Comparison of Clinical Features and 1-Year Outcomes Between Patients With Psychotic Disorder Not Otherwise Specified and Those With Schizophrenia

2021 ◽  
Author(s):  
Ling Li ◽  
Fatima Zahra Rami ◽  
Yan Hong Piao ◽  
Bo Mi Lee ◽  
Woo-Sung Kim ◽  
...  
Keyword(s):  
Psychotic Disorder ◽  
Clinical Features ◽  
Not Otherwise Specified

Psychopathological and clinical features of outpatients with an eating disorder not otherwise specified

2001 ◽  
Vol 6 (3) ◽  
pp. 157-165 ◽  
Author(s):  
Valdo Ricca ◽  
E. Mannucci ◽  
B. Mezzani ◽  
M. Di Bernardo ◽  
T. Zucchi ◽  
...  
Keyword(s):  
Eating Disorder ◽  
Clinical Features ◽  
Not Otherwise Specified

scholarly journals LO51: Does my dizzy patient need a computed tomography of the head?

CJEM ◽  
2019 ◽  
Vol 21 (S1) ◽  
pp. S26
Author(s):  
R. LePage ◽  
A. Regis ◽  
O. Bodunde ◽  
Z. Turgeon ◽  
R. Ohle
Keyword(s):  
Computed Tomography ◽  
High Risk ◽  
Clinical Features ◽  
Univariate Analysis ◽  
Tertiary Care ◽  
Clinical Findings ◽  
Neurological Signs ◽  
Not Otherwise Specified ◽  
Data Collection Sheet ◽  
Abnormal Head

Introduction: Dizziness is among the most common presenting complaints in the emergency department (ED). Although the vast majority of these cases are the result of a benign, self-limiting process, many patients undergo computed tomography (CT) of the head. The objective of this study was to define the yield of and diagnostic accuracy of CT in dizziness in addition to defining high-risk clinical features predictive of an abnormal CT. Methods: At a tertiary care ED we performed a medical records review from Jan 2015-2018 including adult patients with a triage complaint of dizziness (vertigo, unsteady, lightheaded), excluding those with symptoms >14days, recent trauma, GCS < 15, hypotensive, or syncope/loss of consciousness. Five trained reviewers used a standardized data collection sheet to extract data. Our outcome was a central cause defined as: cerebrovascular accident (CVA), brain tumor (BT) or intracranial haemorrhage (ICH) diagnosed on CT or magnetic resonance imaging. Univariate analysis/logistic regression were performed and odds ratios reported. A sample size of 796 was calculated based on an expected prevalence of 5% with an 80% power and 95% confidence interval to detect an odds ratio greater than 2. Results: 2310 patients were recruited, 800 (35%) underwent CT head, 471(59%) female and a mean age of 62.8 years (+/−17.5 years). The top three diagnoses for patients undergoing CT were peripheral vertigo/benign positional vertigo (153 – 19%), vertigo not-otherwise-specified (137 – 17%) and dizziness not-otherwise-specified (137 – 17%). The number of CT scans considered abnormal was 30 (3.7%). The top three diagnoses for patients with an abnormal CT were CVA (22 – 75%), BT (9 – 26%) and ICH (6-17%). High risk clinical findings associated (p < 0.001) with an abnormal head CT were dysmetria, objective motor neurological signs, positive Rhomberg, ataxia and inability to walk 3 steps. Objective motor neurological signs (OR 8.4 [95% CI 3.27-21.72]) and ataxia (OR 3.4 [95% CI 1.62-7.41]) were both independently associated with an abnormal CT. Patients without any high risk findings on exam had a 0.7%(3/381 – 2 CVA,1 Tumour) probability of an abnormal CT. Sensitivity of CT for a central cause of dizziness was 71.43%(95%CI 55.4-84.3%), specificity 100%(95%CI 99.5-100%). Conclusion: Current rate of imaging in dizziness is high and inefficient. CT should be the first imaging test in those with high-risk clinical features, but a normal result does not rule out a central cause.

Children and adolescents with psychotic disorder not otherwise specified: A 2- to 8-year follow-up study

2001 ◽  
Vol 42 (4) ◽  
pp. 319-325 ◽  
Author(s):  
Rob Nicolson ◽  
Marge Lenane ◽  
Frances Brookner ◽  
Peter Gochman ◽  
Sanjiv Kumra ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Psychotic Disorder ◽  
Follow Up Study ◽  
Not Otherwise Specified

scholarly journals A salience dysregulation syndrome

2009 ◽  
Vol 194 (2) ◽  
pp. 101-103 ◽  
Author(s):  
Jim van Os
Keyword(s):  
Metabolic Syndrome ◽  
Psychotic Disorder ◽  
Scientific Evidence ◽  
Developmental Expression ◽  
Affective Expression ◽  
Descriptive Term ◽  
Not Otherwise Specified ◽  
New System

SummaryRevisions of DSM and ICD are forthcoming. Should the old categories of psychotic disorder, in particular the construct of schizophrenia, be retained or is a new system of representation of psychosis in order? It is argued that both scientific and societal developments point to a system of classification combining categorical and dimensional representations of psychosis in DSM and ICD. Furthermore, it is proposed to introduce, analogous to the functional descriptive term ‘metabolic syndrome’, the diagnosis of salience dysregulation syndrome. Within this syndrome, three sub-categories may be identified, based on scientific evidence of relatively valid and specific contrasts: with affective expression; with developmental expression; and not otherwise specified.

Autoimmune pancreatitis not otherwise specified (NOS): Clinical features and outcomes of the forgotten type

2019 ◽  
Vol 18 (6) ◽  
pp. 576-579 ◽  
Author(s):  
Nicolò de Pretis ◽  
Filippo Vieceli ◽  
Alessandro Brandolese ◽  
Lorenzo Brozzi ◽  
Antonio Amodio ◽  
...  
Keyword(s):  
Clinical Features ◽  
Autoimmune Pancreatitis ◽  
Not Otherwise Specified

The concordance of ICD-10 acute and transient psychosis and DSM-IV brief psychotic disorder

2002 ◽  
Vol 32 (3) ◽  
pp. 525-533 ◽  
Author(s):  
F. PILLMANN ◽  
A. HARING ◽  
S. BALZUWEIT ◽  
R. BLÖINK ◽  
A. MARNEROS
Keyword(s):  
Psychotic Disorder ◽  
Psychotic Disorders ◽  
Good Prognosis ◽  
Acute Onset ◽  
Schizophreniform Disorder ◽  
Not Otherwise Specified ◽  
Brief Psychotic Disorder ◽  
Icd 10 ◽  
Dsm Iv

Background. ICD-10 acute and transient psychotic disorder (ATPD; F23) and DSM-IV brief psychotic disorder (BPD; 298.8) are related diagnostic concepts, but little is known regarding the concordance of the two definitions.Method. During a 5-year period all in-patients with ATPD were identified; DSM-IV diagnoses were also determined. We systematically evaluated demographic and clinical features and carried out follow-up investigations at an average of 2·2 years after the index episode using standardized instruments.Results. Forty-two (4·1%) of 1036 patients treated for psychotic disorders or major affective episode fulfilled the ICD-10 criteria of ATPD. Of these, 61·9% also fulfilled the DSM-IV criteria of brief psychotic disorder; 31·0%, of schizophreniform disorder; 2·4%, of delusional disorder; and 4·8%, of psychotic disorder not otherwise specified. BPD showed significant concordance with the polymorphic subtype of ATPD, and DSM-IV schizophreniform disorder showed significant concordance with the schizophreniform subtype of ATPD. BPD patients had a significantly shorter duration of episode and more acute onset compared with those ATPD patients who did not meet the criteria of BPD (non-BPD). However, the BPD group and the non-BPD group of ATPD were remarkably similar in terms of sociodemography (especially female preponderance), course and outcome, which was rather favourable for both groups.Conclusions. DSM-IV BPD is a psychotic disorder with broad concordance with ATPD as defined by ICD-10. However, the DSM-IV time criteria for BPD may be too narrow. The group of acute psychotic disorders with good prognosis extends beyond the borders of BPD and includes a subgroup of DSM-IV schizophreniform disorder.

Diagnostic changes of inpatient adolescents with psychotic disorder not otherwise specified (NOS) subtype

2017 ◽  
pp. 1
Author(s):  
Cenk Varlik ◽  
Nurhan Fistikci ◽  
Ali Keyvan ◽  
Munevver Hacioglu ◽  
Ahmet Turkcan ◽  
...  
Keyword(s):  
Psychotic Disorder ◽  
Not Otherwise Specified ◽  
Diagnostic Changes
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