COMPARISON OF SCHIZOPHRENIC DELUSIONS BETWEEN JAPAN AND GERMANY
COMPARISON OF SCHIZOPHRENIC DELUSIONS BETWEEN JAPAN AND GERMANY
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DOI：
10.1159/000284815
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发表时间：
1993-05-01
期刊：
影响因子：
3.6
通讯作者：
HEIMANN, H
中科院分区：
文献类型：
--
作者：
TATEYAMA, M;ASAI, M;HEIMANN, H
本文根据Huber和Gross分类法，对德国图宾根精神病大学150例精神分裂症患者和日本324例精神分裂症患者（ICD-9：295）的妄想内容进行比较。比较显示，德国病例中中毒妄想（18 vs. 8%; p < 0.01）和嫉妒妄想（6 vs. 1.9%; p < 0.05）的发生率显著较高，但综合伤害妄想的发生率无显著差异。在综合性宏大妄想的发生率方面也没有显著差异。然而，在德国组中，综合性轻视妄想更常见（24 vs. 13.3%; p < 0.01）。在这种类型的妄想中，内疚/罪恶主题（15.3%对4.9%; p < 0.001），特别是与宗教有关的主题，在德国组中更常见。尽管德国组的宗教妄想发生率更高（21.3%对6.8%; p < 0.001），但“世界毁灭妄想”的发生率差异无统计学意义。在迫害/伤害妄想中，来自他人的直接迫害主题（Verfolgungswahn）在德国组中很突出，而与骚扰有关的参照妄想（Beziehungswahn），如“被他人诽谤”或“被知道”，在日本组中很常见。也就是说，这些迫害/伤害妄想的内容的差异可能源于两个国家的不同类型的自我：德国的个人取向的自我和日本的群体取向的自我。德国人对罪/罪的回避可能反映了基督教中罪的特征。
The content of schizophrenic delusions of 150 German patients in the Psychiatrische Universitatsklinik Tubingen and those of 324 Japanese patients (ICD-9:295) were compared according to the classification of Huber and Gross. The comparison revealed significantly higher frequencies of delusions of poisoning (18 vs. 8%; p < 0.01) and jealousy (6 vs. 1.9%; p < 0.05) in the German cases, but there was no significant difference in the incidence of comprehensive injury delusions. There was also no significant difference in the incidence of comprehensive grandeur delusions. However, comprehensive belittlement delusions were more frequent in the German group (24 vs. 13.3%; p < 0.01). Among the delusions of this type, the themes of guilt/sin (15.3 vs. 4.9%; p < 0.001), particularly those related to religion, were more frequent in the German group. Although religious delusions were more frequent in the German group (21.3 vs. 6.8%; p < 0.001), the difference regarding the incidence of 'delusions of world destruction' was not statistically significant. Among the persecution/injury delusions, themes of direct persecution from others (Verfolgungswahn) were conspicuous in the German group, whereas delusions of reference (Beziehungswahn) related to harassment, such as 'being slandered by others' or 'being known', were common in the Japanese group. Namely, the difference in the content of these persecution/injury delusions may derive from the different types of self in the two countries: the individually oriented self in Germany and the group-oriented self in Japan. Delusions of guilt/sin in the German group may reflect the characteristics of sin in Christianity.