Institute of Psychophysiology and Rehabilitation, Kaunas University of Medicine, Lithuania.
Medicina (Kaunas). 2010;46(3):185-92.
This article presents data on the phenomenology of delusions of persecution and poisoning in patients with schizophrenia and determines parallels between sociodemographic status and personal religiosity and this type of delusions. We have studied the content of delusions in patients with schizophrenia looking for persecution and poisoning themes using Fragebogen fuer psychotische Symptome (FPS). A total of 295 patients suffering from schizophrenia participated in this study; 74.7% reported delusions of persecution. The proportion of female patients (81.9%) who felt persecuted was almost one-third higher than the proportion of male patients (66.9%). The prevalence of delusions of persecution was lower in the group of persons for whom their faith was personally important (73.4%) than in the atheistic group (86.7%). Delusions of persecution and poisoning were strongly intercorrelated. Delusions of poisoning were reported by 57.8% of respondents: 54.8% by male and 60.6% by female patients. In multivariate analysis, delusions of persecution were more prevalent in women compared to men; in those with a chronic course of illness compared to those with periodic course; in those with small size of family compared to those with large family. The presence of delusions of being poisoned was related to older age of the patient, higher than secondary education, chronic course of schizophrenia, and younger parental age. Personal importance of the faith was not associated with prevalence of delusions of persecution and poisoning in patients with schizophrenia.
本文介绍了精神分裂症患者被害妄想和中毒妄想的现象学数据，并确定了社会人口统计学状况和个人宗教信仰与这种妄想之间的平行关系。我们使用 Fragebogen fuer psychotische Symptome（FPS）研究了精神分裂症患者的妄想内容，寻找迫害和中毒主题。共有 295 名患有精神分裂症的患者参与了这项研究；74.7%的患者报告有被害妄想。感到受迫害的女性患者（81.9%）的比例比男性患者（66.9%）高出近三分之一。对于那些认为自己的信仰对个人很重要的患者群体（73.4%）来说，被害妄想的患病率低于无神论者群体（86.7%）。被害妄想和中毒妄想之间存在强烈的相关性。有 57.8%的受访者报告了中毒妄想：54.8%的男性和 60.6%的女性患者。在多变量分析中，与男性相比，女性更容易出现被害妄想；与周期性病程相比，慢性病程更容易出现被害妄想；与大家庭相比，小家庭更容易出现被害妄想。出现中毒妄想与患者年龄较大、受教育程度高于中等教育、精神分裂症慢性病程以及父母年龄较小有关。个人宗教信仰的重要性与精神分裂症患者出现被害妄想和中毒妄想的患病率无关。
