Sanrılı Bozukluğu Olan Hastaların Klinik ve Demografik Özellikleri: Retrospektif Bir Çalışma

Yıl 2019, Cilt: 10 Sayı: 37, 51 - 57, 06.10.2019

Murat Eren Özen Mehmet Hamdi Örüm Aysun Kalenderoğlu Çiçek Hocaoğlu

https://doi.org/10.17944/mkutfd.477114

Öz

Amaç: Sanrılı bozukluk tanısı olan bir grup hastanın demografik, çevresel, psikososyal ve klinik özelliklerini araştırmayı amaçladık.

Gereç ve Yöntemler: Retrospektif tanımlayıcı bir çalışma tasarımında, Xxxxxxx Xxxxxxx XxxxxxxxHastanesi Psikiyatri Kliniğinde kayıtlı sanrılı bozukluğu olan hastalar üzerinde çalışıldı. DSM-IV tanı kriterlerini karşılayan 320 sanrılı bozukluk hastasını örneklem olarak aldık. Sosyodemografik ve genel veriler, risk faktörleri, klinik tablo ve tanıları elde edildi. 

Bulgular: Erkeklerin kadınlara göre oranı 1.12 idi. Hastaların sadece %31.25'i okuma yazma bilmiyordu. Hastaların %56,56'sı evli, yaklaşık yarısı bir evi paylaşmaktaydı. Hastaların yaklaşık %16,9'unda geçmişte alkol tüketimi öyküsü vardı ve %2,3'ü başka uyuşturucu madde tüketiyordu. En sık 158 olgu (% 49.38) ile kötülük görme alt tipi idi. Referans ve kötülük görme düşünceleri sırasıyla %83.75 ve %81.88 olarak bulunmuştur.

Sonuç: Sanrılı bozukluk örneğimizde dördüncü on yılda ortalama başlangıç ​​yaşı ile erkeklerin ve kötülük görme alt tipinin çoğunlukta olduğunu bulduk. Eğitim düzeyi çoğu hastada orta ve düşüktü. Hasta grubunda gruplar arasında en sık 

Anahtar Kelimeler

sanrı, sanrılı bozukluk, demograifk özellikler

Clinical and Demographical Profiles of the Patients with Delusional Disorder: a Retrospective Study

Öz

Objective: We aimed to investigate demographic, environmental, psychosocial and clinical characteristics in a group of patients with delusional disorder (DD).

Method: In a retrospective descriptive study design, cases with DD registered at Psychiatry Clinic of Xxxxxxx XxxxxxxResearch Hospital was conducted. We obtained a sample of 320 DD patients who met the inclusion criteria according to DSM-IV. Socio-demographic and general data, risk factors, clinical picture and diagnosis were collected.

Results: Proportion of males versus females was of 1.12. Only 31.25% of patients were illiterate. Of the patients, 56.56% were married and about half of them shared home. About 16,9% of patients had a past history of alcohol consumption, and 2,3% consumed other drugs. The most frequent subtype with the persecutory with 158 cases (49.38%). Ideas of reference and of persecution were found in 83.75% and 81.88% respectively.

Conclusions: We found a male preponderance and persecutory subtype with the mean age at onset in the fourth decade in our DD sample. Education level was moderate and low in most of the patients. Reference and persecutory ideation and auditive hallucinations were the most prevalent delusional symptomatology in patients groups. 

Anahtar Kelimeler

delusion, delusional disorder, demographical factors

Kaynakça

• Referans1. González Gutiérrez PJ, Puyó Rodríguez N, Ochoa Prieto J. Does my patient have a delusional disorder? Semergen 2006;32(10):506-8.
• Referans2. Jordan HW, Howe G. De Clerambault Syndrome (erotomania): a review and case presentation. J Natl Med Assoc. 1980;72(10):979–85.
• Referans3. Manschreck TC. Delusional disorder: The recognition and management of paranoia. Journal of Clinical Psychiatry 1996;57(Suppl 3):32-8.
• Referans4. Stephens JH., Richard P, Mchugh PR. Long-term follow-up of a patient with a diagnosis of paranoid state and hospitalized. 1913 to 1940. The Journal of Nervous and Mental Diseases 2000;188:202-28.
• Referans5. Freeman D, Garety PA. Advances in understanding and treating persecutory delusions: a review. Soc Psychiatry Psychiatr Epidemiol 2014;49(8):1179-89.
• Referans6. Freeman D, Dunn G, Garety PA, Bebbington PE, Slater M, Kuipers E. The psychology of persecutory ideation I: a questionnaire survey. J Nerv Ment Dis 2005;193:302-8.
• Referans7. Freeman D, Garety PA, Kuipers E, Fowler D, Bebbington PE. A cognitive model of persecutory delusions. Br J Clin Psychol 2002;41(4):331-47.
• Referans8. Paget A, Ellett L. Relationships among self, others, and persecutors in individuals with persecutory delusions: a repertory grid analysis. Behav Ther 2014;45(2):273-82.
• Referans9. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR). 4th ed. Washington, DC. Ed. American Psychiatric Association, 1994.
• Referans10. de Portugal E, Gonzalez N, Haro JM, Autonell J, Cervilla JA. A descriptive case-register study of delusional disorder. Eur Psychiatry 2008;23(2):125-33.
• Referans11. Rimon R, Stenback A, Achte K. A socio-psychiatric study of paranoid psychoses. Acta Psychiatrica Scandinavica 1965;(Suppl 180):335-47.
• Referans12. Kendler KS. Demography of paranoid psychosis (Delusional Disorder). Archives of General Psychiatry 1982;39:890-902.
• Referans13. Someya T, Masui A , Takahashi S, Fujinawa A. Classification of paranoid disorders; a survey of 144 cases. Jpn J Psychiatry Neurology 1987;41:162-3.
• Referans14. Yamada N, Nakajima S, Noguchi T. Age at onset of delusional disorder is dependent on the delusional theme. Acta Psychiatr Scand 1998;97(2):122-4.
• Referans15. Hsiao MC, Liu CY, Yang YY, Yeh EK. Delusional disorder: retrospective analysis of 86 Chinese outpatients. Psychiatry Clin Neurosci 1999;53(6):673-6.
• Referans16. Maina G, Albert U, Bada A, Bogetto F. Occurrence and clinical correlates of psychiatric co-morbidity in delusional disorder. Eur Psychiatry 2001;16(4):222-8.
• Referans17. de Portugal E, Gonzalez N, Vilaplana M, Haro JM, Usall J, Cervilla JA. An empirical study of the psychosocial and clinical correlates of the paranoid (DELIREMP study). Rev Psiquiatr Mental Health (Barc) 2009;2(2):72-82.
• Referans18. Jadhav BS, Shah BR, Dhavale HS, Sharma P. Delusional disorders: prevalence, clinical correlates and comorbidity. AP J Psychol Med 2014;15(1):99-102.
• Referans19. Gonzalez-Rodriguez A, Oriol Molina-Andreu O, Navarro V, Gasto C, Penades R, Catalan R. Delusional disorder: no gender differences in age at onset, suicidal ideation, or suicidal behavior. Rev Bras Psiquiatr 2014;36(2):119-24.
• Referans20. Rudden M, Sweeney J, Francea S, Gilmore MA. comparison of delusional disorders in women and men. Am J Psychiatry 1983:140:1575-78.
• Referans21. Grover S, Gupta N, Mattoo SK. Delusional Disorders: An Overview. German J Psychiatry 2006;9:62-73.
• Referans22. Winokur G. Delusional Disorder (Paranoia). Comprehensive Psychiatry 1977;18:511-21.
• Referans23. Jorgensen P, Jorgensen MP. Paranoid psychoses in the elderly. A follow-up study. Acta Psychiatrica Scandinavica 1985;72:358-63.
• Referans24. Hitch P, Rack P. Mental illness among Polish and Russian refugees in Braford. Br J Psychiatry 1982;137:206-11.
• Referans25. Stilo SA, Di Forti M, Mondelli V, Falcone AM, Russo M, O'Connor J, et al. Social disadvantage: cause or consequence of impending psychosis? Schizophr Bull 2013;39(6):1288-95.
• Referans26. Opjordsmoen S, Retterstol N. Delusional disorder: the predictive validity of the concept. Acta Psychiatrica Scandinavica 1991;87:250-1.
• Referans27. Wustmann T, Pillmann F, Friedemann J, Piro J, Schmeil A, Marneros A. The clinical and sociodemographic profile of persistent delusional disorder. Psychopathology 2012;45(3):200-2.
• Referans28. Román N, Esteve N, Domarco L, Domínguez A, Miguelez C, De E. Gender differences in delusional disorder. Rev Asoc Esp Neuropsiq 2015;35(125):37-51.
• Referans29. Vorontsova N, Garety P, Freeman D. Cognitive factors maintaining persecutory delusions in psychosis: the contribution of depression. J Abnorm Psychol 2013;122(4):1121-31.
• Referans30. Badá A, Albert U, Maina G, Bogetto F. Gender effects on clinical features in delusional disorder. Ital J Psychopathol 2000;6:4.
• Referans31. Kendler KS, Walsh D. Schizophreniform disorder, delusional disorder and psychotic disorder not otherwise specified: Clinical Features Outcome and Familial Psychopathy. Acta Psychiatrica Scandinavica 1995;9:370-8.