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

Rajkumar, Ravi Philip

doi:10.1111/appy.12224

Cited by 3 publications

(9 citation statements)

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“…Most of the studies that have evaluated patients with ATPD have provided information on some or other clinical aspects of ATPD[ 49 62 63 66 67 70 72 73 74 75 76 78 79 84 88 89 90 91 92 97 98 99 100 101 102 103 104 105 ] exclusively. At the same time, some studies that have provided information about the clinical profile of ATPD also included patients with other acute psychotic states[ 32 34 35 36 39 40 51 52 53 56 61 65 69 80 82 83 85 93 94 95 96 106 ] like first episode psychosis,[ 42 43 44 45 58 64 71 86 107 108 ] postpartum psychosis,[ 46 47 54 55 109 ] etc.…”

Section: Resultsmentioning

confidence: 99%

“…Later, other studies have also reported the nature of the onset of the ATPD. [ 39 46 51 53 54 62 66 67 70 78 79 85 91 101 ] Among these studies, episodes were of abrupt onset in 13%[ 78 ] to 75%[ 53 ] of the study samples, acute in 25%[ 53 ] to 87.5% of the samples,[ 78 ] subacute in 6.7%[ 79 ] to 16.2% of the samples,[ 85 ] and insidious in 15.4%[ 54 ] to 61.7%. [ 39 ] A study that compared the onset of patients with ATPD and mania reported a significant majority of patients with ATPD had an abrupt onset of illness when compared to patients with mania.…”

Section: Resultsmentioning

confidence: 99%

“…Only 16 studies[ 35 49 60 72 76 78 79 84 91 92 93 98 99 100 101 102 ] have provided subtypes of ATPD as per the ICD-10, and the prevalence of acute polymorphic psychotic disorder without symptoms of schizophrenia across different studies ranges from 3.3%[ 99 ] to 72%[ 99 ] with 5 out of 14 studies estimating the same to be more than 40%. The prevalence of acute polymorphic psychotic disorder with symptoms of schizophrenia ranges from 10%[ 84 ] to 54.4%,[ 78 ] and that of acute schizophrenia-like psychotic disorder ranges from 2.4%[ 60 ] to 60%[ 35 ] across the different studies [ Table 4 ].…”

Section: Resultsmentioning

confidence: 99%

“…Other studies have also reported the prevalence of formal thought disorder,[ 91 ] emotional changes including withdrawal,[ 78 ] lack of emotions[ 78 ] or emotional lability,[ 78 91 ] violence,[ 86 101 ] hostility,[ 80 ] irritability,[ 34 91 ] psychomotor agitation[ 96 98 ] or retardation,[ 54 78 ] catatonia,[ 46 47 91 ] mood changes like elation[ 54 78 80 96 ] or sadness,[ 54 66 78 80 91 96 ] worries,[ 80 ] obsessive-compulsive symptoms,[ 54 ] and anxiety. [ 53 66 ]…”

Section: Resultsmentioning

confidence: 99%

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Acute and transient psychotic disorders: A review of Indian research

Grover,

Kathiravan

2023

Indian Journal of Psychiatry

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Background: Acute and transient psychotic disorder (ATPD) was recognized as separate from other psychotic disorders and described in the International Classification of Diseases (ICD) tenth revision for the first time. A lot of research on ATPD has been conducted in India over the last six decades, but a review focusing exclusively on Indian research on ATPD is not available. Aim: This paper aims to review the literature on ATPD emerging from India. Methodology: A combination of search terms “Acute and Transient Psychosis,” “acute psychosis,” “non-affective psychosis,” “non-affective psychotic disorder,” “reactive psychosis,” “first-episode psychosis,” and “India” were searched on various search engines like PUBMED, Medknow, Hinari, and Google Scholar. We also did a hand search for additional relevant articles, including published abstracts of the Indian Journal of Psychiatry from 2007 to 2023. Relevant papers were selected. Results: The prevalence of ATPD varies across different study settings, and it tends to have an abrupt to acute onset, and is primarily associated with stress. Few studies have assessed the subtypes of ATPD, and symptom profile has been inconsistently reported. There is a lack of trials on the effectiveness or efficacy of antipsychotics in ATPD patients. In a large proportion of patients initially diagnosed with ATPD, the diagnosis remains stable, with recurrence varying from 10% to 46.6% based on the duration of follow-up. Conclusion: There is a need for more multicentric studies, studies with larger sample sizes, and consistency in data about risk factors. There is a need to evaluate symptom profile, course, outcome, and treatment outcomes in patients with ATPD using validated instruments to improve our understanding. Further, there is a need for comparative studies to evaluate the risk factors for ATPD.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Acute and transient psychotic disorders: A review of Indian research

Grover,

Kathiravan

2023

Indian Journal of Psychiatry

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“…The overall mean duration of the index brief psychotic episode is 10.2 days (95%CI=8.0-12.4, meta-analysis of 5 studies 42,[50][51][52][53] , n=295): the ATPD duration is 15.7 days (95%CI=8.6-22.9, meta-analysis of 4 studies [50][51][52][53] , n=215). The BLIPS duration is 6.2 (±1.1) days 42 (no studies reporting on the duration of BPD/BIPS).…”

Section: Duration Of Symptomsmentioning

confidence: 99%

Diagnosis, prognosis, and treatment of brief psychotic episodes: a review and research agenda

Fusar‐Poli¹,

Pablo²,

Rajkumar³

et al. 2022

The Lancet Psychiatry

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Stressful Life Events in Onset of First Episode of Acute and Transient Psychotic Disorder

Lamba¹,

Mahawar²,

Verma³

et al. 2016

AIMDR

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Background: Acute and transient psychotic disorder (ATPD) characterized by acute onset of polymorphic psychotic symptomatology and rapid resolution. The aim of this study was to identify the role of stressful life events among patients with ATPD. Methods: The study included 50 patients attending psychiatric OPD and admitted patients in psychiatric wards, at a tertiary care center of Rajasthan, India who were clinically screened for acute and transient psychotic disorder. The patients, suggestive of suffering from ATPD, were thoroughly evaluated for the diagnosis by using ICD-10 criteria for the ATPD and the diagnosis confirmed by a consultant psychiatrist. All the participants were subjected to presumptive stressful life event scale (PSLE) for assessing the role of stressful life events among patients with ATPD. Results: Out of fifty patients, 58% were female and 42% were male. 82% patients were experienced stressful life events before the onset of first episode of acute and transient psychotic disorder. Female experience more stress in areas like death or illness of a family member, marriage or engagement, violence. Whereas male were experienced more stress in areas like marital and family conflicts, financial or occupational problem.Conclusion: Present study highlights that the stressful life events have substantial relationship with the onset of acute and transient psychotic disorder.

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

Cited by 3 publications

References 5 publications

Acute and transient psychotic disorders: A review of Indian research

Acute and transient psychotic disorders: A review of Indian research

Diagnosis, prognosis, and treatment of brief psychotic episodes: a review and research agenda

Stressful Life Events in Onset of First Episode of Acute and Transient Psychotic Disorder

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