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Delusional disorder is characterized by nonbizarre delusions without other psychotic symptoms. It is rare, its course is chronic, and treatment is supportive.
This disorder is rare, with a prevalence of <0.05%. Generally, onset is in middle to late life; it affects women more often than men. Its course is chronic and unremitting.
The etiology is unknown. Often, psychosocial stressors appear to be etiologic, for example, following migration. In migration psychosis, the recently immigrated person develops persecutory delusions. Many patients with delusional disorder have a paranoid character premorbidly. Paranoid personality disorder has been found in families of patients with delusional disorder.
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