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首页> 外文期刊>International journal of geriatric psychiatry >Religious delusions in older adults: Diagnoses, combinations, and delusional characteristics
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Religious delusions in older adults: Diagnoses, combinations, and delusional characteristics

机译：老年人的宗教妄想：诊断，组合和妄想特征

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Objective Religious delusions (RDs) tend to occur relatively often in patients with affective or non‐affective psychosis. Few studies exist about RDs in later life. The current study explores (1) the distribution of RDs across diagnosis, (2) how RDs relate to other types of delusions, and (3) how RDs relate to several dimensions or characteristics of delusions. Methods Inpatients and outpatients in a Geriatric Psychiatry Department in the Netherlands ( N ?=?155; mean age 76.5?years), and who were diagnosed with an affective or non‐affective psychotic disorder, participated in semi structured diagnostic interviews, using the Schedules for Clinical Assessement in Neuropsychiatry 2.1. Results Religious delusions were most common among patients with psychotic depression (47%) and schizophrenia (32%). The RDs frequently co‐occurred with other types of delusions. When combined with delusions of grandeur, RDs were more often classified as bizarre and were accompanied by higher levels of positive psychotic symptoms. When combined with delusions of guilt, RDs were associated with higher levels of distress and a shorter disease duration. The delusional characteristics bizarreness, frequency of psychotic symptoms, and degree of distress were more prevalent for RDs than for any other type of delusion. Conclusions The current study suggests that the prevalence of RDs in older adults is particularly high in late life psychotic depression. Also, in later life, RDs can be perceived of as independent marker of complex psychotic states, and as a denominator of severe arousal with respect to existential concerns.
机译：客观宗教妄想（RDS）往往往往常常发生情感或非情感精神病的患者。在后期生命中，对RDS存在少数研究。目前的研究探讨了（1）跨诊断的RDS分发，（2）RDS如何与其他类型的妄想有关，（3）RDS如何与妄想的几个维度或特征有关。方法在荷兰的老年精神病院部门住院患者和门诊病人（n？=？155;平均年龄为76.5岁），均被诊断出患有情感或非情感精神障碍，参与了半结构化诊断访谈，使用该时间表用于神经心理学2.1的临床评估。结果宗教妄想是精神病患者（47％）和精神分裂症（32％）的患者中最常见的。 RDS经常与其他类型的妄想共同发生。当与Grandeur的妄想结合时，RDS更常用为奇异，并伴随着更高水平的积极精神病症状。与内疚妄病结合时，RDS与更高水平的痛苦和较短的疾病持续时间相关。妄想特征令人生气，精神症状的频率和痛苦程度比任何其他类型的妄想更为普遍。结论目前的研究表明，老年人RDS的患病率在晚年生命精神抑郁症中特别高。此外，在后期生命中，RD可以被视为复杂精神病状态的独立标记，以及关于存在问题的严重唤醒的分母。

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