Gynaecological health in women with delusional disorder: A cross-sectional and one-year follow-up study

Alexandre González-Rodríguez, Oriol Molina-Andreu, Rafael Penadés, M.L. Imaz, Rosa Catalán
In: Journal of Nursing Education and Practice · 2014 · vol. 4(4) · doi:10.5430/jnep.v4n4p81 · W2062722822
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This study found that women with delusional disorder have a high prevalence of gynecological disorders, particularly estrogen-dependent ones, and that these conditions are associated with unemployment and differences in psychiatric care utilization.

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This cross-sectional and one-year observational study examined gynæcological health in 90 women diagnosed with delusional disorder recruited from a psychiatry department between 2000 and 2013, recording inflammatory and non-inflammatory gynæcological disorders using ICD-10 criteria and tracking psychiatric/nursing appointment attendance and outcomes. Forty percent had a history of gynæcological disease, with leiomyoma of the uterus being most common; after one year, those with gynæcological illness showed a tendency toward lower affective comorbidity and less antidepressant prescription, though some between-group differences (employment status and antidepressant prescription) were no longer significant after adjustment for age at first appointment and admissions. A stated limitation is the observational, single-clinic design using consecutive sampling, which may limit generalizability beyond this setting. Relevance to endometriosis: the paper focuses on delusional disorder and broad gynæcological conditions rather than endometriosis or adenomyosis specifically, though it is included in the corpus via keyword-based search for gynæcological illness in women.

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Abstract

Introduction: For many decades, clinical and epidemiological associations between gynaecological illness and psychia- tric disorders have been reported. Thus, in recent years, special attention has been paid to the gynaecological health of women with chronic psychosis.We aimed to determine the rates of oestrogen and non-oestrogen dependent gynae- cological disorders in women diagnosed with delusional disorder (DwDD), and its relationship with clinical outcomes. Methods: We conducted a longitudinal and observational study in 90 women DwDD who attended our Department of Psychiatry, from 2000 until 2013. Subjects were selected by consecutive sampling and followed-up for one year. The presence or absence of inflammatory and non inflammatory-gynaecological disorders was recorded according to ICD-10 criteria, and attendance rates at appointments (psychiatric and nursing) were collected. For comparisons, T and Chi-square tests were performed. Multinomial logistic regression was applied to investigate multivariate differences. Results: Thirty-six (40%) women DwDD had a history of gynaecological disease (oestrogen dependent disorders: 36.7%). Women diagnosed with a gynaecological disease had higher unemployment rates than those without gynae- cological conditions ( p = .03). Patients without gynaecological disorders attended later our psychiatric service and were more frequently admitted ( p = .048). Within the gynaecological group, leiomyoma of uterus (n = 9; 10%) was the most common condition followed by misscarriage (n = 6; 6.7%). Hysterectomy (n = 7; 7.8%) was the most common surgical treatment. After one year, women diagnosed with gynaecological illness showed a tendency to lower rates of affective comorbidity and less antidepressant prescription. After controlling for age at first appointment and admissions, differences in affective comorbidity remained significant ( p = .020); however, differences in antidepressant prescription and employment status were no longer significant. Conclusions: Women DwDD might be at particular risk of non-inflammatory oestrogen dependent gynaecological disorders. The role of mental health nurses should be addressed to improve attendance rates at gynaecological appoint- ments and prevention programs.
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Abstract

Introduction: For many decades, clinical and epidemiological associations between gynaecological illness and psychia- tric disorders have been reported. Thus, in recent years, special attention has been paid to the gynaecological health of women with chronic psychosis.We aimed to determine the rates of oestrogen and non-oestrogen dependent gynae- cological disorders in women diagnosed with delusional disorder (DwDD), and its relationship with clinical outcomes.

Methods

We conducted a longitudinal and observational study in 90 women DwDD who attended our Department of Psychiatry, from 2000 until 2013. Subjects were selected by consecutive sampling and followed-up for one year. The presence or absence of inflammatory and non inflammatory-gynaecological disorders was recorded according to ICD-10 criteria, and attendance rates at appointments (psychiatric and nursing) were collected. For comparisons, T and Chi-square tests were performed. Multinomial logistic regression was applied to investigate multivariate differences.

Results

Thirty-six (40%) women DwDD had a history of gynaecological disease (oestrogen dependent disorders: 36.7%). Women diagnosed with a gynaecological disease had higher unemployment rates than those without gynae- cological conditions (p = .03). Patients without gynaecological disorders attended later our psychiatric service and were more frequently admitted (p = .048). Within the gynaecological group, leiomyoma of uterus (n = 9; 10%) was the most common condition followed by misscarriage (n = 6; 6.7%). Hysterectomy (n = 7; 7.8%) was the most common surgical treatment. After one year, women diagnosed with gynaecological illness showed a tendency to lower rates of affective comorbidity and less antidepressant prescription. After controlling for age at first appointment and admissions, differences in affective comorbidity remained significant (p = .020); however, differences in antidepressant prescription and employment status were no longer significant.

Conclusions

Women DwDD might be at particular risk of non-inflammatory oestrogen dependent gynaecological disorders. The role of mental health nurses should be addressed to improve attendance rates at gynaecological appoint- ments and prevention programs. Full Text: PDFDOI: https://doi.org/10.5430/jnep.v4n4p81 Journal of Nursing Education and Practice ISSN 1925-4040 (Print) ISSN 1925-4059 (Online) Copyright © Sciedu Press To make sure that you can receive messages from us, please add the 'Sciedupress.com' domain to your e-mail 'safe list'. If you do not receive e-mail in your 'inbox', check your 'bulk mail' or 'junk mail' folders.

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