Abstract
Aim of the study : to identify clinical and psychopathological features, conditions of formation and the course of juvenile endogenous psychoses with a religious delusion. Patients and methods: 95 patients (62 male and 33 female) aged 16 to 25 years with diagnosis of attack-like psychosis with religious delusions were examined (F20, F25 according to ICD-10). Clinical, psychopathological, clinical-follow-up and psychometric methods where used. 53 patients (37 male и 16 female) were included in clinical group and 42 (25 male и 17 female made up follow-up group (mean follow-up period 7,4 ± 2,3 years). Results: the formation of residual delusions with religious content and personality disorders is noted with greater frequency after a psychotic episode with a religious delusions. It was possible preservation or formation, in the case of its absence before the onset of the disease, of traditional religiosity, as well as complete reduction of the religious worldview at the stage of remission in patients who was not interested in religion before the manifestation of psychosis. Conclusion: the demon obsession delusion in psychotic episode is unfavorable prognostic factor.
Highlights
Patients and methods: 95 patients (62 male and 33 female) aged 16 to 25 years with diagnosis of attack-like psychosis with religious delusions were examined (F20, F25 according to ICD-10)
Psychopathological, clinical-follow-up and psychometric methods where used. 53 patients (37 male и 16 female) were included in clinical group and 42
Results: the formation of residual delusions with religious content and personality disorders is noted with greater frequency after a psychotic episode with a religious delusions
Summary
Резюме Цель исследования: выявить психопатологические особенности, условия формирования, особенности течения юношеского эндогенного приступообразного психоза с бредовыми идеями религиозного содержания. Пациенты и методы: кли- 49 нико-психопатологическим, клинико-катамнестическим и психометрическим методами обследовано 95 больных (62 мужчины и 33 женщины), перенесших в юношеском возрасте (16–25 лет) психотический приступ с бредовыми идеями религиозного содержания в структуре эндогенного приступообразного психоза (F20, F25 по МКБ-10). Критерии включения в исследование — форминием в структуре эндогенного приступообразного рование бредовых идей религиозного содержания психоза является сложным психопатологическим фе- в структуре психотического приступа в юношеском номеном, при анализе которого выявляются проти- возрасте. Два из них характеризовас религиозным содержанием при эндогенных психозах лись смешанным механизмом бредообразования (инв юношеском возрасте, необходимость дополнитель- терпретативный и острый чувственный бред): I тип ного детального изучения условий их формирования, (32 случая; 33,7%) — приступы с бредом греховности, закономерностей течения и исхода заболевания опре- II тип (38 больных; 40,0%) — приступы с бредовыделяют актуальность данного исследования. Education and job indices at the moment of disease manifestation
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