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Delusional disorder: Study from North India.

Sandeep Grover1, Parthasarathy Biswas, Ajit Avasthi

  • 1Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Psychiatry and Clinical Neurosciences
|September 19, 2007
PubMed
Summary
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Delusional disorder predominantly affects females and often presents with persecutory delusions. Appropriate antipsychotic treatment is effective, despite high rates of comorbid psychiatric conditions.

Area of Science:

  • Psychiatry
  • Clinical Psychology

Background:

  • Delusional disorder is a complex psychiatric condition characterized by non-bizarre delusions.
  • Understanding its sociodemographic and clinical features is crucial for effective management.

Purpose of the Study:

  • To investigate the sociodemographic profile of patients with delusional disorder.
  • To analyze clinical parameters, including comorbidity and treatment response to antipsychotics.
  • To assess family history and follow-up rates in delusional disorder patients.

Main Methods:

  • Retrospective review of patient records from a 10-year period (1994-2003).
  • Inclusion criteria were applied to select 88 subjects for analysis.
  • Data collected included sociodemographics, delusion types, comorbidities, and treatment outcomes.

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Main Results:

  • The study sample was predominantly female (55.7%), married, with favorable social functioning.
  • Persecutory delusions (54.5%) were most common, followed by delusions of reference (46.6%).
  • High rates of comorbid psychiatric disorders were observed; education correlated with age at onset and delusion number.

Conclusions:

  • The sociodemographic profile of delusional disorder appears consistent across cultures.
  • High comorbidity is a significant feature of this disorder.
  • Effective management with antipsychotic agents, particularly atypicals, is achievable with appropriate treatment.