Hostname: page-component-586b7cd67f-dlnhk Total loading time: 0 Render date: 2024-11-24T16:57:19.440Z Has data issue: false hasContentIssue false

The prevalence of Capgras syndrome in a university hospital setting

Published online by Cambridge University Press:  24 June 2014

Lut Tamam*
Affiliation:
Cukurova University Faculty of Medicine, Department of Psychiatry, Adana, Turkey
Gonca Karatas
Affiliation:
Cukurova University Faculty of Medicine, Department of Psychiatry, Adana, Turkey
Tayfun Zeren
Affiliation:
Cukurova University Faculty of Medicine, Department of Psychiatry, Adana, Turkey
Nurgul Ozpoyraz
Affiliation:
Cukurova University Faculty of Medicine, Department of Psychiatry, Adana, Turkey
*
Assistant Professor, Cukurova University Faculty of Medicine Department of Psychiatry, Cukurova University Tip Fakultesi Psikiyatri Anabilim Dali, Balcali, Adana/Turkey. Tel. +90 5336306006; Fax:. +90 3223386505; E-mail: [email protected]

Abstract

Background:

Capgras syndrome (CS), the most common type of delusional misidentification syndrome, is the delusional belief that significant people in the patient's life have been replaced by identical doubles. Capgras syndrome is thought to be a rare syndrome which commonly occurs in a psychotic context.

Objective:

The objective of this study was to estimate the 5-year prevalence rate of CS in a university hospital in-patient setting and determine associated etiological and sociodemographic factors.

Methods:

All patient files and medical records were reviewed in detail for the presence of Capgras syndrome. The sociodemographic variables, clinical manifestations, and psychiatric and medical diagnoses of patients who fulfilled clinical criteria for Capgras syndrome were recorded for statistical evaluation.

Results:

The retrospective evaluation of patient files in 920 cases admitted to our psychiatric in-patient unit over 5 years revealed that 12 patients fulfilled the criteria for Capgras syndrome. The crude prevalence of Capgras syndrome in this population during 5-year period was 1.3% (1.8% for females, 0.9% for males). Schizophrenia (50%) was the most common psychiatric diagnosis in these patients. Only two patients presented with an organic etiology underlying Capgras syndrome.

Conclusions:

The results of this study indicate that Capgras syndrome is not a rare syndrome, and commonly occurs during the course of either functional or organic psychotic illness. Age seems to be an important predicting factor for the etiology of psychosis underlying Capgras syndrome.

Type
Research Article
Copyright
Copyright © 2003 Blackwell Munksgaard

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Spier, SA.Capgras' syndrome and the delusions of misidentification. Psychiatr Ann 1992;22: 279285. Google Scholar
Capgras, J, Reboul-Lachaux, J.Illusion de sosies un delire systematize chronique. Bull Soc Clin Med Ment 1923;2: 616. Google Scholar
Berson, RJ.Capgras' syndrome. Am J Psychiatry 1983;140: 969978.Google ScholarPubMed
Edelstyn, NM J, Oyebode, F. A review of the phenomenology and cognitive neuropsychological origins of the Capgras Syndrome. 1999; 14: 4859. Google Scholar
Oyebode, F, Sargeant, R.Delusional misidentification syndromes: a descriptive study. Psychopathology 1996; 29: 209214.CrossRefGoogle ScholarPubMed
Singer, S.Capgras syndrome. the delusion of substitution. J Clin Psychiatry 1987;48: 147150.Google Scholar
Fishbain, D.The freguency of Capgras delusions in a psychiatric emergency service. Psychopathology 1987; 20: 4247.CrossRefGoogle Scholar
Kirov, G, Jones, P, Lewis, SW.Prevalence of delusional misidentification syndromes. Psychopathology 1994;27: 148149.CrossRefGoogle ScholarPubMed
Joseph, AB.Observations on the epidemiology of the delusional misidentification syndromes in the Boston metropolitan area: April 1983–June 1984. Psychopathology 1994;27: 150153.CrossRefGoogle ScholarPubMed
Forstl, H, Almeida, OP, Owen, A, Burns, A, Howard, R.Psychiatric, neurological and medical aspects of misidentification syndromes. A review of 260 cases. Psychol Med 1991;21: 905910.CrossRefGoogle ScholarPubMed
Todd, J, Dewhurst, K, Wallis, G.The syndrome of Capgras. Br J Psychiatry, 1981;139: 319327.CrossRefGoogle ScholarPubMed
Huang, TL, Liu, CY, Yang, YY.Capgras syndrome: Analysis of nine cases. Psychiatr Clin Neurosci 1999; 53: 455460. CrossRefGoogle ScholarPubMed
Kiriakos, R, Ananth, J.Review of 13 cases of Capgras syndrome. Am J Psychiatry 1980;137: 16051607.Google ScholarPubMed
Foerstl, H.Capgras delusion: an example of coalescent psychodynamic and organic factors. Compr Psychiatry 1990;31: 447449.CrossRefGoogle ScholarPubMed
Sinkman, AM.The Capgras delusion. A critique of its psychodynamic theories. Am J Psychother, 1983; 37: 428438.Google ScholarPubMed
Lehmann, HE.Other psychiatry disorders. In: Kaplan, HI, Sadock, BJ, eds. Comprehensive Textbook of Psychiatry, Vol. 2, 4th edn. Baltimore: Williams & Wilkins, 1995: 1231. Google Scholar
MacKirdy, C, Shepherd, D.Capgras syndrome: possibly more common among the Maori of New Zealand. Aust NZ J Psychiatry 2000;34: 865868. CrossRefGoogle ScholarPubMed
Dohn, H, Crews, E.Capgras syndrome: a literature review and case series. Hillside J Clin Psychiatry 1986; 8: 5674.Google ScholarPubMed
Harwood, DG, Barker, WW, Ownby, RL, Duara, R.Prevalence and correlates of Capgras syndrome in Alzheimer's disease. Int J Geriatr Psychiatry 1999;14: 415420.3.0.CO;2-3>CrossRefGoogle ScholarPubMed
Cummings, JL.Organic delusions. Phenomenology, anatomical correlations, and review. Br J Psychiatry 1985;146: 184197.CrossRefGoogle ScholarPubMed
Marantz, AG, Verghese, J.Capgras'syndrome in dementia with Lewy bodies. J Geriatr Psychiatry Neurol 2002;15: 239241.CrossRefGoogle ScholarPubMed
Ellis, HD, Lewis, MB.Capgras delusion: a window on face recognition. Trends Cogn Sci 2001;5: 149156.CrossRefGoogle ScholarPubMed
Young, AW, Reid, I, Wright, S, Hellawell, DJ.Face processing impairments and the Capgras delusion. Br J Psychiatry 1993;162: 695698.CrossRefGoogle ScholarPubMed
Cutting, J.Delusional misidentification and the role of right hemisphere in the appreciation of identity. Br J Psychiatry 1991;159: 7075. Google Scholar
Silva, JA, Leong, GB, Weinstock, R, Sweeney, MR.Delusional misidentification and aggression in Alzheimer's disease. J Forensic Sci 2001;46: 581585.Google ScholarPubMed
Silva, JA, Leong, GB, Miller, AL.Delusional misidentification syndromes: drug treatment options. CNS Drugs 1996;5: 89102. CrossRefGoogle Scholar
Silva, JA, Leong, GB, Weinstock, R.The dangerousness of persons with misidentification syndromes. Bull Am Acad Psychiatry Law 1992;20: 7786.Google ScholarPubMed
De Pauw, KW, Szulecka, TK.Dangerous delusions: violence and the misidentification syndromes. Br J Psychiatry 1988;152: 9196.CrossRefGoogle ScholarPubMed