Delusional disorder classification: Difference between revisions
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{{Delusional disorder}} | {{Delusional disorder}} | ||
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==Overview== | ==Overview== | ||
According to the Diagnostic and Statistical Manual of Mental Disorders, delusional disorder may be classified into seven types based on content of delusions. | |||
==Classification== | |||
Diagnosis of a specific type of delusional disorder can sometimes be made based on the content of the delusions. The Diagnostic and Statistical Manual of Mental Disorders (DSM) enumerates seven types: | |||
*Erotomanic type (erotomania): delusion that another person, often a prominent figure, is in love with the individual. The individual may breach the law as he/she tries to obsessively make contact with the desired person. | |||
*Grandiose type: delusion of inflated worth, power, knowledge, identity or believes himself/herself to be a famous person, claiming the actual person is an impostor or an impersonator. | |||
*Jealous type: delusion that the individual's sexual partner is unfaithful when it is untrue. The patient may follow the partner, check text messages, emails, phone calls etc. in an attempt to find "evidence" of the infidelity. | |||
*Persecutory type: This delusion is a common subtype. It includes the belief that the person (or someone to whom the person is close) is being malevolently treated in some way. The patient may believe that he/she has been drugged, spied upon, harassed and so on and may seek "justice" by making police reports, taking court action or even acting violently. | |||
*Somatic type: delusions that the person has some physical defect or general medical condition | |||
*Mixed type: delusions with characteristics of more than one of the above types but with no one theme predominating. | |||
*Unspecified type: delusions that cannot be clearly determined or characterized in any of the categories in the specific types. | |||
Among them persecutory and jealous subtypes are the most common, and erotomanic and grandiose are the least.<ref name="pmid21417554">{{cite journal| author=de Portugal E, Martínez C, González N, del Amo V, Haro JM, Cervilla JA| title=Clinical and cognitive correlates of psychiatric comorbidity in delusional disorder outpatients. | journal=Aust N Z J Psychiatry | year= 2011 | volume= 45 | issue= 5 | pages= 416-25 | pmid=21417554 | doi=10.3109/00048674.2010.551279 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21417554 }} </ref><ref name="pmid16097848">{{cite journal| author=Kelly BD| title=Erotomania : epidemiology and management. | journal=CNS Drugs | year= 2005 | volume= 19 | issue= 8 | pages= 657-69 | pmid=16097848 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16097848 }} </ref><ref name="pmid20334930">{{cite journal| author=de Portugal E, González N, Miriam V, Haro JM, Usall J, Cervilla JA| title=Gender differences in delusional disorder: Evidence from an outpatient sample. | journal=Psychiatry Res | year= 2010 | volume= 177 | issue= 1-2 | pages= 235-9 | pmid=20334930 | doi=10.1016/j.psychres.2010.02.017 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20334930 }} </ref><ref>Munro, Alistair. Delusional disorder paranoia and related illnesses. Cambridge New York: Cambridge University Press, 1999. Print.</ref><ref>Manschreck, THEO C. "Delusional disorder and shared psychotic disorder." Comprehensive textbook of psychiatry 1 (2000): 1243-64.</ref> | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Simrat Sarai, M.D. [2]
Overview
According to the Diagnostic and Statistical Manual of Mental Disorders, delusional disorder may be classified into seven types based on content of delusions.
Classification
Diagnosis of a specific type of delusional disorder can sometimes be made based on the content of the delusions. The Diagnostic and Statistical Manual of Mental Disorders (DSM) enumerates seven types:
- Erotomanic type (erotomania): delusion that another person, often a prominent figure, is in love with the individual. The individual may breach the law as he/she tries to obsessively make contact with the desired person.
- Grandiose type: delusion of inflated worth, power, knowledge, identity or believes himself/herself to be a famous person, claiming the actual person is an impostor or an impersonator.
- Jealous type: delusion that the individual's sexual partner is unfaithful when it is untrue. The patient may follow the partner, check text messages, emails, phone calls etc. in an attempt to find "evidence" of the infidelity.
- Persecutory type: This delusion is a common subtype. It includes the belief that the person (or someone to whom the person is close) is being malevolently treated in some way. The patient may believe that he/she has been drugged, spied upon, harassed and so on and may seek "justice" by making police reports, taking court action or even acting violently.
- Somatic type: delusions that the person has some physical defect or general medical condition
- Mixed type: delusions with characteristics of more than one of the above types but with no one theme predominating.
- Unspecified type: delusions that cannot be clearly determined or characterized in any of the categories in the specific types.
Among them persecutory and jealous subtypes are the most common, and erotomanic and grandiose are the least.[1][2][3][4][5]
References
- ↑ de Portugal E, Martínez C, González N, del Amo V, Haro JM, Cervilla JA (2011). "Clinical and cognitive correlates of psychiatric comorbidity in delusional disorder outpatients". Aust N Z J Psychiatry. 45 (5): 416–25. doi:10.3109/00048674.2010.551279. PMID 21417554.
- ↑ Kelly BD (2005). "Erotomania : epidemiology and management". CNS Drugs. 19 (8): 657–69. PMID 16097848.
- ↑ de Portugal E, González N, Miriam V, Haro JM, Usall J, Cervilla JA (2010). "Gender differences in delusional disorder: Evidence from an outpatient sample". Psychiatry Res. 177 (1–2): 235–9. doi:10.1016/j.psychres.2010.02.017. PMID 20334930.
- ↑ Munro, Alistair. Delusional disorder paranoia and related illnesses. Cambridge New York: Cambridge University Press, 1999. Print.
- ↑ Manschreck, THEO C. "Delusional disorder and shared psychotic disorder." Comprehensive textbook of psychiatry 1 (2000): 1243-64.