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KMID : 0438219740110010655
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Korea University Medical Journal
1974 Volume.11 No. 1 p.655 ~ p.672
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Studies on delusions in Korean psychotic patients
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Abstract
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Studies of delusions have previously been reported: by various- authors: and were-valued as -basic. contributions to the fields of clinical psychiatry- and of psychopathology.
The attempt in this study is to show the _ frequency of the - appearence of delusions and their relationships with, age, occupation, educational level, religion and marital status, and themes of. delusion in each clinical types of psychoses. in Korea, a country with acutely changing culture toward- j industrialization.
The themes of delusion were divided into 9 themes, including delusions of persecution, :reference, grandeur, infidelity or jealousy, religion, erotic, influence, diffusion, and depression. +
The subjects in the study were 1,466 cases- of various. pschatic patients who were diagnosed at the
- i
Department of Neuropsychiatry, Woo Sok Hospital from Jan. 1968 to Dec. 1972. - The results were as follows;
1. Six hundred sixty seven cases revealed more than one kind of delusions out of the total 1,466 psychotic patients, and the frequency of delusions according to the clinical types revealed that the i schizophrenic patients had the highest rate of 69.0% (452 cases).;
2. As to the themes of delusion it was revealed that the delusion of persecusion was the highest . rate ´of 37.0% and the delusion of reference ´(14:1%), pandew ti9.fi9G),- -illness (?.8%), qty :; (7.5%), guilt (4.9%), ´-and religion (3.9%) were the higher rate in this order.
As to the mean age of delusional psychotics, the schizophrenics were.. youngest (male 29.4 and female 29:6), and the psychoses associated with organic brain syndrome were oldest (male 44.4 and ´female 33.6)
According to the themes of -delusion, erotic and diffuse ones were - revealed at younger age, and
poverty, religion. illness, and - infedility were revealed at older age. - -
4. As -to the -occupational distribution, the jobless canes-including students and-,holise-wives occupied the highest rate.
5 The educational- distribution generally - revealed that ´the male ´4)atient´s´showid ranch .higher
educational level than female patients. According to the themes of delusion, the patients with the delusions of depression and reigion had lower educational levels, the patients with the delusions of poverty, guilt, infuluence and grandeur had higher educational levels.
6. As to the relgious distribution, the non-religious cases occupied higher rate than the religious cases.
7. As to the marital status, the married cases occupied 55.9% of all of the delusional psychotics. According to the themes of delusion, the delusion of infedility, religion and depression were more frequently observed in the married cases, and the delusions of grandeur, erotic and reference were most strikingly observed in the unmarried females.
8. The distributions of the objects and contents of delusion were as following, in the delusion of persecution the unfamiliar (vague) person was the highest rate of 30.8% and the family member (22.3%) and the neighbour (17.0%) were higher rate, then followed the criminal investigator, poison, and political agent, in the delusions of reference the vague person was the highest rate of 62.8%, and in the delusions of grandeur 42.3% of them identified with currently acting political persons, then omnipotent one, erotomanic one, financial power and unusual inventor.
9. From all of these results, the author might will suggest that the themes and contents of delusions are influenced by their social, cultural and other environmental factors and the change of times.
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KEYWORD
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