Delusional disorder: no gender differences in age at onset, suicidal ideation, or suicidal behavior

To investigate gender differences in age at onset, psychopathology, and suicidal behavior rates in delusional disorder (DD). We conducted a prospective longitudinal study of 97 patients with DD. Demographic and clinical data at baseline were recorded. Gender differences were investigated by applying...

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Bibliographic Details
Published in:Revista brasileira de psiquiatria 2014-04, Vol.36 (2), p.119-124
Main Authors: González-Rodríguez, Alexandre, Molina-Andreu, Oriol, Navarro, Víctor, Gastó, Cristóbal, Penadés, Rafael, Catalán, Rosa
Format: Article
Language:English
Subjects:
Age of Onset
Aged
Analysis of Variance
Appointments and Schedules
Comorbidity
compliance
Delusional disorder
Depressive Disorder - psychology
Female
gender
Humans
Male
Middle Aged
paranoia
Prospective Studies
PSYCHIATRY
Schizophrenia, Paranoid - psychology
Schizophrenic Psychology
Sex Factors
Socioeconomic Factors
suicidal behavior
Suicidal Ideation
Suicide, Attempted - psychology
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Summary:To investigate gender differences in age at onset, psychopathology, and suicidal behavior rates in delusional disorder (DD). We conducted a prospective longitudinal study of 97 patients with DD. Demographic and clinical data at baseline were recorded. Gender differences were investigated by applying analysis of covariance, using age at onset and age at first psychiatric consultation as dependent variables, comorbid depression and gender as between-subject factors, and employment status, social support, and DD types as covariates. Seventy-six percent of the patients were women. The average age at onset was 48.76 ± 12.67 years, mean age at first psychiatric consultation was 54.13 ± 13.67 years, and men were more likely to be employed than women (p = 0.041). Despite the earlier age at onset and at first psychiatric consultation in men, these differences tended to disappear when adjusted for potential confounders. There were no significant gender differences in depressive comorbidity, presence of suicidal ideation and behavior, or compliance rates at follow-up. Our findings could not confirm that male and female DD patients differ in age at onset, age at first psychiatric consultation, or suicidal ideation and behavior, even after controlling for potential confounders.
ISSN:1516-4446
1809-452X
1809-452X
DOI:10.1590/1516-4446-2013-1205