119cd2066868d07224af8d14e3495831 women_a2021v1n1p46.pdf de9b1ff81101c696e8a9deb11986bd16fb8f44fc women_a2021v1n1p46.pdf 547b91a73aed23d8a1a9f5e6c5676ef06325418933dbbfbc2c6bc683156d3ab7 women_a2021v1n1p46.pdf Title: Care for Women with Delusional Disorder: Towards a Specialized Approach Subject: Delusional disorder is a difficult-to-treat clinical condition with health needs that are often undertreated. Although individuals with delusional disorder may be high functioning in daily life, they suffer from serious health complaints that may be sex-specific. The main aim of this narrative review is to address these sex-specific health needs and to find ways of integrating their management into service programs. Age is an important issue. Delusional disorder most often first occurs in middle to late adult life, a time that corresponds to menopause in women, and menopausal age correlates with increased development of both somatic and psychological health problems in women. It is associated with a rise in the prevalence of depression and a worsening of prior psychotic symptoms. Importantly, women with delusional disorder show low compliance rates with both psychiatric treatment and with medical/surgical referrals. Intervention at the patient, provider, and systems levels are needed to address these ongoing problems. Keywords: psychosis; delusional disorder; women; health care; sex-specific treatment Author: Alexandre González-Rodríguez, Mary V. Seeman, Aida Álvarez, Armand Guàrdia, Nadia Sanz, Genís F. Fucho, Diego J. Palao and Javier Labad Creator: LaTeX with hyperref Producer: pdfTeX-1.40.21 CreationDate: Thu Jan 21 08:42:13 2021 CET ModDate: Thu Jan 21 08:43:38 2021 CET Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 14 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 441720 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- GQQAMP+VnURWPalladioL Type 1 Custom yes yes no 10 0 GUMMOY+URWPalladioL-Ital Type 1 Custom yes yes no 15 0 ELSDOW+URWPalladioL-Bold Type 1 Custom yes yes no 20 0 FRZZJP+URWPalladioL-Roma Type 1 Custom yes yes no 24 0 MHAHCD+Rpxr Type 1 Builtin yes yes no 28 0 ONJWSB+VnURWPalladioL-Bold Type 1 Custom yes yes no 32 0 MCBCCI+SourceSansRoman-Regular Type 1C Custom yes yes no 59 0 MCBCCM+SourceSansRoman.613wght Type 1C Custom yes yes no 63 0 MCBCCO+SourceSansRoman-Bold Type 1C Custom yes yes no 67 0 LZDGTK+Rpxb Type 1 Builtin yes yes no 77 0 DPCNEA+PalatinoLinotype TrueType WinAnsi yes yes no 88 0 DPCNJA+PalatinoLinotype,Italic TrueType WinAnsi yes yes no 91 0 DPCNLB+PalatinoLinotype,Bold TrueType WinAnsi yes yes no 94 0 DPCOCP+TimesNewRoman CID TrueType Identity-H yes yes yes 97 0 VSHNAE+Rpcxr Type 1 Builtin yes yes no 137 0 Jhove (Rel. 1.22.1, 2019-04-17) Date: 2023-05-27 03:34:38 CEST RepresentationInformation: women_a2021v1n1p46.pdf ReportingModule: PDF-hul, Rel. 1.12.1 (2019-04-17) LastModified: 2023-03-31 11:50:22 CEST Size: 441720 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 398 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@44c8afef Item: Title: Method Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@7b69c6ba Item: Title: Gender Differences in Delusional Disorder Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@46daef40 Item: Title: How Gender Influences Health Outcomes in Delusional Disorder Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@12f41634 Item: Title: Health Outcomes in Women with Delusional Disorder Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@13c27452 Children: Item: Title: Metabolic Disturbances and Cardiovascular Disease in Women with Delusional Disorder Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@262b2c86 Item: Title: Neurologic Disorders in Delusional Disorder Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@371a67ec Item: Title: Autoimmune Diseases in Delusional Disorder Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@5ed828d Item: Title: Risk of Cancer in Delusional Disorder Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@50d0686 Item: Title: Social Needs in Women with DD Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@7a3d45bd Item: Title: Discussion Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@1e7c7811 Item: Title: Conclusions Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@77ec78b9 Item: Title: Future Perspectives Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@1a3869f4 Item: Title: References Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@a38d7a3 Info: Title: Care for Women with Delusional Disorder: Towards a Specialized Approach Author: Alexandre González-Rodríguez, Mary V. Seeman, Aida Álvarez, Armand Guàrdia, Nadia Sanz, Genís F. Fucho, Diego J. Palao and Javier Labad Subject: Delusional disorder is a difficult-to-treat clinical condition with health needs that are often undertreated. Although individuals with delusional disorder may be high functioning in daily life, they suffer from serious health complaints that may be sex-specific. The main aim of this narrative review is to address these sex-specific health needs and to find ways of integrating their management into service programs. Age is an important issue. Delusional disorder most often first occurs in middle to late adult life, a time that corresponds to menopause in women, and menopausal age correlates with increased development of both somatic and psychological health problems in women. It is associated with a rise in the prevalence of depression and a worsening of prior psychotic symptoms. Importantly, women with delusional disorder show low compliance rates with both psychiatric treatment and with medical/surgical referrals. Intervention at the patient, provider, and systems levels are needed to address these ongoing problems. 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