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[偏执型精神分裂症患者中毒妄想的现象学]

[The phenomenology of delusions of poisoning in persons with paranoid schizophrenia].

作者信息

Rössler Vera, Walter Maria Hildegard, Richter Rainer

机构信息

Universität Innsbruck, Fakultät für Psychologie und Sportwissenschaft, Institut für Psychologie.

Universitätsklinikum Hamburg-Eppendorf, Poliklinik für Psychosomatik und Psychotherapie.

出版信息

Fortschr Neurol Psychiatr. 2019 Dec;87(12):695-701. doi: 10.1055/a-0846-3950. Epub 2019 Aug 7.

Abstract

GOAL

The aim of the study was to investigate delusions of poisoning in people with paranoid schizophrenia. Specifically, how often delusions of poisoning occur, how the delusional content is represented and to what extent women and men differ in delusions of poisoning were analysed.

METHODS & SAMPLE: Data were collected retrospectively from two psychiatric wards in Germany. Base material comprised the medical records of all persons receiving inpatient treatment due to their paranoid schizophrenia between 2010 and 2014 in one of the two psychiatric wards. The sample consisted of 156 people (96 women, 60 men) diagnosed with paranoid schizophrenia showing delusions of poisoning.

RESULTS

Delusions of poisoning were a common delusional theme which significantly more often occurred in women than in men. Moreover, women were significantly more likely to have delusions of persecution in addition to their delusions of poisoning. Overall, people with delusions of poisoning often reported being poisoned by close relatives or health workers. Most of those affected assumed that poisoning was carried out through medication, food or drinks.

摘要

目的

本研究旨在调查偏执型精神分裂症患者的中毒妄想。具体而言,分析中毒妄想的发生频率、妄想内容的表现形式以及男女在中毒妄想方面的差异程度。

方法与样本

数据是从德国的两个精神科病房回顾性收集的。基础资料包括2010年至2014年期间在其中一个精神科病房因偏执型精神分裂症接受住院治疗的所有人的病历。样本由156名被诊断为患有偏执型精神分裂症且有中毒妄想的人组成(96名女性,60名男性)。

结果

中毒妄想是一种常见的妄想主题,女性比男性更常出现。此外,女性除中毒妄想外,出现迫害妄想的可能性显著更高。总体而言,有中毒妄想的人常报告被近亲或医护人员下毒。大多数受影响者认为中毒是通过药物、食物或饮料进行的。

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