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Erotomanic Symptoms in 42 Chinese Schizophrenic Patients

Published online by Cambridge University Press:  02 January 2018

Michael R. Phillips ,
Charles L. West  and
Ruiwen Wang
Michael R. Phillips*
Affiliation:
Research Centre of Clinical Epidemiology, Beijing Hui Long Guan Hospital, PRC, and Department of Social Medicine, Harvard Medical School, US
Charles L. West
Affiliation:
Beijing Hui Long Guan Hospital
Ruiwen Wang
Affiliation:
Research Centre of Clinical Epidemiology, Shashi City Veterans Psychiatric Hospital, Shashi, Hubei, PRC
*
Dr M. R. Phillips, Beijing Hui Long Guan Hospital, Beijing 100085, People's Republic of China
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Abstract

Background

Reports on erotomania frequently include schizophrenic patients with secondary erotomania, but there are no reports on the prevalence and characteristics of erotomanic symptoms in schizophrenic patients.

Method

A structured item on erotomanic delusions was added to the Chinese version of the Scale for Assessment of Positive Symptoms and administered to 448 randomly selected schizophrenic patients on admission to four psychiatric hospitals in China.

Results

Erotomanic symptoms were identified in 9.4% of the patients (42/448; 95% CI 6.9–12.4%); 4.5% (20/448; CI 2.8–6.8%) had erotomanic ideation and 4.9% (22/448; CI 3.1–7.4%) had fixed erotomanic delusions. Compared with patients without erotomanic symptoms, erotomanic patients were more likely to be male and unmarried, and they had a higher level of education, more severe grandiose delusions, more prominent hostility, and less severe negative symptoms.

Conclusion

The relatively common occurrence of erotomanic symptoms in Chinese schizophrenic patients may be related to the indirect manner of expressing sexual interest in Chinese culture and, thus, be an example of the cultural moulding of psychiatric symptoms.

Type
Papers
Information
The British Journal of Psychiatry , Volume 169 , Issue 4 , October 1996 , pp. 501 - 508
Copyright
Copyright © 1996 The Royal College of Psychiatrists 

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References

American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM–III–R). Washington, DC: APA.Google Scholar
American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders (4th edn) (DSM–IV). Washington, DC: APA.Google Scholar
Butterfield, F. (1982) China: Alive in a Bitter Sea. New York: Times Books.Google Scholar
de Clerambault, G. (1942) Les psychoses passionelles (1921). In Oeuvre Psychiatrique, pp. 311–322. Paris: Presses Universitaires de France.Google Scholar
Ellis, P. & Mellsop, G. (1985) De Clerambault'ss syndrome – a nosological entity? British Journal of Psychiatry, 146, 90–95.Google Scholar
Fang, F. R. (1991) Sex in China: Studies in Sexology in Chinese Culture. New York: Plenum Press.Google Scholar
Freeman, T. (1973) A Psychoanalytic Study of the Psychoses. New York: International Universities Press.Google Scholar
Gillettt., Eminson, S. R. & Hassanyeh, F. (1990) Primary and secondary erotomania: clinical characteristics and follow-up. Acta Psychiatrica Scandinavica, 82, 65–69.CrossRefGoogle Scholar
Hayes, M. & O'shea, B. (1985) Erotomania in Schneider-positive schizophrenia. British Journal of Psychiatry, 156, 661–663.Google Scholar
Hsia, Y. F. & Tsai, N. (1981) Transcultural investigation of recent symptomatology of schizophrenia in China. American Journal of Psychiatry, 138, 1484–1487.Google Scholar
Kraepelin, E. (1921) Manic–Depressive Insanity and Paranoia (trans. Barclay, R. M., ed. Robertson, G. M.). Edinburgh: E & S Livingstone.Google Scholar
Ma, S. J. (1994) Analysis of delusions and hallucinations in schizophrenic inpatients (in Chinese). Chinese Journal of Nervous and Mental Diseases, 20, 167–169.Google Scholar
Mullen, P. E. & Paths, M. (1994) The pathological extensions of love. British Journal of Psychiatry, 165, 614–623.CrossRefGoogle ScholarPubMed
Phillips, M.R., Xiong, W., Wang, R. W., et al (1991a) Reliability and validity of the Chinese versions of the Scales for Assessment of Positive and Negative Symptoms. Acta Psychiatrica Scandinavica, 84, 364–370.Google Scholar
Phillips, M.R., Zhao, Z. A., Xiong, X. Z., et al (1991b) Changes in the positive and negative symptoms of hospitalized schizophrenic patients in China. British Journal of Psychiatry, 159, 226–231.CrossRefGoogle ScholarPubMed
Rudden, M., Sweeney, J. & Frances, A. (1990) Diagnosis and clinical course of erotomanic and other delusional patients. American Journal of Psychiatry, 147, 625–628.Google ScholarPubMed
Seeman, M. V. (1978) Delusional loving. Archives of General Psychiatry, 35, 1265–1267.Google Scholar
Segal, J. H. (1989) Erotomania revisited: from Kraepelin to DSM–III–R. American Journal of Psychiatry, 146, 1261–1266.Google Scholar
Segal, J. H. (1991) Erotomania revisited:from Kraepelin to DSM–III–R: Reply (letter). American Journal of Psychiatry, 148, 1276–1277.CrossRefGoogle Scholar
Signer, S. F. (1991) “Les psychoses passionelles” reconsidered: a review of de Clerambault's cases and syndrome with respect to mood disorders. Journal of Psychiatry and Neuroscience, 16, 81–90.Google ScholarPubMed
Wood, B. E. & Poe, R. O. (1990) Diagnosis and classification of erotomania. American Journal of Psychiatry, 147, 1388–1389.Google Scholar
Xia, Y. F., Song, T. S., Zheng, Z. P., et al (1990) Changes in delusional content in paranoid schizophrenia in China (in Chinese). Shanghai Archives of Psychiatry, 2, 133–137.Google Scholar
Zhang, M. Y. (1983) Use of the Chinese version of the Brief Psychiatric Rating Scale (in Chinese). Chinese Journal of Nervous and Mental Diseases, 9, 76–80.Google Scholar
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