Tateyama M, Asai M, Kamisada M, Hashimoto M, Bartels M, Heimann H
Tokyo Metropolitan College of Allied Medical Sciences, Japan.
Psychopathology. 1993;26(3-4):151-8. doi: 10.1159/000284815.
The content of schizophrenic delusions of 150 German patients in the Psychiatrische Universitätsklinik Tübingen and those of 324 Japanese patients (ICD-9:295) were compared according to the classification of Huber and Gross. The comparison revealed significantly higher frequencies of delusions of poisoning (18 vs. 8%; p < 0.01) and jealousy (6 vs. 1.9%; p < 0.05) in the German cases, but there was no significant difference in the incidence of comprehensive injury delusions. There was also no significant difference in the incidence of comprehensive grandeur delusions. However, comprehensive belittlement delusions were more frequent in the German group (24 vs. 13.3%; p < 0.01). Among the delusions of this type, the themes of guilt/sin (15.3 vs. 4.9%; p < 0.001), particularly those related to religion, were more frequent in the German group. Although religious delusions were more frequent in the German group (21.3 vs. 6.8%; p < 0.001), the difference regarding the incidence of 'delusions of world destruction' was not statistically significant. Among the persecution/injury delusions, themes of direct persecution from others (Verfolgungswahn) were conspicuous in the German group, whereas delusions of reference (Beziehungswahn) related to harassment, such as 'being slandered by others' or 'being known', were common in the Japanese group. Namely, the difference in the content of these persecution/injury delusions may derive from the different types of self in the two countries: the individually oriented self in Germany and the group-oriented self in Japan. Delusions of guilt/sin in the German group may reflect the characteristics of sin in Christianity.
根据胡伯和格罗斯的分类，对图宾根大学精神病诊所的150名德国患者和324名日本患者（国际疾病分类第九版：295）的精神分裂症妄想内容进行了比较。比较结果显示，德国患者中中毒妄想（18%对8%；p<0.01）和嫉妒妄想（6%对1.9%；p<0.05）的出现频率显著更高，但在综合性伤害妄想的发生率上没有显著差异。在综合性夸大妄想的发生率上也没有显著差异。然而，综合性贬低妄想在德国组中更为常见（24%对13.3%；p<0.01）。在这类妄想中，德国组中罪恶/罪孽主题（15.3%对4.9%；p<0.001），尤其是与宗教相关的主题更为常见。尽管德国组中宗教妄想更为常见（21.3%对6.8%；p<0.001），但在“世界毁灭妄想”的发生率上差异无统计学意义。在迫害/伤害妄想中，德国组中他人直接迫害的主题（被害妄想）较为突出，而在日本组中，与骚扰相关的牵连观念妄想（如“被他人诽谤”或“被人知晓”）较为常见。也就是说，这些迫害/伤害妄想内容的差异可能源于两国不同的自我类型：德国的个体导向型自我和日本的群体导向型自我。德国组中的罪恶/罪孽妄想可能反映了基督教中罪的特征。
