scholarly journals Diagnostic stability and status of acute and transient psychotic disorders

2006 ◽  
Vol 188 (3) ◽  
pp. 293-293 ◽  
Author(s):  
P. Thangadurai ◽  
R. Gopalakrishnan ◽  
S. Kurian ◽  
K. S. Jacob
Keyword(s):  
Psychotic Disorders ◽  
Diagnostic Stability

“Psychotic Disorders in the Diagnostic Stability of a Portuguese Ward - Diagnostic Retrospective Analysis”

2020 ◽  
Author(s):  
Mário Marques dos Santos ◽  
Diana Mota ◽  
Nuno Trovão ◽  
João Perestrelo ◽  
Rui Magalhães ◽  
...  
Keyword(s):  
Retrospective Analysis ◽  
Psychotic Disorders ◽  
Diagnostic Stability

scholarly journals Diagnostic stability in a Dutch psychosis incidence cohort

2004 ◽  
Vol 185 (6) ◽  
pp. 460-464 ◽  
Author(s):  
Natalie D. Veen ◽  
Jean-Paul Selten ◽  
Diede Schols ◽  
Winfried Laan ◽  
Hans W. Hoek ◽  
...  
Keyword(s):  
Psychotic Disorders ◽  
Population Based ◽  
Schizophrenic Disorder ◽  
Diagnostic Stability ◽  
Face To Face ◽  
Follow Up Study ◽  
Relative Risks ◽  
Diagnostic Interviews ◽  
The Uk

BackgroundNo study outside the UK has examined the diagnostic stability of psychotic disorders in a population-based sample.AimsTo determine diagnostic stability in a Dutch population-based psychosis incidence cohort, to examine the frequencies of diagnostic shifts to and from schizophrenic disorders and to report the revised relative risks of schizophrenic disorders for immigrants.MethodA 30-month follow-up study assessed the cohort (n=181) by means of face-to-face diagnostic interviews.ResultsDiagnostic stability of schizophrenic disorders was high (91%), but lower for other psychotic disorders. At follow-up, the initial diagnosis was adjusted to schizophrenic disorder more often than that the reverse occurred. Almost half (49%) of the patients who were not initially diagnosed as having a schizophrenic disorder received this diagnosis at follow-up. The relative risks for most immigrant groups were stable.ConclusionsSchizophrenic disorders are underdiagnosed, rather than overdiagnosed, at first presentation.

A case of acute and transient psychosis–What to expect?

2016 ◽  
Vol 33 (S1) ◽  
pp. S364-S365
Author(s):  
M. Oliveira ◽  
J. Rebelo ◽  
A.S. Costa ◽  
C. Santos
Keyword(s):  
Psychotic Disorders ◽  
Fast Response ◽  
International Classification Of Diseases ◽  
Acute Onset ◽  
Antipsychotic Treatment ◽  
Duration Of Treatment ◽  
Diagnostic Stability ◽  
Affective Symptoms ◽  
Classification Of Diseases ◽  
Competing Interest

IntroductionThe Tenth Revision of the International Classification of Diseases (ICD-10) introduced the category of Acute and transient psychotic disorders (ATPD), that assimilate clinical concepts such as the French Bouffée Délirante, Kleist and Leonhard's cycloid psychosis, and the scandinavian reactive psychosis.Methods and aimsThe authors present a clinical case of ATPD and a literature review based on PubMed/MEDLINE, using the keywords: “acute and transient psychotic disorder”, “prognosis” and “diagnostic stability”, aiming to discuss the main challenges regarding the diagnosis, treatment and prognosis.ResultsThe patient is a male with 37 years old with two previous psychotic episodes (with 2.5 years of interval), both with an acute onset (of 7 and 3 days respectively), and a fast response to antipsychotic treatment, with periods of complete symptom's remission. He maintains treatment with 6 mg of paliperidone. In the literature, we found scarce information on ATPD. Though several variables have been described as having influence on the prognosis (gender, pre-morbid functioning, acute onset and presence of affective symptoms), this topic remains controversial. Another difficult aspect about ATPD seems to be its low diagnostic stability, with diagnosis changing mostly to Schizophrenia, Schizoaffective disorder and Bipolar disorder. Duration of treatment after complete remission of symptoms is another controversial aspect of this disease.ConclusionsATPD seems to have low diagnostic stability and poor research investment, and so it represents a challenge for psychiatrists on managing these patients in terms of treatment and follow-up plan. Further studies should be held regarding prognosis and treatment.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Predictors of diagnostic stability in brief psychotic disorders: Findings from a three‐year longitudinal study

2021 ◽  
Author(s):  
Álvaro López‐Díaz ◽  
Rosa Ayesa‐Arriola ◽  
Víctor Ortíz‐García de la Foz ◽  
Paula Suárez‐Pinilla ◽  
María Luz Ramírez‐Bonilla ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
Psychotic Disorders ◽  
Diagnostic Stability

scholarly journals A three-month longitudinal study for diagnostic stability of acute and transient psychotic disorder

2017 ◽  
Vol 7 (3) ◽  
pp. 2-6
Author(s):  
Devavrat Joshi ◽  
Ananta Prasad Adhikari ◽  
Praveen Bhattarai ◽  
Pawan Sharma
Keyword(s):  
Mental Hospital ◽  
Psychotic Disorders ◽  
Acute Stress ◽  
Diagnostic Category ◽  
Severe Depression ◽  
Complete Recovery ◽  
Initial Diagnosis ◽  
First Episode ◽  
Diagnostic Stability ◽  
Number Of Patients

Background: The diagnostic category of “acute and transient psychotic disorders” (ATPD) comprises of psychotic disorders with features of acute onset (within 2 weeks), presence of typical syndromes that are either polymorphic or schizophrenic or persistently delusional, evidence for associated acute stress and complete recovery in most cases within 2–3 months. Studies of diagnostic stability among patients with the initial diagnosis of ATPD at their first admission have reported modest stabilities spanning over different periods of time, with higher levels of stability reported in samples from the developing countries. This study aimed at investigating the diagnostic stability of cases of ATPD at the Mental Hospital, Lagankhel over a period of 3 months from the first diagnosis. Methods: ASeventy-five drug naïve patients with the initial diagnosis of first episode ATPD admitted at the in-patient unit of Mental Hospital, Lagankhel were followed up longitudinally and their diagnosis was assessed independently by two consultant psychiatrists over a period of 3 months. Results: Average age of the sample was 30.71 years. 66.7% of the cases retained their index diagnosis of ATPD at 3 months, while the remaining required diagnostic revision. A higher number of patients had their diagnosis revised to Affective Disorders including Mania and Severe depression with psychotic features (13.88%) when compared to Schizophrenia (6.94%). Conclusion: ATPD is a relatively stable diagnostic category in the Nepalese Scenario as well with more than two third of the patients retaining the initial diagnosis at 3 months.

scholarly journals Diagnostic Stability of Acute and Transient Psychotic Disorders in Patients Attending Tertiary Care Hospital

2015 ◽  
Vol 2 (4) ◽  
pp. 7-10 ◽  
Author(s):  
Sanjeev Ranjan ◽  
R Shakya ◽  
P M Shyangwa
Keyword(s):  
Mood Disorders ◽  
Psychotic Disorders ◽  
Tertiary Care ◽  
International Classification Of Diseases ◽  
Health Science ◽  
Care Hospital ◽  
Medical Sciences ◽  
Diagnostic Stability ◽  
Classification Of Diseases ◽  
Icd 10

INTRODUCTION: Acute and Transient Psychotic Disorders (ATPDs) have been the subject of nosological debate. Some authors argue that these conditions should be considered as an independent group of disorders. Others view these psychoses as variants of schizophrenia or mood disorders, pointing to their diagnostic instability. There have been few studies of the diagnostic stability based on the International Classification of Diseases-tenth edition (ICD-10) category of ATPDs, and these studies have mixed results. This study was done to examine the diagnostic stability of ATPDs according to ICD-10.  MATERIAL AND METHODS: Thirty patients diagnosed as ATPDs at psychiatry department of B.P. Koirala Institute of Health Science (BPKIHS) were followed up at one month and after three months of their onset of illness. Their diagnosis was reassessed at every follow-up using standard instrument.  RESULTS: The diagnosis of ATPDs was unchanged in twenty four (80%) out of thirty patients. Diagnostic change was to schizophrenia in three cases and to mood disorders in three other cases. CONCLUSION: Overall, ATPDs is a diagnostically stable entity.DOI: http://dx.doi.org/10.3126/jucms.v2i4.12035Journal of Universal College of Medical Sciences (2014) Vol.02 No.04 Issue 08,Page: 7-10        

scholarly journals Diagnostic stability of acute and transient psychotic disorders in developing country settings: an overview

2015 ◽  
Vol 7 (1) ◽  
pp. 13-15
Author(s):  
Shubham Mehta
Keyword(s):  
Developing Countries ◽  
Developing Country ◽  
Psychotic Disorders ◽  
Diagnostic System ◽  
International Classification Of Diseases ◽  
Abrupt Onset ◽  
Diagnostic Stability ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
Pubmed Search

Acute and transient psychotic disorders (ATPD), introduced in the International Classification of Diseases (ICD-10) diagnostic system in 1992, are not receiving much attention in developing countries. Therefore, the main objective of this article is to review the literature related to the diagnostic stability of ATPD in developing countries. A PubMed search was conducted to review the studies concerned with this issue in the context of developing countries, as diagnostic stability is more of a direct test of validity of psychiatric diagnoses. Four publications were found. According to the literature search, the stability percentage of the ICD-10 ATPD diagnosis is 63-100%. The diagnostic shift is more commonly either towards bipolar disorder or schizophrenia, if any. Shorter duration of illness (<1 month) and abrupt onset (<48 hours) predict a stable diagnosis of ATPD. Based on available evidence, the diagnosis of ATPD appears to be relatively stable in developing countries. However, it is difficult to make a definitive conclusion, as there is a substantial lack of literature in developing country settings.

scholarly journals Diagnostic stability of acute and transient psychotic disorders in developing country settings: an overview

2015 ◽  
Vol 7 (1) ◽  
Author(s):  
Shubham Mehta
Keyword(s):  
Developing Countries ◽  
Developing Country ◽  
Psychotic Disorders ◽  
Diagnostic System ◽  
International Classification Of Diseases ◽  
Abrupt Onset ◽  
Diagnostic Stability ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
Pubmed Search

Acute and transient psychotic disorders (ATPD), introduced in the International Classification of Diseases (ICD-10) diagnostic system in 1992, are not receiving much attention in developing countries. Therefore, the main objective of this article is to review the literature related to the diagnostic stability of ATPD in developing countries. A PubMed search was conducted to review the studies concerned with this issue in the context of developing countries, as diagnostic stability is more of a direct test of validity of psychiatric diagnoses. Four publications were found. According to the literature search, the stability percentage of the ICD-10 ATPD diagnosis is 63-100%. The diagnostic shift is more commonly either towards bipolar disorder or schizophrenia, if any. Shorter duration of illness (&lt;1 month) and abrupt onset (&lt;48 hours) predict a stable diagnosis of ATPD. Based on available evidence, the diagnosis of ATPD appears to be relatively stable in developing countries. However, it is difficult to make a definitive conclusion, as there is a substantial lack of literature in developing country settings.

scholarly journals 6-Month Diagnostic Stability of Acute and Transient Psychotic Disorders

1999 ◽  
Vol 22 (2) ◽  
pp. 32-40
Author(s):  
Sajith S.G. ◽  
K.E. Sadanandam Unni ◽  
R. Chandrasekaran ◽  
Ajit Sahai
Keyword(s):  
Psychotic Disorders ◽  
Diagnostic Stability
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