Course and outcome of first-admitted patients
with acute and transient psychotic disorders (ICD-10:F23)

Jäger, Markus; Hintermayr, Marcus; Bottlender, Ronald; Strauß, Anton; Möller, Hans‐Jürgen

doi:10.1007/s00406-003-0435-4

Cited by 38 publications

(22 citation statements)

References 23 publications

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“…In other words, the proposal to reduce ATPD to the APPD category alone may be premature (Nugent et al, 2011). Our results are in line with earlier research suggesting that APPD is a heterogeneous diagnostic category with variable outcomes (Jager et al, 2003;Abe et al, 2006) and highlight the need for larger scale, prospective studies of the acute psychotic disorders before meaningful changes to their classification can be made.…”

supporting

confidence: 90%

Acute polymorphic psychotic disorder: Differences from other acute and transient psychoses

Rajkumar

2016

Asia-Pacific Psychiatry

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supporting

confidence: 90%

Acute polymorphic psychotic disorder: Differences from other acute and transient psychoses

Rajkumar

2016

Asia-Pacific Psychiatry

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“…Third, the lack of standardized psychometric assessment scales for measuring the severity of baseline psychotic features was also a limitation. Some studies have reported that FEP patients with ATPD showed higher scores in anxiety and excitement and fewer negative symptoms than those who later transitioned to schizophrenia . However, it should be noted that other authors have not found differences in terms of original symptom severity .…”

Section: Discussionmentioning

confidence: 91%

The prognostic role of catatonia, hallucinations, and symptoms of schizophrenia in acute and transient psychosis

López‐Díaz

Fernández-González

Lara

et al. 2019

Acta Psychiatr Scand

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The prognostic role of catatonia, hallucinations, and symptoms of schizophrenia in acute and transient psychosis L opez-D ıaz A, Fern andez-Gonz alez JL, Lara I, Crespo-Facorro B, Ruiz-Veguilla M. The prognostic role of catatonia, hallucinations, and symptoms of schizophrenia in acute and transient psychosis.Objectives: To examine the prospective temporal stability of acute and transient psychotic disorders (ATPDs) and analyze whether there are clinical, psychopathological, or sociodemographic characteristics that predict ATPD diagnostic stability. Method: We conducted a prospective, 2-year, observational study of patients presenting a first-episode ATPD. A multivariate logistic regression model was developed to identify independent variables associated with ATPD diagnostic stability. Well-established predictive factors of diagnostic stability, as well as all the psychopathological features included in the ICD-10 Diagnostic Criteria for Research (DCR) descriptions of ATPD, were analyzed. Results: Sixty-eight patients with a first episode of ATPD completed the study with a diagnostic stability rate as high as 55.9% (n = 38) at the end of the follow-up period. Multivariate analysis revealed that diagnostic stability was independently significantly associated with the baseline presence of motility disturbances (OR = 6.86, 95% CI = 1.10-42.62; P = 0.039), the absence of hallucinations (OR = 5.75, 95% CI = 1.51-21.98; P = 0.010), and the absence of schizophrenic features (OR = 7.13, 95% CI = 1.38-36.90; P = 0.019). Conclusion: A symptom checklist assessing these psychopathological features would enable early identification of those subjects whose initial ATPD diagnosis will remain stable over time. Significant outcomes• The ATPD stability rate in our sample was moderate and as high as 55.9%. • ATPD diagnostic stability was independently significantly associated with the baseline presence of motility disturbances.• Diagnostic shifts were independently significantly associated with hallucinations and schizophrenia symptoms at the onset of ATPD. Limitations • Our small sample size and relatively short length of our follow-up compared to other large-scale epidemiological studies.• The lack of standardized psychometric assessment scales for measuring the severity of baseline ATPD psychotic symptomatology.• This study did not analyze the prognostic role of antipsychotic maintenance treatment or the impact of psychotic relapse.

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“…[7–9] Marneros et al . [510] reported that 75% of their cases with ATPD had a recurrent affective or psychotic episode, 30% developed affective disorders, and a relatively small number developed schizoaffective disorder or schizophrenia.…”

Section: Discussionmentioning

confidence: 99%

Short-Term Diagnostic Stability of Acute Psychosis: Data from a Tertiary Care Psychiatric Center in South India

Narayanaswamy¹,

Shanmugam²,

Raveendranathan³

et al. 2012

Indian Journal of Psychological Medicine

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Context:Studies on acute psychosis in patients from India report good outcome. A small proportion of these patients may suffer relapses or other develop major psychiatric disorders later.Aim:The aim of this study was to examine the diagnostic stability of acute psychosis in patients from India.Materials and Methods:The records of patients who presented with the first episode of acute and transient psychotic disorder (n=57) over 1 year (2004) were analyzed, and the follow-up data at the end of 1 and 2 years were recorded.Results:The mean age of the sample was 30.72 years. The mean duration of illness episode was 18.15±17.10 days. The follow-up data were available for 77.2% (n=44) and 75.4% (n=43) of the sample at the end of first and second years. Relapse was recorded in 47.4 and 54.4% at the end of first and second years, respectively.Conclusion:The diagnosis changed into other disorders such as bipolar disorder, schizophrenia, and unspecified psychosis, while a majority retained the initial diagnosis of acute psychosis. The findings suggest that acute psychosis is a relatively stable condition. A small percentage of these patients may go on to develop schizophrenia or bipolar disorder.

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Course and outcome of first-admitted patients with acute and transient psychotic disorders (ICD-10:F23)

Cited by 38 publications

References 23 publications

Acute polymorphic psychotic disorder: Differences from other acute and transient psychoses

Acute polymorphic psychotic disorder: Differences from other acute and transient psychoses

The prognostic role of catatonia, hallucinations, and symptoms of schizophrenia in acute and transient psychosis

Short-Term Diagnostic Stability of Acute Psychosis: Data from a Tertiary Care Psychiatric Center in South India

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