What We Know and Still Need to Know about Gender Aspects of Delusional Disorder: A Narrative Review of Recent Work-Journal of Psychiatry and Brain Science-CSCIED科技核心评价数据库-手机版

What We Know and Still Need to Know about Gender Aspects of Delusional Disorder: A Narrative Review of Recent Work

What We Know and Still Need to Know about Gender Aspects of Delusional Disorder: A Narrative Review of Recent Work

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DOI	10.20900/jpbs.20190009
刊名	Journal of Psychiatry and Brain Science JPBS
年，卷(期)	2019, 4(3)
作者	Alexandre González-Rodríguez*,Marina Esteve,Aida Álvarez,Armand Guardia,José Antonio Monreal,Diego Palao,Javier Labad,
作者单位	1 Department of Mental Health, Parc Taulí Un iversity Hospital, Sabadell, Barcelona, 08208, Spain; 2 Institut d’Investigació i Innovació Parc Taulí (I3PT), Sabadell, Barcelona, 08208, Spain; 3 Department of Psychiatry and Forensic Medicine, Autonomous University of Barcelona (UAB), Cerdanyola del Vallès, Barcelona, 08193, Spain; 4 Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, 208029, Spain
Abstract	While gender differences in the psychopathology and clinical course of schizophrenia have been extensively reported, the potential for analogous differences in delusional disorder has been understudied. Our aim in this paper is to focus on the recent literature on delusional disorder and to explore gender aspects. This is a non-systematic, narrative and critical review. The review is divided into the following main sections: gender differences in epidemiology, symptomatology, phenotypic factor analyses, psychiatric comorbidity, response and adherence to medications, and clinical trajectories. Culture-bound delusional syndromes are also addressed, and potential causes for gender differences and their treatment are critically discussed. Although DMS-5 reports no gender differences in the frequency of delusional disorder or in delusional content, several studies have found erotomania to be more frequent in women. There seem also to be gender differences in affective and substance abuse comorbidity, which may prove clinically important. The loss of the neuroprotection conferred by estrogens during the reproductive period in women may trigger depressive symptoms after menopause. The interaction of age and gender has been insufficiently studied as is also the case for selective cultural pressures on men and women and their impact on the content of delusions. Studies designed to focus on gender differences in response to treatment are currently needed in delusional disorder.
KeyWord	KEYWORDS: delusional disorder; paranoia; psychosis; women; gender; culture-bound syndromes
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引用本文

Alexandre González-Rodríguez*,Marina Esteve,Aida Álvarez,Armand Guardia,José Antonio Monreal,Diego Palao,Javier Labad. What We Know and Still Need to Know about Gender Aspects of Delusional Disorder: A Narrative Review of Recent Work, Journal of Psychiatry and Brain Science. 2019; 4; (3). https://doi.org/10.20900/jpbs.20190009.

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