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The end-world delusion with religious content, apocalyptic variant

Published online by Cambridge University Press:  13 August 2021

O. Borisova ,
G. Kopeyko ,
E. Gedevani  and
P. Orehova
O. Borisova
Affiliation:
Investigation Group Of Specific Psychopathological Forms At Department Of Youth Psychiatry, Federal State Budgetary Scientific Institution «Mental Health Research Center», Moscow, Russian Federation
G. Kopeyko
Affiliation:
Investigation Group Of Specific Psychopathological Forms At Department Of Youth Psychiatry, Federal State Budgetary Scientific Institution «Mental Health Research Center», Moscow, Russian Federation
E. Gedevani*
Affiliation:
Researching Group Of Specific Forms Of Mental Disorders, FSBSI Mental Health Research Center, Moscow, Russian Federation
P. Orehova
Affiliation:
Researching Group Of Specific Forms Of Mental Disorders, FSBSI Mental Health Research Center, Moscow, Russian Federation
*
*Corresponding author.

Abstract

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Introduction

Diagnostics of Apocalyptic variant of end-world Delusion with Religious Content (ADRC) in schizophrenia is related with insufficient exploration and recognizability, despite the severity of the state, social risks and resistance to psychopharmacotherapy.

Objectives

To define psychopathological and phenomenological features of ADRC in schizophrenia, to identify the clinical dynamics of delusional disorders due to specifics of the delusional behavior, and to develop diagnostic and prognostic criteria.

Methods

28 patients with ADRC in schizophrenia were examined (ICD-10: F20.0, F20.01, F20.02). Clinical-psychopathological and statistical methods were applied.

Results

Delusional ideas of end-world, Apocalyptic variant, occurred in the structure of affective-delusional state (acute sensual delusion with fantastic content). Two types of ADRC were identified: with the predominance of acute sensory delusions of perception and with the predominance of visual-figurative delusions of the imagination. These types differed in the severity and depth of psychotic manifestations and in the specifics of a delusion formation, were characterized by the mono- or polythematic delusional disorders.

Conclusions

Cases of ADRC differ both in the clinical-psychopathological specifics of delusional constructions, and in the socio-behavioral aspect. Among these cases, there is a high risk of delusional destructive behavior, with auto-aggressive, suicidal attempts and hetero-aggressive behavior. In cases with ADRC the strong persistence of delusional pseudo-religious beliefs occurs, with the refusal of any medical and psychological assistance, as well as implication of socially dangerous acts associated with the spread of delusional ideas and their induction of religiously inclined persons, which leads to the emergence of pathological pseudoreligiosity (distortion of traditional canonical religious views).

Disclosure

No significant relationships.

Keywords

end-world delusionapocalyptic delusionschizophréniapsychopathology
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S770
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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