{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T05:45:52Z","timestamp":1780983952977,"version":"3.54.1"},"reference-count":51,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2011,5,1]],"date-time":"2011-05-01T00:00:00Z","timestamp":1304208000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Aust N Z J Psychiatry"],"published-print":{"date-parts":[[2011,5]]},"abstract":"<jats:p>Objectives: The aims of this study were to investigate the prevalence, as well as the clinical, cognitive, and functional correlates of psychiatric comorbidity in patients with delusional disorder (DD).<\/jats:p>\n                  <jats:p>Methods: Eighty-six outpatients with DSM-IV DD were evaluated for psychiatric comorbidity on Axis I disorders using the Mini International Neuropsychiatry Interview (MINI). The following instruments were administered: the Standardized Assessment of Personality (SAP), the Positive and Negative Symptom Scale (PANSS), the Montgomery-Asberg Depression Rating Scale (MADRS), a neuropsychological battery (consisting of measures for attention, verbal and working memory, and executive functions), the Sheehan Disability Inventory (SDI), and the Global Assessment of Functioning (GAF) scale. A socio-demographic and clinical questionnaire was also completed.<\/jats:p>\n                  <jats:p>Results: Forty-six percent of the subjects had at least one additional lifetime psychiatric diagnosis, the most common being depressive disorders (N = 16, 32.6%), followed by anxiety disorders (N = 8, 14%). DD with comorbid Axis I disorders (N = 40, 46.5%) was associated with a specific syndromic constellation (more common cluster C personality psychopathology, somatic delusions, olfactory and gustatory hallucinations, and suicide risk), and greater severity of the psychopathology, particularly as regards emotional dysregulation (total and general PANSS scales, MADRS, and perceived stress SDI scoring). In contrast, DD without psychiatric comorbidity \u2013 \u201cpure\u201d DD \u2013 (N = 46, 53.5%) was associated with worse overall neurocognitive performance, mainly in working memory. There were no differences in functionality between the two groups (as per the GAF and SDI total, work, social and family life disability scores).<\/jats:p>\n                  <jats:p>Conclusions: Our findings reveal one type of DD with associated psychiatric comorbidity with greater emotion-related psychopathology and another \u201cpure\u201d DD, without psychiatric comorbidity, related to worse global cognitive functioning. Treatment for DD should address both types of processes.<\/jats:p>","DOI":"10.3109\/00048674.2010.551279","type":"journal-article","created":{"date-parts":[[2011,3,21]],"date-time":"2011-03-21T09:52:42Z","timestamp":1300701162000},"page":"416-425","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":25,"title":["Clinical and Cognitive Correlates of Psychiatric Comorbidity in Delusional Disorder Outpatients"],"prefix":"10.1177","volume":"45","author":[{"given":"Enrique","family":"de Portugal","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Hospital Gregorio Mara\u00f1on, Madrid; CIBER en Salud Mental (CIBERSAM), Hospital Gregorio Mara\u00f1on, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Covadonga","family":"Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Hospital Gregorio Mara\u00f1on, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nieves","family":"Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Parc Sanitari Sant-Joan de D\u00e9u-SSM, Sant Boi de Llobregat, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria","family":"del Amo","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Hospital Gregorio Mara\u00f1on, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josep M.","family":"Haro","sequence":"additional","affiliation":[{"name":"Parc Sanitari Sant-Joan de D\u00e9u-SSM, Sant Boi de Llobregat, Barcelona; CIBER en Salud Mental (CIBERSAM), Sant Joan de D\u00e9u, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge A.","family":"Cervilla","sequence":"additional","affiliation":[{"name":"Department of Psychiatry & Institute of Neurosciences, University of Granada, Spain; Unidad de Hospitalizaci\u00f3n en Salud Mental, Hospital Universitario San Cecilio, & CIBERSAM, Universidad de Granada, Granada, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2011,5,1]]},"reference":[{"key":"bibr1-00048674.2010.551279","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.v59n0204"},{"key":"bibr2-00048674.2010.551279","doi-asserted-by":"publisher","DOI":"10.1111\/j.0001-690X.2004.00196.x"},{"key":"bibr3-00048674.2010.551279","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.150.5.752"},{"key":"bibr4-00048674.2010.551279","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.2006.00922.x"},{"key":"bibr5-00048674.2010.551279","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2009.1"},{"key":"bibr6-00048674.2010.551279","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291706007793"},{"key":"bibr7-00048674.2010.551279","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2006.09.018"},{"key":"bibr8-00048674.2010.551279","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0447.2002.02120.x"},{"key":"bibr9-00048674.2010.551279","doi-asserted-by":"publisher","DOI":"10.1016\/S0924-9338(01)00568-5"},{"key":"bibr10-00048674.2010.551279","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1819.2007.01694.x"},{"key":"bibr11-00048674.2010.551279","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2007.10.001"},{"key":"bibr12-00048674.2010.551279","volume-title":"User's guide for the Structured Clinical Diagnostic Interview for DSM-IV Axis I Disorders (SCID-I)","author":"First MB","year":"1997"},{"key":"bibr13-00048674.2010.551279","volume-title":"Instrumentalizaci\u00f3n de las ideas en investigaci\u00f3n: Curso de doctorado en psiquiatr\u00eda","author":"G\u00f3mez-Beneyto M","year":"1995"},{"issue":"2","key":"bibr14-00048674.2010.551279","first-page":"79","volume":"4","author":"Bobes J","year":"1997","journal-title":"Psiquiatr Biol"},{"key":"bibr15-00048674.2010.551279","doi-asserted-by":"publisher","DOI":"10.1016\/S0924-9338(97)83297-X"},{"key":"bibr16-00048674.2010.551279","first-page":"34","volume":"59","author":"Sheehan DV","year":"1998","journal-title":"J Clin Psychiatry"},{"key":"bibr17-00048674.2010.551279","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700041337"},{"key":"bibr18-00048674.2010.551279","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700036692"},{"key":"bibr19-00048674.2010.551279","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/13.2.261"},{"key":"bibr20-00048674.2010.551279","first-page":"71","volume":"221","author":"Peralta V","year":"1994","journal-title":"Actas LusoEsp Neurol Psiquiatr"},{"key":"bibr21-00048674.2010.551279","first-page":"9","volume":"11","author":"Mart\u00ednez R","year":"1991","journal-title":"Rev Asoc Esp Neuropsiq"},{"key":"bibr22-00048674.2010.551279","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.134.4.382"},{"key":"bibr23-00048674.2010.551279","first-page":"530","volume":"112","author":"Bobes J","year":"1999","journal-title":"Med Clin (Bar)"},{"key":"bibr24-00048674.2010.551279","doi-asserted-by":"publisher","DOI":"10.1097\/00004850-199606003-00015"},{"key":"bibr25-00048674.2010.551279","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.153.3.321"},{"key":"bibr26-00048674.2010.551279","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.schbul.a033430"},{"key":"bibr27-00048674.2010.551279","volume-title":"The Halstead\u2013Reitan Neuropsychology Battery: Theory and Clinical Interpretation","author":"Reitan RM","year":"1993"},{"key":"bibr28-00048674.2010.551279","volume-title":"WAIS-III Escala de Inteligencia de Wechsler para Adultos III","author":"Wechsler DA","year":"1999"},{"key":"bibr29-00048674.2010.551279","volume-title":"Stroop. Test de Colores y Palabras","author":"Golden CJ","year":"1994"},{"key":"bibr30-00048674.2010.551279","volume-title":"TAVEC: Test de aprendizaje verbal Espa\u00f1a-Complutense","author":"Benedet MJ","year":"1998"},{"key":"bibr31-00048674.2010.551279","volume-title":"Multilingual Aphasia Examination","author":"Benton AL","year":"1976"},{"key":"bibr32-00048674.2010.551279","doi-asserted-by":"publisher","DOI":"10.1016\/j.acn.2007.01.022"},{"key":"bibr33-00048674.2010.551279","doi-asserted-by":"publisher","DOI":"10.1037\/0894-4105.18.1.69"},{"key":"bibr34-00048674.2010.551279","doi-asserted-by":"publisher","DOI":"10.1080\/02699050701468917"},{"key":"bibr35-00048674.2010.551279","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e3181b2a4f5"},{"key":"bibr36-00048674.2010.551279","volume-title":"WCST-64:CV. Computer Version for Windows-Research Edition","author":"Heaton RK","year":"2000"},{"key":"bibr37-00048674.2010.551279","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"2000"},{"key":"bibr38-00048674.2010.551279","doi-asserted-by":"publisher","DOI":"10.1016\/S1888-9891(09)72248-7"},{"key":"bibr39-00048674.2010.551279","volume-title":"The clinical interview using DSM-IV. Vol. I: Fundamentals","author":"Othmer E","year":"1994"},{"key":"bibr40-00048674.2010.551279","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1819.1999.00624.x"},{"key":"bibr41-00048674.2010.551279","doi-asserted-by":"publisher","DOI":"10.1159\/000284800"},{"key":"bibr42-00048674.2010.551279","first-page":"389","volume":"54","author":"McElroy SL","year":"1993","journal-title":"J Clin Psychiatry"},{"key":"bibr43-00048674.2010.551279","first-page":"179","volume":"30","author":"Phillips KA","year":"1994","journal-title":"Psychopharmacol Bull"},{"key":"bibr44-00048674.2010.551279","first-page":"143","volume":"32","author":"Rabe-Jablonska J","year":"1998","journal-title":"Psychiatr Pol"},{"key":"bibr45-00048674.2010.551279","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-0327(97)00071-2"},{"key":"bibr46-00048674.2010.551279","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2006.06.008"},{"key":"bibr47-00048674.2010.551279","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2005.11.003"},{"key":"bibr48-00048674.2010.551279","volume-title":"Schizophrenia from a Neurocognitive Perspective: Probing the Impenetrable Darkness","author":"Green MF","year":"1998"},{"key":"bibr49-00048674.2010.551279","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.191.51.s38"},{"key":"bibr50-00048674.2010.551279","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbn069"},{"key":"bibr51-00048674.2010.551279","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2004.03.002"}],"container-title":["Australian &amp; New Zealand Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.3109\/00048674.2010.551279","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.3109\/00048674.2010.551279","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.3109\/00048674.2010.551279","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T10:53:35Z","timestamp":1777373615000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.3109\/00048674.2010.551279"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,5]]},"references-count":51,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2011,5]]}},"alternative-id":["10.3109\/00048674.2010.551279"],"URL":"https:\/\/doi.org\/10.3109\/00048674.2010.551279","relation":{},"ISSN":["0004-8674","1440-1614"],"issn-type":[{"value":"0004-8674","type":"print"},{"value":"1440-1614","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,5]]}}}