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A survey of delusional ideation in primary-care patients
Background. To assess the prevalence of delusional ideas in primary-care patients. Method. A survey was carried out with the Aquitaine Sentinel Network of general practitioners (GPs). Consecutive practice attenders were invited to complete the Peters et al. Delusional Inventory (PDI-21) self-report...
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| Published in: | Psychological medicine 1998-01, Vol.28 (1), p.127-134 |
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| Main Authors: | , , , , , |
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| Language: | English |
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| container_end_page | 134 |
| container_issue | 1 |
| container_start_page | 127 |
| container_title | Psychological medicine |
| container_volume | 28 |
| creator | VERDOUX, H. MAURICE-TISON, S. GAY, B. VAN OS, J. SALAMON, R. BOURGEOIS, M. L. |
| description | Background. To assess the prevalence of delusional ideas
in primary-care patients. Method. A survey was carried out with the Aquitaine Sentinel
Network of general practitioners
(GPs). Consecutive practice attenders were invited to complete the
Peters et al. Delusional
Inventory (PDI-21) self-report questionnaire, designed to measure
delusional ideation in the normal
population. GPs, blind to the questionnaire results, provided
information on patients' psychiatric history. Results. Of the 1053 attenders included in the survey, 348
(35%) had a lifetime history of psychiatric
disorder, of whom 20 (2%) had a history of broadly defined psychotic
disorder. The self-report
questionnaire was completed by 790 patients. The range of individual
PDI-21 item endorsement in
subjects with no psychiatric history varied between 5 and 70%,
suggesting that delusional ideation
is a dimensional phenomenon lying on a continuum with normality. The
main discriminative items
between psychotic and non-psychotic patients were those exploring
persecutory (OR=15·2, 95%
CI 4·3–53·7), mystic (OR=6·4,
95% CI 1·9–22·4) and guilt
(OR=5·8, 95% CI 1·5–23·2) ideas. Conclusions. This survey demonstrates that questions that
explore delusions and hallucinations are
well-accepted by most primary-care patients. More research is needed
on psychotic disorders in
primary-care settings to improving early identification of these disorders. |
| doi_str_mv | 10.1017/S0033291797005667 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_79703147</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><cupid>10_1017_S0033291797005667</cupid><sourcerecordid>79703147</sourcerecordid><originalsourceid>FETCH-LOGICAL-c504t-b425238e44d6b1cf0570aaf31a09f7d6ac8c6300439bdf7f86e26c4f12b6a7603</originalsourceid><addsrcrecordid>eNqFUcFKxDAQDaKs6-oHeBB6EG_VSZMm6VEW3RVWRFQQLyFNE8nabdekFffvbdmyF0FPGfLezJv3BqFTDJcYML96AiAkyTDPOEDKGN9DY0xZFouMi3007uG4xw_RUQhLAEwwTUZolFFBmBBjJK6j0Povs4lqGxWmbIOrK1VGrjCq6crIVdHau5Xym1grb6J1922qJhyjA6vKYE6Gd4Jebm-ep_N48TC7m14vYp0CbeKcJmlChKG0YDnWFlIOSlmCFWSWF0xpoRkBoCTLC8utYCZhmlqc5ExxBmSCLrZz177-bE1o5MoFbcpSVaZug-ytd6b4v8SUC0oJZR0Rb4na1yF4Y-VgUGKQfazyV6xdz9kwvM1Xpth1DDl2-PmAq6BVab2qtAs7WoITSlgvHW9pLjTmewcr_yE7EZ5KNnuU5P51zqdvIHtZMqyqVrl3xbuRy7r13YHCH8v-ADpIm_4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>57844346</pqid></control><display><type>article</type><title>A survey of delusional ideation in primary-care patients</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>Cambridge University Press</source><creator>VERDOUX, H. ; MAURICE-TISON, S. ; GAY, B. ; VAN OS, J. ; SALAMON, R. ; BOURGEOIS, M. L.</creator><creatorcontrib>VERDOUX, H. ; MAURICE-TISON, S. ; GAY, B. ; VAN OS, J. ; SALAMON, R. ; BOURGEOIS, M. L.</creatorcontrib><description>Background. To assess the prevalence of delusional ideas
in primary-care patients. Method. A survey was carried out with the Aquitaine Sentinel
Network of general practitioners
(GPs). Consecutive practice attenders were invited to complete the
Peters et al. Delusional
Inventory (PDI-21) self-report questionnaire, designed to measure
delusional ideation in the normal
population. GPs, blind to the questionnaire results, provided
information on patients' psychiatric history. Results. Of the 1053 attenders included in the survey, 348
(35%) had a lifetime history of psychiatric
disorder, of whom 20 (2%) had a history of broadly defined psychotic
disorder. The self-report
questionnaire was completed by 790 patients. The range of individual
PDI-21 item endorsement in
subjects with no psychiatric history varied between 5 and 70%,
suggesting that delusional ideation
is a dimensional phenomenon lying on a continuum with normality. The
main discriminative items
between psychotic and non-psychotic patients were those exploring
persecutory (OR=15·2, 95%
CI 4·3–53·7), mystic (OR=6·4,
95% CI 1·9–22·4) and guilt
(OR=5·8, 95% CI 1·5–23·2) ideas. Conclusions. This survey demonstrates that questions that
explore delusions and hallucinations are
well-accepted by most primary-care patients. More research is needed
on psychotic disorders in
primary-care settings to improving early identification of these disorders.</description><identifier>ISSN: 0033-2917</identifier><identifier>EISSN: 1469-8978</identifier><identifier>DOI: 10.1017/S0033291797005667</identifier><identifier>PMID: 9483688</identifier><identifier>CODEN: PSMDCO</identifier><language>eng</language><publisher>Cambridge: Cambridge University Press</publisher><subject>Adolescent ; Adult ; Adult and adolescent clinical studies ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Delusional disorders ; Delusions - diagnosis ; Delusions - epidemiology ; Diagnosis, Differential ; Female ; General practice ; Hallucinations - diagnosis ; Hallucinations - epidemiology ; Humans ; Male ; Medical sciences ; Mental Disorders - diagnosis ; Mental Disorders - epidemiology ; Middle Aged ; Netherlands ; Netherlands - epidemiology ; Other psychotic disorders ; Patient Acceptance of Health Care ; Patients ; Personality Inventory - statistics & numerical data ; Prevalence ; Primary Health Care - statistics & numerical data ; Psychology. Psychoanalysis. Psychiatry ; Psychometrics ; Psychopathology. Psychiatry ; Psychoses ; Psychotic Disorders - diagnosis ; Psychotic Disorders - epidemiology ; Reproducibility of Results ; Surveys and Questionnaires</subject><ispartof>Psychological medicine, 1998-01, Vol.28 (1), p.127-134</ispartof><rights>1998 Cambridge University Press</rights><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c504t-b425238e44d6b1cf0570aaf31a09f7d6ac8c6300439bdf7f86e26c4f12b6a7603</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0033291797005667/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>315,783,787,4031,27935,27936,27937,31012,73294</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2124366$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9483688$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>VERDOUX, H.</creatorcontrib><creatorcontrib>MAURICE-TISON, S.</creatorcontrib><creatorcontrib>GAY, B.</creatorcontrib><creatorcontrib>VAN OS, J.</creatorcontrib><creatorcontrib>SALAMON, R.</creatorcontrib><creatorcontrib>BOURGEOIS, M. L.</creatorcontrib><title>A survey of delusional ideation in primary-care patients</title><title>Psychological medicine</title><addtitle>Psychol. Med</addtitle><description>Background. To assess the prevalence of delusional ideas
in primary-care patients. Method. A survey was carried out with the Aquitaine Sentinel
Network of general practitioners
(GPs). Consecutive practice attenders were invited to complete the
Peters et al. Delusional
Inventory (PDI-21) self-report questionnaire, designed to measure
delusional ideation in the normal
population. GPs, blind to the questionnaire results, provided
information on patients' psychiatric history. Results. Of the 1053 attenders included in the survey, 348
(35%) had a lifetime history of psychiatric
disorder, of whom 20 (2%) had a history of broadly defined psychotic
disorder. The self-report
questionnaire was completed by 790 patients. The range of individual
PDI-21 item endorsement in
subjects with no psychiatric history varied between 5 and 70%,
suggesting that delusional ideation
is a dimensional phenomenon lying on a continuum with normality. The
main discriminative items
between psychotic and non-psychotic patients were those exploring
persecutory (OR=15·2, 95%
CI 4·3–53·7), mystic (OR=6·4,
95% CI 1·9–22·4) and guilt
(OR=5·8, 95% CI 1·5–23·2) ideas. Conclusions. This survey demonstrates that questions that
explore delusions and hallucinations are
well-accepted by most primary-care patients. More research is needed
on psychotic disorders in
primary-care settings to improving early identification of these disorders.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Delusional disorders</subject><subject>Delusions - diagnosis</subject><subject>Delusions - epidemiology</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>General practice</subject><subject>Hallucinations - diagnosis</subject><subject>Hallucinations - epidemiology</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental Disorders - diagnosis</subject><subject>Mental Disorders - epidemiology</subject><subject>Middle Aged</subject><subject>Netherlands</subject><subject>Netherlands - epidemiology</subject><subject>Other psychotic disorders</subject><subject>Patient Acceptance of Health Care</subject><subject>Patients</subject><subject>Personality Inventory - statistics & numerical data</subject><subject>Prevalence</subject><subject>Primary Health Care - statistics & numerical data</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychometrics</subject><subject>Psychopathology. Psychiatry</subject><subject>Psychoses</subject><subject>Psychotic Disorders - diagnosis</subject><subject>Psychotic Disorders - epidemiology</subject><subject>Reproducibility of Results</subject><subject>Surveys and Questionnaires</subject><issn>0033-2917</issn><issn>1469-8978</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNqFUcFKxDAQDaKs6-oHeBB6EG_VSZMm6VEW3RVWRFQQLyFNE8nabdekFffvbdmyF0FPGfLezJv3BqFTDJcYML96AiAkyTDPOEDKGN9DY0xZFouMi3007uG4xw_RUQhLAEwwTUZolFFBmBBjJK6j0Povs4lqGxWmbIOrK1VGrjCq6crIVdHau5Xym1grb6J1922qJhyjA6vKYE6Gd4Jebm-ep_N48TC7m14vYp0CbeKcJmlChKG0YDnWFlIOSlmCFWSWF0xpoRkBoCTLC8utYCZhmlqc5ExxBmSCLrZz177-bE1o5MoFbcpSVaZug-ytd6b4v8SUC0oJZR0Rb4na1yF4Y-VgUGKQfazyV6xdz9kwvM1Xpth1DDl2-PmAq6BVab2qtAs7WoITSlgvHW9pLjTmewcr_yE7EZ5KNnuU5P51zqdvIHtZMqyqVrl3xbuRy7r13YHCH8v-ADpIm_4</recordid><startdate>199801</startdate><enddate>199801</enddate><creator>VERDOUX, H.</creator><creator>MAURICE-TISON, S.</creator><creator>GAY, B.</creator><creator>VAN OS, J.</creator><creator>SALAMON, R.</creator><creator>BOURGEOIS, M. L.</creator><general>Cambridge University Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>199801</creationdate><title>A survey of delusional ideation in primary-care patients</title><author>VERDOUX, H. ; MAURICE-TISON, S. ; GAY, B. ; VAN OS, J. ; SALAMON, R. ; BOURGEOIS, M. L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c504t-b425238e44d6b1cf0570aaf31a09f7d6ac8c6300439bdf7f86e26c4f12b6a7603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Delusional disorders</topic><topic>Delusions - diagnosis</topic><topic>Delusions - epidemiology</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>General practice</topic><topic>Hallucinations - diagnosis</topic><topic>Hallucinations - epidemiology</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental Disorders - diagnosis</topic><topic>Mental Disorders - epidemiology</topic><topic>Middle Aged</topic><topic>Netherlands</topic><topic>Netherlands - epidemiology</topic><topic>Other psychotic disorders</topic><topic>Patient Acceptance of Health Care</topic><topic>Patients</topic><topic>Personality Inventory - statistics & numerical data</topic><topic>Prevalence</topic><topic>Primary Health Care - statistics & numerical data</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychometrics</topic><topic>Psychopathology. Psychiatry</topic><topic>Psychoses</topic><topic>Psychotic Disorders - diagnosis</topic><topic>Psychotic Disorders - epidemiology</topic><topic>Reproducibility of Results</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>VERDOUX, H.</creatorcontrib><creatorcontrib>MAURICE-TISON, S.</creatorcontrib><creatorcontrib>GAY, B.</creatorcontrib><creatorcontrib>VAN OS, J.</creatorcontrib><creatorcontrib>SALAMON, R.</creatorcontrib><creatorcontrib>BOURGEOIS, M. L.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Psychological medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>VERDOUX, H.</au><au>MAURICE-TISON, S.</au><au>GAY, B.</au><au>VAN OS, J.</au><au>SALAMON, R.</au><au>BOURGEOIS, M. L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A survey of delusional ideation in primary-care patients</atitle><jtitle>Psychological medicine</jtitle><addtitle>Psychol. Med</addtitle><date>1998-01</date><risdate>1998</risdate><volume>28</volume><issue>1</issue><spage>127</spage><epage>134</epage><pages>127-134</pages><issn>0033-2917</issn><eissn>1469-8978</eissn><coden>PSMDCO</coden><abstract>Background. To assess the prevalence of delusional ideas
in primary-care patients. Method. A survey was carried out with the Aquitaine Sentinel
Network of general practitioners
(GPs). Consecutive practice attenders were invited to complete the
Peters et al. Delusional
Inventory (PDI-21) self-report questionnaire, designed to measure
delusional ideation in the normal
population. GPs, blind to the questionnaire results, provided
information on patients' psychiatric history. Results. Of the 1053 attenders included in the survey, 348
(35%) had a lifetime history of psychiatric
disorder, of whom 20 (2%) had a history of broadly defined psychotic
disorder. The self-report
questionnaire was completed by 790 patients. The range of individual
PDI-21 item endorsement in
subjects with no psychiatric history varied between 5 and 70%,
suggesting that delusional ideation
is a dimensional phenomenon lying on a continuum with normality. The
main discriminative items
between psychotic and non-psychotic patients were those exploring
persecutory (OR=15·2, 95%
CI 4·3–53·7), mystic (OR=6·4,
95% CI 1·9–22·4) and guilt
(OR=5·8, 95% CI 1·5–23·2) ideas. Conclusions. This survey demonstrates that questions that
explore delusions and hallucinations are
well-accepted by most primary-care patients. More research is needed
on psychotic disorders in
primary-care settings to improving early identification of these disorders.</abstract><cop>Cambridge</cop><pub>Cambridge University Press</pub><pmid>9483688</pmid><doi>10.1017/S0033291797005667</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0033-2917 |
| ispartof | Psychological medicine, 1998-01, Vol.28 (1), p.127-134 |
| issn | 0033-2917 1469-8978 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_79703147 |
| source | Applied Social Sciences Index & Abstracts (ASSIA); Cambridge University Press |
| subjects | Adolescent Adult Adult and adolescent clinical studies Aged Aged, 80 and over Biological and medical sciences Delusional disorders Delusions - diagnosis Delusions - epidemiology Diagnosis, Differential Female General practice Hallucinations - diagnosis Hallucinations - epidemiology Humans Male Medical sciences Mental Disorders - diagnosis Mental Disorders - epidemiology Middle Aged Netherlands Netherlands - epidemiology Other psychotic disorders Patient Acceptance of Health Care Patients Personality Inventory - statistics & numerical data Prevalence Primary Health Care - statistics & numerical data Psychology. Psychoanalysis. Psychiatry Psychometrics Psychopathology. Psychiatry Psychoses Psychotic Disorders - diagnosis Psychotic Disorders - epidemiology Reproducibility of Results Surveys and Questionnaires |
| title | A survey of delusional ideation in primary-care patients |
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