci 1999 Dec;53(6):673-6.
  • (19) Serretti A, Lattuada E, Cusin C, Smeraldi E. Factor analysis of delusional disorder symptomatology. Compr Psychiatry 1999 Mar-Apr;40(2):143-7.
Data source: Dialnet