R Mojtabai1, V K Varma, E Susser. 1. Department of Psychiatry, Columbia University, New York, NY, USA. rm322@columbia.edu
Abstract
BACKGROUND: The acute and transient psychotic disorders (ATPD) in ICD-10 advanced the nosology of remitting psychoses with acute onset. But the proposed criteria for ATPD--especially in regard to duration--are tentative and need to be validated. AIMS: To evaluate: (a) the duration of remitting psychoses with acute onset; (b) the applicability of the ATPD criteria for these cases; and (c) differences in duration and ATPD diagnoses across sociocultural settings. METHOD: Data from the World Health Organization Determinants of Outcome study were used. RESULTS: The 98 cases of remitting psychoses with acute onset had a modal duration of 2-4 months, with 43% falling in this range. Mainly because of this, few met the ATPD criteria. Duration and diagnostic findings were similar across settings. CONCLUSIONS: ATPD criteria need refinement, especially in regard to duration. Further studies aimed at early detection and assessment of onset and duration of these disorders are needed.
BACKGROUND: The acute and transient psychotic disorders (ATPD) in ICD-10 advanced the nosology of remitting psychoses with acute onset. But the proposed criteria for ATPD--especially in regard to duration--are tentative and need to be validated. AIMS: To evaluate: (a) the duration of remitting psychoses with acute onset; (b) the applicability of the ATPD criteria for these cases; and (c) differences in duration and ATPD diagnoses across sociocultural settings. METHOD: Data from the World Health Organization Determinants of Outcome study were used. RESULTS: The 98 cases of remitting psychoses with acute onset had a modal duration of 2-4 months, with 43% falling in this range. Mainly because of this, few met the ATPD criteria. Duration and diagnostic findings were similar across settings. CONCLUSIONS:ATPD criteria need refinement, especially in regard to duration. Further studies aimed at early detection and assessment of onset and duration of these disorders are needed.
Authors: K S Jacob; R A Kallivayalil; A K Mallik; N Gupta; J K Trivedi; B N Gangadhar; K Praveenlal; V Vahia; T S Sathyanarayana Rao Journal: Indian J Psychiatry Date: 2013-01 Impact factor: 1.759