Clinical features of pathological pseudoreligiosity in patients with mental disorders

Introduction The term pathological pseudoreligiosity (PPR) has been chosen for description of mental disorders with religious content (MDRC), accompanied with distortion of acceptance and assimilation of religious convictions, and with significant changes in patient’s religious behavior and way of...

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Main Authors: O. Borisova, G. Kopeyko, E. Gedevani, V. Kaleda
Format: Article
Language:English
Published: Cambridge University Press 2021-04-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933821020411/type/journal_article
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author O. Borisova
G. Kopeyko
E. Gedevani
V. Kaleda
author_facet O. Borisova
G. Kopeyko
E. Gedevani
V. Kaleda
author_sort O. Borisova
collection DOAJ
description Introduction The term pathological pseudoreligiosity (PPR) has been chosen for description of mental disorders with religious content (MDRC), accompanied with distortion of acceptance and assimilation of religious convictions, and with significant changes in patient’s religious behavior and way of life. Objectives To assess the entire spectrum of mental pathology with religious content and relate it to the depth of mental disorder. Methods 857 patients (300 males, 557 females), with religious worldview and mental disorders were observed with psychopathological and follow-up methods. Results The pathological pseudoreligiosity was detected in 326 patients – 38%. Follow-up period estimated mean 9,5 years. Next mental disorders with religious content were identified and described. Specific PPR types were correlated with register of the depth of mental disorder (K. Schneider): Types of PPR Pts The register of mental disorders Toxic faith 6 1,8% Personality disorders Anorexia due to overvalued religious convictions 12 3,7% Neurotic register Depressive with congruent religious ideas of sinfulness, feeling of being abandoned by God 63 19,3% Affective register Depressive states with overvalued doubts of belief choice. 11 3,4% Overvalued religious behavior 13 4% Affective-delusional Delusion of spiritual hypochondria 7 2,2% Delusional Eschatological delusion 21 6,4% Anorexia in the form of delusional behavior with religious contents 11 3,4% Hallucinatory-delusional Apocalyptic delusion 32 9,8% Religious delusion 138 42,3% Religious standing, stiffening, mutism 4 1,2% Catatonic Fragmentary religious ideas 8 2,5% Organic Conclusions Management and treatment of patients suffering from MDRC with pathological pseudoreligiosity requires a particular approach. The consideration must be given to religious content of mental disorders and to clinical specifics of these disorders. Disclosure No significant relationships.
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spelling doaj.art-3c337332e6c24526af2c42159cffc02a2023-11-17T05:06:46ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S771S77110.1192/j.eurpsy.2021.2041Clinical features of pathological pseudoreligiosity in patients with mental disordersO. Borisova0G. Kopeyko1E. Gedevani2V. Kaleda3Investigation Group Of Specific Psychopathological Forms At Department Of Youth Psychiatry, Federal State Budgetary Scientific Institution «Mental Health Research Center», Moscow, Russian FederationInvestigation Group Of Specific Psychopathological Forms At Department Of Youth Psychiatry, Federal State Budgetary Scientific Institution «Mental Health Research Center», Moscow, Russian FederationInvestigation Group Of Specific Psychopathological Forms At Department Of Youth Psychiatry, Federal State Budgetary Scientific Institution «Mental Health Research Center», Moscow, Russian FederationDepartment Of Youth Psychiatry, FSBSI «Mental Health Research Centre», Moscow, Russian Federation Introduction The term pathological pseudoreligiosity (PPR) has been chosen for description of mental disorders with religious content (MDRC), accompanied with distortion of acceptance and assimilation of religious convictions, and with significant changes in patient’s religious behavior and way of life. Objectives To assess the entire spectrum of mental pathology with religious content and relate it to the depth of mental disorder. Methods 857 patients (300 males, 557 females), with religious worldview and mental disorders were observed with psychopathological and follow-up methods. Results The pathological pseudoreligiosity was detected in 326 patients – 38%. Follow-up period estimated mean 9,5 years. Next mental disorders with religious content were identified and described. Specific PPR types were correlated with register of the depth of mental disorder (K. Schneider): Types of PPR Pts The register of mental disorders Toxic faith 6 1,8% Personality disorders Anorexia due to overvalued religious convictions 12 3,7% Neurotic register Depressive with congruent religious ideas of sinfulness, feeling of being abandoned by God 63 19,3% Affective register Depressive states with overvalued doubts of belief choice. 11 3,4% Overvalued religious behavior 13 4% Affective-delusional Delusion of spiritual hypochondria 7 2,2% Delusional Eschatological delusion 21 6,4% Anorexia in the form of delusional behavior with religious contents 11 3,4% Hallucinatory-delusional Apocalyptic delusion 32 9,8% Religious delusion 138 42,3% Religious standing, stiffening, mutism 4 1,2% Catatonic Fragmentary religious ideas 8 2,5% Organic Conclusions Management and treatment of patients suffering from MDRC with pathological pseudoreligiosity requires a particular approach. The consideration must be given to religious content of mental disorders and to clinical specifics of these disorders. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933821020411/type/journal_articlepsychopathologyreligious delusionspathological pseudoreligiosity
spellingShingle O. Borisova
G. Kopeyko
E. Gedevani
V. Kaleda
Clinical features of pathological pseudoreligiosity in patients with mental disorders
European Psychiatry
psychopathology
religious delusions
pathological pseudoreligiosity
title Clinical features of pathological pseudoreligiosity in patients with mental disorders
title_full Clinical features of pathological pseudoreligiosity in patients with mental disorders
title_fullStr Clinical features of pathological pseudoreligiosity in patients with mental disorders
title_full_unstemmed Clinical features of pathological pseudoreligiosity in patients with mental disorders
title_short Clinical features of pathological pseudoreligiosity in patients with mental disorders
title_sort clinical features of pathological pseudoreligiosity in patients with mental disorders
topic psychopathology
religious delusions
pathological pseudoreligiosity
url https://www.cambridge.org/core/product/identifier/S0924933821020411/type/journal_article
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AT egedevani clinicalfeaturesofpathologicalpseudoreligiosityinpatientswithmentaldisorders
AT vkaleda clinicalfeaturesofpathologicalpseudoreligiosityinpatientswithmentaldisorders