Comparison of clinical course and quality of life in patients with cycloid and schizophrenic psychoses

Jabs, B.; Krause, U.; Althaus, G.; Stöber, Gerald; Pfuhlmann, Bruno

doi:10.1007/s00115-003-1591-5

Nervenarzt

2004

DOI: 10.1007/s00115-003-1591-5

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Comparison of clinical course and quality of life in patients with cycloid and schizophrenic psychoses

B. Jabs

U. Krause

G. Althaus

et al.

Abstract: Cycloid psychoses display better course, outcome, and QoL than schizophrenia.Thus, they appear to present a useful concept deserving more clinical and scientific attention.

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2018

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Cycloid Psychosis

El‐Mallakh

Furdek

2018

AJP

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What clinical feature has been associated with cycloid psychosis? A. Frequently occurring sleep disturbances. B. Acute stress. C. Disorganized thought. D. Prodromal symptoms."Ms. A," a 27-year-old Army captain with 5 years of service, was on her third overseas combat deployment in less than 4 years when she developed psychosis characterized by sudden onset of paranoia, sense of failure, delusional guilt, withdrawal from those around her, difficulty articulating, and an initial inability to sleep. Her commander stated that her previous level of functioning was very high and that she had been a top-performing soldier. The onset of this psychosis was sudden and was not associated with energy disturbance or mood disturbance, and it was independent of any change in stressors (the severe stress of the combat setting was relatively constant). She was initially treated for heat exhaustion, but when the symptoms did not resolve, she was started on olanzapine (5 mg/day) and then switched to risperidone (2 mg/day). She was evacuated to Europe, where she recovered within 1 week on a psychiatric ward and was diagnosed as having brief psychotic disorder. She was subsequently evacuated to a psychiatric ward in the United States, and, 3 weeks later, to her home base for further observation and outpatient care. After a 4-month observation period during which her risperidone dosage was gradually tapered and discontinued, she was returned to duty and able to resume her deployment on no medications. However, within 3 months of returning to the combat zone, the same symptoms recurred. Again, there were minimal mood symptoms and no hallucinations. She was again evacuated to Europe, recovered within a week, and was subsequently evacuated to the United States, where she was hospitalized for observation. She was treated with aripiprazole (30 mg/day), and tapered off within 3 months. She was honorably retired and released from the military and joined the civilian workforce 7 months after her return from overseas.Ms. A experienced a recurrence 1 year later (9 months after being tapered off her medication) with similar AUTHOR AND ARTICLE INFORMATION

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Cycloid Psychosis

El‐Mallakh

Furdek

2018

AJP

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Comparison of clinical course and quality of life in patients with cycloid and schizophrenic psychoses

Abstract: Cycloid psychoses display better course, outcome, and QoL than schizophrenia.Thus, they appear to present a useful concept deserving more clinical and scientific attention.

Cited by 1 publication

References 20 publications

Cycloid Psychosis

Cycloid Psychosis

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