By Theodore A. Stern, Maurizio Fava, Timothy E. Wilens, Jerrold F. Rosenbaum
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Extra info for Massachusetts General Hospital Comprehensive Clinical Psychiatry (2nd Edition)
C. Duration: Continuous signs of the disturbance persist for at least 6 months. , active-phase symptoms) and may include periods of prodromal or residual symptoms. , odd beliefs, unusual perceptual experiences). D. Schizoaffective and mood disorder exclusion: Schizoaffective disorder and mood disorder with psychotic features have been ruled out because either (1) no major depressive, manic, or mixed episodes have occurred concurrently with the activephase symptoms; or (2) if mood episodes have occurred during active-phase symptoms, their total duration has been brief relative to the duration of the active and residual periods.
However, if the belief system is idiosyncratic to one person, then it can be construed as delusional. For example, some religious groups believe they can speak in “tongues” to God. This is in contrast to an individual who believes he alone speaks to God or is in fact God himself. Likewise, someone could believe she is being followed by the police, and this may or may not be true. However, a person who believes that aliens from another planet are stalking him would not be believed and would be deemed delusional.
7–43 and with the 10%–90% quartiles covering more than a fivefold range of rates (McGrath et al. 2004; Messias et al. 2007). The incidence of schizophrenia is showing variation among locations and in a positively skewed distribution—not the equalitarian incidence across countries and cultures as was once believed. Although the male-to-female ratio in schizophrenia was long believed to be identical, recent data from several reviews report incidence differences between the sexes. 4:1, which indicates that for about every three men given the diagnosis of schizophrenia, two women will be given the diagnosis (McGrath et al.