Delusional disorders with religious content

• Published in: European psychiatry Vol. 64; no. S1; p. S769
• Main Authors: Borisova, O., Kopeyko, G., Gedevani, E., Kaleda, V.
• Format: Journal Article
• Language: English
• Published: Paris Cambridge University Press 01.04.2021
• Subjects: Abstract; Delusional disorder; destructive behavior; E-Poster Viewing; Messianism; psychopathology; Religion; religious delusions; schizophrénia
• ISSN: 0924-9338; 1778-3585
• DOI: 10.1192/j.eurpsy.2021.2037

Introduction Delusional Disorders with Religious Content (DDRC) require careful study concerning their prevalence, psychopathological heterogeneity and the risk of destructive behavior. Objectives To classify the clinical forms of DDRC Methods By clinical-psychopathological, follow-up and statistical approaches 2523 cases of patients with mental disorders who received inpatient care in a state clinic for year were analyzed; in 225 cases of total 2523 delusional disorders in schizophrenia (ICD-10: F20.0, F20.01, F20.02) were diagnosed. Results The comparative analysis of delusional disorders (225 cases, 100%) with religious (70 cases -31.1%) and non-religious content (155 cases - 69.9%) revealed prevalence of DDRC in non-believers (p <0.01). Delusional destructive behavior occurred in 47.1% of 70 cases in patients with DDRC (15% of total 225). Delusional disorders 225 cases (100%) DDRC (70 cases, 31,1%) Delusional disorders with non-religious content (155 cases - 69.9%) Believers Non-believers Believers Non-believers Total Cases 18 (8%) 52 (23,1%) 4 (1,8%) 151 (67,1%) With Destructive behavior 10 (4,4%) 23 (10,2%) 0 61 (27,1%) 33 (14,6 %) 61 (27,1%) The predominant content of DDRC (among the Delusions of Possession, Sinfulness/guilt, Messianism, Manichaean and the End-world Delusions) was the Delusions of Possession - 36.8%. Psychopathological heterogeneity of DDRC was identified and specific types of DDRC were described. Conclusions DDRC is associated with the development of massive psychopathological symptoms and significant severity, and often accompanied by various forms of destractive behavior. This circumstance requires constant and careful management of these patients, collection of their religious history and asks for specific therapeutic approaches. Disclosure No significant relationships.