Acute and transient psychosis: A paradigmatic approach

Malhotra, Savita

doi:10.4103/0019-5545.37662

Cited by 21 publications

(10 citation statements)

References 74 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…30% of patients had a preceding stressor, which was slightly lower than the 40-50% reported in the literature (Marneros et al, 2002;Malhotra, 2007;Rusaka and Rancans, 2014). A novel finding in our sample was that relapses in stress-related ATPD also tended to be stress-related.…”

Section: Discussioncontrasting

confidence: 67%

“…Similarly, a follow-up study of ATPD over 3-7 years found that 58% of patients relapsed; however, 12% of these relapses were associated with significant impairment and a poor functional outcome, suggesting a diagnosis of schizophrenia; thus, the ''true'' relapse ATPD rate was 46% (Jager et al, 2003). Data from Iran (Alaghband-Rad et al, 2006) and India (Malhotra, 2007) is consistent with these observations, with recurrence rates of 26.7% at 2 years, 35% at 5 years and 46.8% at 8 years being reported for ''true'' ATPD. A study of American patients with non-affective acute remittent psychosis found that of 11 patients followed up at four years, 6 (54.5%) had only a single episode and full remission over the entire study period; the remaining 5 (45.5%) had recurrent episodes with complete inter-episode recovery (Mojtabai et al, 2003).…”

Section: Introductionsupporting

confidence: 72%

See 1 more Smart Citation

Recurrent acute and transient psychotic disorder: A pilot study

Rajkumar

2015

Asian Journal of Psychiatry

View full text Add to dashboard Cite

Section: Discussioncontrasting

confidence: 67%

Section: Introductionsupporting

confidence: 72%

Recurrent acute and transient psychotic disorder: A pilot study

Rajkumar

2015

Asian Journal of Psychiatry

View full text Add to dashboard Cite

“…[10–12] Wig and Singh extracted psychiatric categories from the APA DSM-II relevant for use in India. [13] They also argued for the category of acute psychosis for brief episodes precipitated by stress, which does not fit into the Kraepelinian dichotomy.…”

Section: Research From India On Classificationmentioning

confidence: 99%

“…Many studies on acute and transient psychosis have been done in India and have been extensively reviewed by Malhotra. [10] The first major study which recognized the problem of acute onset of psychosis with a good prognosis was the International Pilot Study of Schizophrenia (IPSS) (1968-1970). [15] The Agra center contributed to this international multicenter investigation.…”

Section: Research From India On Classificationmentioning

confidence: 99%

Diagnostic and statistical manual‑5: Position paper of the Indian psychiatric society

Jacob

Kallivayalil

Mallik

et al. 2013

Indian J Psychiatry

View full text Add to dashboard Cite

The development of the Diagnostic and Statistical Manual-5 (DSM-5) has been an exhaustive and elaborate exercise involving the review of DSM-IV categories, identifying new evidence and ideas, field testing, and revising issues in order that it is based on the best available evidence. This report of the Task Force of the Indian Psychiatric Society examines the current draft of the DSM-5 and discusses the implications from an Indian perspective. It highlights the issues related to the use of universal categories applied across diverse cultures. It reiterates the evidence for mental disorders commonly seen in India. It emphasizes the need for caution when clinical categories useful to specialists are employed in the contexts of primary care and in community settings. While the DSM-5 is essentially for the membership of the American Psychiatric Association, its impact will be felt far beyond the boundaries of psychiatry and that of the United States of America. However, its atheoretical approach, despite its pretensions, pushes a purely biomedical agenda to the exclusion of other approaches to mental health and illness. Nevertheless, the DSM-5 should serve a gate-keeping function, which intends to set minimum standards. It is work in progress and will continue to evolve with the generation of new evidence. For the DSM-5 to be relevant and useful across the cultures and countries, it needs to be broad-based and consider social and cultural contexts, issues, and phenomena. The convergence and compatibility with International Classification of Diseases-11 is a worthy goal. While the phenomenal effort of the DSM-5 revision is commendable, psychiatry should continue to strive for a more holistic understanding of mental health, illness, and disease.

show abstract

“…1 In creating this category, the authors of ICD-10 took account of a number of concepts for such psychotic disorders,including cycloid psychosis in German psychiatry, bouffée délirante in French psychiatry, psychogenic or reactive psychosis in Scandinavian psychiatry, the remitting schizophrenia in American psychiatry,the atypical psychosis in Japanese psychiatry or acute psychosis of uncertain origin in Indian psychiatry. 2 The confirmatory evidence for the validity of this diagnostic entity has come from the international initiatives in the form of WHO multicentered collaborative studies directed primarily at the study of schizophrenia (IPSS) 3 , first onset psychosis (DOSMeD) 4 and Acute Psychoses (CAP) 5 . Studies of diagnostic stability among patients with the initial diagnosis of ATPD at their first admission have reported modest stabilities spanning over periods of time.…”

Section: Introductionmentioning

confidence: 99%

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

Joshi¹,

Adhikari²,

Bhattarai³

et al. 2017

J Chitwan Med Coll

View full text Add to dashboard Cite

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.

show abstract

Acute and transient psychosis: A paradigmatic approach

Cited by 21 publications

References 74 publications

Recurrent acute and transient psychotic disorder: A pilot study

Recurrent acute and transient psychotic disorder: A pilot study

Diagnostic and statistical manual‑5: Position paper of the Indian psychiatric society

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

Contact Info

Product

Resources

About