Juvenile Attack-Like Endogenous Psychosis with Religious Delusion: Psychopathology and Clinical Features
https://doi.org/10.30629/2618-6667-2019-17-4-49-56
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.
About the Authors
N. V. Romanenko
FSBSI Mental Health Research Centre
Russian Federation
Russian Federation
Nadezhda V. Romanenko – Psychiatrist.
MoscowU. O. Popovich
FSBSI Mental Health Research Centre
Russian Federation
Russian Federation
Ulyana O. Popovich - PhD, MD, Cand. of Sci. (Med.).
MoscowReferences
1. Melekhov DE. Psikhiatriya i problemy dukhovnoy zhizni. Sinaps. 1991;1:47-55. (In Russ.).
2. Mohr S, Borras L, Betrisey C, et al. Delusions with religious content in patients with psychosis: how they interact with spiritual coping. Psychiatry. 2010;73(2): 158-172. https://DOI:10.1521/psyc.2010.73.2.158.
3. Kopeyko GI, Borisova OA, Kaz'mina OYu. Religious coping strategies in rehabilitation of the mentally ill. Psychiatriy. 2016;72(2):40-49. (In Russ.).
4. Pashkovskiy VE. Psychopathological aspects of archaic religious delusion. Psikhicheskoe zdorov'e. 2010;7:77-84. (In Russ.).
5. Kaleda VG, Popovich UO. Endogenous episodes of juvenile psychosis with religious delusions. Zhurnal nevrologii i psihiatrii imeni S.S. Korsakova. 2017;117(12):13-20. (In Russ.).
6. Bhavsar V, Bhugra D. Religious delusions: finding meanings in psychosis. Psychopathology. 2008;41(3):165-172. https://D0I:10.1159/000115954.
7. Pfeifer S, Waelty U. Psychopathology and religious commitment: a controlled study. Psychopathology 1995;28(2):70-77. https://D0I:10.1159/000284903.
8. Kim-Spoon J. Parent-adolescent relationship quality as a moderator for the influences of parents' religiousness on adolescents' religiousness and adjustment. J. Youth Adolesc. 2012;41(12):1576-1587. https://D0I:10.1007/s10964-012-9796-1.
9. Tiganov AS. Psikhiatriya: Rukovodstvo dlya vrachey. V dvukh tomakh. M.: OAO «Izdatel'stvo «Medicina»; 2012. (In Russ.).
10. Dvoynin AM. Psychological peculiarities of the religious personality, which influence on rehabilitation work for mentally disordered individuals. Psychiatry. 2016;72(02):50-54. (In Russ.).
11. Arterburn S, Felton J. Toxic Faith: experiencing healing over painful spiritual abuse. Colorado Springs: WaterBrook Press, 2004.
12. Baskakova SA. Current ideas concerning coping in mental disorders. Sotsial'naya i klinicheskaya psikhi-atriya. 2010;2:88-96. (In Russ.).
13. Voskresenskiy BA. Nekotorye aspekty proble-my «religioznost' i psikhicheskie rasstroystva». V sb. «Religioznost' i klinicheskaya psikhiatriya». 2017:124-129. (In Russ.).
14. Siddle R, Haddock G, Tarrier N, Faragher EB. Religious delusions in patients admitted to hospital with schizophrenia. Soc. Psychiatry Psychiatr. Epidemiol. 2002;37:130-138.
15. Kondrat'ev FV. Religioznost' psikhicheski bol'nogo — metodologicheskie problemy ee ponimaniya. V sb. «Religioznost' i klinicheskaya psikhiatriya». 2017;175-180. (In Russ.).
16. Brovchenko KYu. Osobennosti religioznogo pove-deniya u bol'nykh shizofreniey s religiozno-mis-ticheskimi perezhivaniyami. V sb. «Religioznost' i klinicheskaya psikhiatriya». 2017:120-124. (In Russ.).
17. Vie J. La vieillesse des dements precoce. Ann. Med. Psychol. 1935;15(2):190.
18. Yastrebov VS. 0 nekotorykh variantakh pozdnikh remissiy pri pristupoobrazno-progredientnoy (shu-boobraznoy) shizofrenii. Zhurnal nevropatologii i psihiatrii imeniS.S. Korsakova. 1973;1:66-70. (In Russ.).
19. Smulevich AB, Dubnitskaya AB, Pavlova LK, et al. Kli-nica, sistematica i terapiya pri shizofrenii. Psychiatry. 2008;32(2):7-15. (In Russ.).
20. Golubev SA, Kaleda VG. Tipologicheskie varianty, opredelyayushchie kliniko-psikhopatologicheskuyu kartinu yunosheskoy shizofrenii na etape otdalen-nogo katamneza. V sb. «Religioznost' i klinicheskaya psikhiatriya». 2017;81-84. (In Russ.).
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For citations:
Romanenko N.V., Popovich U.O. Juvenile Attack-Like Endogenous Psychosis with Religious Delusion: Psychopathology and Clinical Features. Psychiatry (Moscow) (Psikhiatriya). 2019;17(4):49-56. (In Russ.) https://doi.org/10.30629/2618-6667-2019-17-4-49-56
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