Bizarre delusions and DSM-III-R schizophrenia
1992; American Psychiatric Association; Volume: 149; Issue: 4 Linguagem: Inglês
10.1176/ajp.149.4.494
ISSN1535-7228
AutoresDavid Goldman, Denise A. Hien, Gretchen L. Haas, John A. Sweeney, A J Frances,
Tópico(s)Personality Disorders and Psychopathology
ResumoBack to table of contents Previous article Next article No AccessBizarre delusions and DSM-III-R schizophreniaPublished Online:1 Apr 2006https://doi.org/10.1176/ajp.149.4.494AboutSectionsView articleAbstractPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail View articleAbstractOBJECTIVE: Bizarre delusions are assigned greater weight relative to other delusions in the DSM-III-R diagnosis of schizophrenia. The decision to emphasize bizarre delusions was based largely on historical tradition rather than empirical evidence. This study examined 1) the extent to which a history of bizarre delusions contributes to the diagnosis of schizophrenia and 2) whether schizophrenic patients with bizarre delusions constitute a clinically distinguishable subgroup. METHOD: Two hundred fourteen consecutively admitted psychotic inpatients were assessed for bizarre delusions according to the DSM-III- R criteria. Clinical and demographic correlates of bizarre delusions were examined in subsets of patients diagnosed as schizophrenic according to DSM-III-R who also received CT scans and neuropsychological testing. RESULTS: With the base prevalence rate for schizophrenia of 0.71, bizarre delusions had a sensitivity of 0.79, a specificity of 0.56, and a positive predictive power of 0.82 for the diagnosis of schizophrenia (N = 152) relative to other psychotic disorders (N = 62). Clinical, neurobehavioral, CT scan, and premorbid adjustment data on the schizophrenic patients indicated that beyond manifesting more severe positive symptoms, patients with bizarre delusions did not otherwise constitute a clinically distinguishable subgroup. CONCLUSIONS: The data suggest that criterion A for the diagnosis of schizophrenia in DSM-IV could be improved by removing the special emphasis that was placed on bizarre delusions in DSM-III-R. Access content To read the fulltext, please use one of the options below to sign in or purchase access. Personal login Institutional Login Sign in via OpenAthens Register for access Purchase Save for later Item saved, go to cart PPV Articles - American Journal of Psychiatry $35.00 Add to cart PPV Articles - American Journal of Psychiatry Checkout Please login/register if you wish to pair your device and check access availability. Not a subscriber? Subscribe Now / Learn More PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development. Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.). FiguresReferencesCited byDetailsCited byAsian Journal of Psychiatry, Vol. 31Schizophrenia Bulletin, Vol. 41, No. 3Self-Disturbance and the Bizarre: On Incomprehensibility in Schizophrenic Delusions9 September 2015 | Psychopathology, Vol. 48, No. 5Psychosis prediction and clinical utility in familial high‐risk studies: selective review, synthesis, and implications for early detection and intervention22 May 2013 | Early Intervention in Psychiatry, Vol. 7, No. 4Schizophrenia Research, Vol. 146, No. 1-3Do we have any solid evidence of clinical utility about the pathophysiology of schizophrenia?12 March 2013 | World Psychiatry, Vol. 10, No. 1Schizophrenia Bulletin, Vol. 36, No. 4Schizophrenia Research, Vol. 86, No. 1-3Comprehensive Psychiatry, Vol. 46, No. 3Bizarre delusions and DSM‐IV schizophrenia4 August 2008 | Psychiatry and Clinical Neurosciences, Vol. 56, No. 4British Journal of Psychiatry, Vol. 174, No. 3Medical Hypotheses, Vol. 50, No. 5Comprehensive Psychiatry, Vol. 37, No. 3Comprehensive Psychiatry, Vol. 36, No. 6 Volume 149Issue 4 April 1992Pages 494-499 Metrics PDF download History Published online 1 April 2006 Published in print 1 April 1992
Referência(s)