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[Doomsday delusions of religious content (apocalyptic version)]
G I Kopeyko1, P V Orekhova1, O A Borisova1
1Mental Health Research Center, Moscow, Russia.
Zhurnal Nevrologii I Psikhiatrii Imeni S.S. Korsakova
|October 25, 2021
Summary
Schizophrenia patients with apocalyptic delusions develop two distinct types of end-world delusion (EWDRC), differing in perception or imagination dominance and clinical presentation.
Area of Science:
- Psychiatry
- Clinical Psychology
Background:
- Schizophrenia is a complex mental disorder.
- End-world delusion with religious content (EWDRC) is a specific manifestation observed in some patients.
Purpose of the Study:
- To characterize the psychopathological and phenomenological features of EWDRC in schizophrenia.
- To identify clinical dynamics and behavioral interactions of these delusions.
Main Methods:
- Study included 28 schizophrenia patients (ICD-10 F20.01, F20.02) with EWDRC.
- Employed clinical-psychopathological and follow-up assessment methods.
Main Results:
- EWDRC developed within acute affective-delusional disorder with sensual delusions.
- Two types were identified: perception-dominant and picturesque (imagination-dominant) EWDRC.
- Types differed in symptomatology, thematic content, affect, and developmental stages.
Conclusions:
- End-world delusions in schizophrenia manifest as acute sensory delusions.
- Type I involves predominantly perception delusions; Type II involves visual-figurative imagination delusions.
- These types exhibit varying durations, dominance, and psychopathological depth.
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