Delusional Jealousy: A Brief Literature Review and a Case Report of 'Unfaithful Husband' with Sociocultural Repercussions
Journal Title: International Neuropsychiatric Disease Journal - Year 2016, Vol 6, Issue 2
Abstract
Background: Pure delusional jealousy [DJL] is an uncommon disorder and is characterized by unshakable false belief of infidelity, lack of hallucination, thought disorder and mood disturbance, and not associated with alcohol or other drug abuse or any co-morbid illness. Objective: This paper aims to review qualitatively the relevant literature (2000-2015) and present a case of delusional jealousy. Case History: A 31-year-old housewife with three minor children developed an unshakable belief that her husband was having an extramarital affair since 5 years and no longer loved her. She was diagnosed with delusional jealousy and was managed with aripiprazole and brief psychotherapy. Within three months, most of her symptoms improved, however she developed post-psychotic depression and attempted suicide by taking 125 mg diazepam. She was immediately rushed to a private hospital and admitted to the intensive care unit (ICU). She recovered within five days and was shifted to the public hospital for the management of depression, where she was stabilized and discharged after two weeks. Conclusion: Typical and atypical antipsychotic drugs combined with psychotherapy are the main treatment options for patients with DJL with or without co-morbid physical and psychiatric disorders. Post-psychotic depression and suicide attempts, devastating biosocial consequences among patients with DJL need timely and appropriate interventions and continued follow up.
Authors and Affiliations
Naseem Akhtar Qureshi, Dalal Salem Al-Dossari, Abdullah Mohammad Al-Bedah, Sara O. Salem, Abdulhameed Al-Habeeb
Keywords
Related Articles
- EP ID EP241704
- DOI 10.9734/INDJ/2016/22583
- Views 125
- Downloads 0
Practice Guidelines for Treatment of Somatic Pain and Depression
Background: Somatic pain is often associated with depression. Patients presenting with this combination can be difficult to treat and create a significant financial burden on the medical system. The mechanisms of action...
Quality of Life of Palestine Children Exposed to Wars in Gaza
Aim: This study aimed to investigate the impact of trauma due to wars on quality of life of Palestine children living in Gaza with special reference to 2009 war. It is analytic study; the study sample consisted of 195 ch...
Prevalence of Hepatic Encephalopathy and Its Precipitating Factors in CLD Cirrhotic Patients
Objectives of Study: Hepatic Encephalopathy is a spectrum of neuropsychiatric abnormalities in patients with acute or chronic liver dysfunction, after exclusion of brain disease. It is characterized with intellectual imp...
Resveratrol Reduces C-reactive Protein and Cholesterol in Schizophrenia
Patients with schizophrenia (SZ) are generally found with overweight and obesity and several metabolic disorders. Additionally these patients have less life expectancy, with cardiovascular disease (CVD) the main cause of...
Mental and Social Health Atlas: An Update, Ministry of Health, Saudi Arabia, 2015
Background: Mental health (MH) is an extremely integral component of health and accordingly there is “no health without mental health’’. Objective: Based on the concept of World Health Organization (WHO) Mental Health D...