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QUADRUPLET PREGNANCY DELUSION IN SCHIZOPHRENIA: A RARE PRESENTATION OF DELUSIONAL PROCREATION SYNDROME

Derya Nur TEZCAN, Ahmethan TURAN

Klinik Psikiyatri Dergisi - 2026;29(1):58-62

Department of Psychiatry, Hatay Mustafa Kemal University, Hatay, Turkey

 

Delusional Procreation Syndrome (DPS) encompasses delusions involving various stages of reproduction, including pregnancy, childbirth, and parenthood. Although the delusion of pregnancy (DoP) is the most commonly reported phenomenon, simultaneous delusions spanning multiple reproductive stages are rare. We describe a 39-year-old woman with chronic schizophrenia who presented with concurrent delusions of quadruplet pregnancy, miscarriage, stillbirth, childbirth, and motherhood. This case highlights the broad clinical spectrum of DPS and underscores the importance of distinguishing DoP from related conditions such as pseudocyesis and Couvade syndrome. It further illustrates the role of psychosocial adversity in shaping delusional themes.