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P-1056 - Clinical Symptoms in Persistent Delusional Disorders and Paranoid Schizophrenia After an Average of 10 Years of Evolution: Comparative Study

Published online by Cambridge University Press:  15 April 2020

I. Papava
Affiliation:
Department of Psychiatry, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania Mara Institute, Timisoara, Romania
M. Lazarescu
Affiliation:
Department of Psychiatry, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania Mara Institute, Timisoara, Romania
L. Dehelean
Affiliation:
Department of Psychiatry, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania Mara Institute, Timisoara, Romania
M. Ienciu
Affiliation:
Department of Psychiatry, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania Mara Institute, Timisoara, Romania
F. Romosan
Affiliation:
Department of Psychiatry, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania Mara Institute, Timisoara, Romania
C. Bredicean
Affiliation:
Department of Psychiatry, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania Mara Institute, Timisoara, Romania
S. Papava
Affiliation:
Department of Psychiatry, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania Mara Institute, Timisoara, Romania

Abstract

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Introduction

Non-schizophrenic delusional pathology although it is known and accepted in current nosologies(persistent delusional disorders), it is yet considered by many authors as a part of paranoid schizophrenia.

Objectives

The assessment of clinical status of a sample of subjects with paranoid schizophrenia compared with a sample of subjects with persistent delusional disorder after an average of 10 years of evolution using BPRS scale.

Aims

To highlight the differences between symptoms in the two types of pathologies after long-term development.

Methods

The application of BPRS scale on a sample of 60 subjects with a diagnosis of persistent delusional disorders and a group of 40 subjects with a paranoid schizophrenia diagnosis - these diagnoses were maintained during the last 5 years of evolution - and the comparison between the scale items mean values of the two samples.

Results

Significant differences were observed in social withdrawal items, emotional bluntness, mannierisms, postural attitudes, as well as hallucinatory behavior that were more intense in the paranoid schizophrenia group and in depressed mood items and guilt feeling were more pronounced in the group with persistent delusional disorder.

Conclusions

Although paranoid schizophrenia can be defined only by the presence of a delusional hallucinatory constellation, a careful analysis of the cases reveals after a long evolution period the presence of negative and disorganized symptoms that should not be found in the delusional non-schizophrenic symptomatology.

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Abstract
Copyright
Copyright © European Psychiatric Association 2012
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