Acute and transient psychotic disorder: a 1‐year follow‐up study

Jørgensen, Per; Bennedsen, Birgit Egedal; Christensen, Jørgen Grønnegård; Hyllested, A.

doi:10.1111/j.1600-0447.1997.tb09920.x

Cited by 123 publications

(126 citation statements)

References 11 publications

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“…Furthermore, diverse authors have pointed out that several patients who were diagnosed at the time of their first hospitalisation with DSM-IV schizophreniform disorders showed a chronic course [36][37][38][39]. The same was reported for ICD-10 acute and transient psychotic disorders [40,41]. On the other hand, the results of the present studies revealed that in both diagnostic systems schizophrenia includes more than one third of cases with a non-chronic course (ICD-10: 40%, DSM-IV: 33%).…”

Section: Transient/episodic Psychosesmentioning

confidence: 73%

Classification of Functional Psychoses and Its Implication for Prognosis: Comparison between ICD-10 and DSM-IV

Jäger

Bottlender²,

Strauss³

et al. 2004

Psychopathology

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Background: The aim was to examine the agreement and differences between ICD-10 and DSM-IV in the classification of functional psychoses. Sampling and Methods: In a sample of 218 first-hospitalised patients, ICD-10 diagnoses were compared with DSM-IV diagnoses. Functional psychoses of both diagnostic systems were classified into the four diagnostic groups schizophrenia, transient/episodic psychoses, delusional disorders and affective disorders. Based on information from a 15-year follow-up, it was examined which course is associated with each diagnostic group. Results: Although in ICD-10 there was a higher frequency of schizophrenia and a lower one of affective disorders, a high agreement between ICD-10 and DSM-IV (kappa value of 0.82) was found. In both diagnostic systems, transient/episodic psychoses and affective disorders were mainly associated with a non-chronic course and schizophrenia was mainly associated with a chronic one. Nevertheless, several patients with transient/episodic psychoses showed a chronic course (ICD-10: 10%, DSM-IV: 15%) and more than one third of patients with schizophrenia a non-chronic one (ICD-10: 40%, DSM-IV: 33%). Conclusions: In the cross-sectional assessment, there is a high diagnostic agreement between ICD-10 and DSM-IV. With respect to the long-term course, the delimitation of transient/episodic psychoses from schizophrenia was neither completely achieved by ICD-10 nor by DSM-IV.

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Section: Transient/episodic Psychosesmentioning

confidence: 73%

Classification of Functional Psychoses and Its Implication for Prognosis: Comparison between ICD-10 and DSM-IV

Jäger

Bottlender²,

Strauss³

et al. 2004

Psychopathology

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“…After 1 year, the diagnosis was changed in half of the patients [33]. After a follow-up period of 3 years, however, Sajith et al [34]found no change in the diagnosis in 73% of their cases.…”

Section: Discussionmentioning

confidence: 99%

Nonschizophrenic Psychotic Disorders: The Case of Cycloid Psychoses

et al. 2004

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Background: Cycloid psychosis is a psychiatric disorder known for about 100 years. This disorder is at present partly and simplified represented in the ICD-10. Sampling and Methods: Over a period of 15 months, 139 consecutively acutely admitted psychotic patients were assessed, by means of different diagnostic instruments, in order to investigate the prevalence and the symptom profile of cycloid psychoses. In addition, the concordance between the diagnoses cycloid psychosis, brief psychotic disorder, and acute polymorphic psychotic disorder with or without symptoms of schizophrenia was calculated. Results: Cycloid psychoses were present in 13% of the patients. There was a significant but small overlap with the DSM brief psychotic disorder and the ICD acute polymorphic psychotic disorder. Conclusions: This study demonstrates that cycloid psychoses can be identified with the proper diagnostic instruments in a proportion that is also found in other studies. Since this type of psychosis entails a distinct prognosis and may require a specific treatment, its identification is of clinical importance. Limitations are the nature of the psychiatric facility with an inherent bias in the selection of patients and the lack of a long-term evaluation.

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“…In the study by Jorgensen et al, it was seen that 44% of the patients did not receive treatment at the end of 1 year period. 18 In our study, 80% of the patients did not adhere to treatment at the end of 6 months.Majority of the patients in the current sample had GAF scores in the range of 21-40 (76%). Sajith et al reported a mean score of 17.3 while Rad A et al reported a mean score of 30.9.…”

Section: Discussionmentioning

confidence: 97%

Short-term outcome in acute and transient psychotic disorder and its correlate to various sociobiological factors

Chandak

Gowda

2017

Int J Adv Med

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Background: There is a higher incidence of acute and transient psychotic disorder, however there are not much data on the course of disease and its association with sociobiological factors. We assessed the outcome in patients who met the ICD 10 DCR criteria for acute and transient psychotic disorder, at a follow up period of 6 months. Methods: We conducted a prospective observational study conducted at out-patient department of the Institute of Psychiatry and Human Behaviour, Bambolim, Goa. Fifty-seven patients were enrolled and were followed up for a period of 6 months from the day of enrollment. The outcome was 'review of diagnosis and 'no review of diagnosis at the end of 6 months. Results:The mean age of the study sample was 32.25 years. In three-fourth of the patients, there was no change in the diagnosis. Nearly 65% of the patients were women and 35% of them were men. No review in diagnosis was made in significant proportion of the population. Average duration of education was 7.35 years. Most of them were unskilled laborers and homemakers. A significant number of the study population was migrants. Two-third of the population did not have any family history of psychiatric disorder. The onset was acute in majority of the patients. Suicidal thoughts were present at the time of diagnosis in certain patients. The treatment adherence was lower in those whose diagnoses did not change at the end of 6 months. Sleep disturbances, ideas of persecution, and concentration difficulties were the frequently reported symptoms.No repeat episodes were noted in our study.

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Acute and transient psychotic disorder: a 1‐year follow‐up study

Cited by 123 publications

References 11 publications

Classification of Functional Psychoses and Its Implication for Prognosis: Comparison between ICD-10 and DSM-IV

Classification of Functional Psychoses and Its Implication for Prognosis: Comparison between ICD-10 and DSM-IV

Nonschizophrenic Psychotic Disorders: The Case of Cycloid Psychoses

Short-term outcome in acute and transient psychotic disorder and its correlate to various sociobiological factors

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