A descriptive retrospective study of the treatment and outpatient service use in a clinical group of delusional disorder patients

González-Rodríguez, Alexandre; Molina-Andreu, Oriol; Imaz, M.L.; Campos, Rosa Catalán; Arroyo, M. Carmen Moreno

doi:10.1016/j.rpsmen.2014.02.004

Cited by 10 publications

(11 citation statements)

References 17 publications

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“…22 By contrast, in our preliminary published data of a 78-inpatient sample, women with DD had a later age at onset and needed a longer duration of hospitalization. 23 In our study, we detected significant gender differences in motives leading to consultation, with behavioral disorders being the most frequent reason in male patients with DD, whereas other studies have found no gender differences in aggressive behavior during the course of DD. 11 Furthermore, we found that the most common DD type was the persecutory type, followed by the erotomanic type, as has been reported by several authors.…”

Section: Discussioncontrasting

confidence: 41%

Delusional disorder: no gender differences in age at onset, suicidal ideation, or suicidal behavior

González-Rodríguez

Molina-Andreu

Navarro

et al. 2014

Rev. Bras. Psiquiatr.

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Objective: To investigate gender differences in age at onset, psychopathology, and suicidal behavior rates in delusional disorder (DD). Methods: We conducted a prospective longitudinal study of 97 patients with DD. Demographic and clinical data at baseline were recorded. Gender differences were investigated by applying analysis of covariance, using age at onset and age at first psychiatric consultation as dependent variables, comorbid depression and gender as between-subject factors, and employment status, social support, and DD types as covariates. Results: Seventy-six percent of the patients were women. The average age at onset was 48.76612.67 years, mean age at first psychiatric consultation was 54.13613.67 years, and men were more likely to be employed than women (p = 0.041). Despite the earlier age at onset and at first psychiatric consultation in men, these differences tended to disappear when adjusted for potential confounders. There were no significant gender differences in depressive comorbidity, presence of suicidal ideation and behavior, or compliance rates at follow-up. Conclusions: Our findings could not confirm that male and female DD patients differ in age at onset, age at first psychiatric consultation, or suicidal ideation and behavior, even after controlling for potential confounders.

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Section: Discussioncontrasting

confidence: 41%

Delusional disorder: no gender differences in age at onset, suicidal ideation, or suicidal behavior

González-Rodríguez

Molina-Andreu

Navarro

et al. 2014

Rev. Bras. Psiquiatr.

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“…For instance, DSM-5 reports no major gender differences [1], but this most probably depends on study design and methodology. At older ages, several studies have found DD to be more frequent in women [21]. A recent large sample study from a tertiary care center in India, however, was unable to replicate this finding [22].…”

Section: Gender Differences In the Epidemiology Of Delusional Disordermentioning

confidence: 98%

“…Prevalence rates of subtypes vary considerably. While several studies report that the persecutory type is present in around 49% of DD patients [23,25], more recent studies have found still higher rates, particularly in inpatient samples [21,24].…”

Section: Gender Differences In Psychopathological Symptomsmentioning

confidence: 99%

What We Know and Still Need to Know about Gender Aspects of Delusional Disorder: A Narrative Review of Recent Work

2019

J Psychiatry Brain Sci

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While gender differences in the psychopathology and clinical course of schizophrenia have been extensively reported, the potential for analogous differences in delusional disorder has been understudied. Our aim in this paper is to focus on the recent literature on delusional disorder and to explore gender aspects. This is a non-systematic, narrative and critical review. The review is divided into the following main sections: gender differences in epidemiology, symptomatology, phenotypic factor analyses, psychiatric comorbidity, response and adherence to medications, and clinical trajectories. Culture-bound delusional syndromes are also addressed, and potential causes for gender differences and their treatment are critically discussed. Although DMS-5 reports no gender differences in the frequency of delusional disorder or in delusional content, several studies have found erotomania to be more frequent in women. There seem also to be gender differences in affective and substance abuse comorbidity, which may prove clinically important. The loss of the neuroprotection conferred by estrogens during the reproductive period in women may trigger depressive symptoms after menopause. The interaction of age and gender has been insufficiently studied as is also the case for selective cultural pressures on men and women and their impact on the content of delusions. Studies designed to focus on gender differences in response to treatment are currently needed in delusional disorder.

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“…Females have also been found to have better treatment response as compared to males, perhaps due to better adherence and treatment-seeking behavior. [123] Some studies have reported erotomanic delusions as being more common in females. Others have reported that persecution is the most common theme of delusions among both males and females, with no gender differences in the content of delusions or comorbid depression.…”

mentioning

confidence: 99%

“…Previous reports of erotomania and depression being higher in females were not reflected in our results, and it is unclear why more males in our sample reported body dysmorphic delusions. [3]…”

mentioning

confidence: 99%

Gender Differences in Persistent Delusional Disorder

Kulkarni¹,

Arasappa²,

Prasad³

et al. 2017

Indian Journal of Psychological Medicine

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A descriptive retrospective study of the treatment and outpatient service use in a clinical group of delusional disorder patients

Cited by 10 publications

References 17 publications

Delusional disorder: no gender differences in age at onset, suicidal ideation, or suicidal behavior

Delusional disorder: no gender differences in age at onset, suicidal ideation, or suicidal behavior

What We Know and Still Need to Know about Gender Aspects of Delusional Disorder: A Narrative Review of Recent Work

Gender Differences in Persistent Delusional Disorder

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