Is the psychopathology of acute and transient psychotic disorder different from schizophrenic and schizoaffective disorders?

Marneros, Andreas; Pillmann, Frank; Haring, Annette; Balzuweit, Sabine; Blöink, Raffaela

doi:10.1016/j.eurpsy.2005.02.001

Cited by 42 publications

(38 citation statements)

References 27 publications

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“…Delusion of misidentification was seen in 38% patients. 19 No significant association was found in the present study between the positive and negative syndrome scale (PANSS) score and the general psychopathology scores and the acute and transient psychotic disorder subgroups.…”

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confidence: 41%

Short-term outcome in acute and transient psychotic disorder and its correlate to various sociobiological factors

Chandak

Gowda

2017

Int J Adv Med

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Background: There is a higher incidence of acute and transient psychotic disorder, however there are not much data on the course of disease and its association with sociobiological factors. We assessed the outcome in patients who met the ICD 10 DCR criteria for acute and transient psychotic disorder, at a follow up period of 6 months. Methods: We conducted a prospective observational study conducted at out-patient department of the Institute of Psychiatry and Human Behaviour, Bambolim, Goa. Fifty-seven patients were enrolled and were followed up for a period of 6 months from the day of enrollment. The outcome was 'review of diagnosis and 'no review of diagnosis at the end of 6 months. Results:The mean age of the study sample was 32.25 years. In three-fourth of the patients, there was no change in the diagnosis. Nearly 65% of the patients were women and 35% of them were men. No review in diagnosis was made in significant proportion of the population. Average duration of education was 7.35 years. Most of them were unskilled laborers and homemakers. A significant number of the study population was migrants. Two-third of the population did not have any family history of psychiatric disorder. The onset was acute in majority of the patients. Suicidal thoughts were present at the time of diagnosis in certain patients. The treatment adherence was lower in those whose diagnoses did not change at the end of 6 months. Sleep disturbances, ideas of persecution, and concentration difficulties were the frequently reported symptoms.No repeat episodes were noted in our study.

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confidence: 41%

Short-term outcome in acute and transient psychotic disorder and its correlate to various sociobiological factors

Chandak

Gowda

2017

Int J Adv Med

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“…Major shortcomings of such contemporary diagnostic systems are indicated by the striking lack of diagnostic stability of categories for acute psychoses over long-term follow-up. We propose that the cycloid psychosis concept may offer a useful alternative for some acute, good-prognosis psychotic disorders that are now very 76 Mojtabai, 85 Peralta and Cuesta, 32,35,98 and Marneros 34 and their colleagues, as well as on ICD-10 29 and DSM-IV. 30 difficult to classify meaningfully.…”

Section: Discussionmentioning

confidence: 98%

“…80 Only one study 93 prospectively investigated the concordance of ICD-10 acute and transient psychotic disorders and the cycloid psychoses, finding that more than half (54.8%) of 42 ATPD subjects also met University of Umeå criteria for cycloid psychosis (see text box). Marneros and collaborators 34 found that ICD-10 diagnostic features differentiated ATPD from schizophrenia and schizoaffective disorders, with high concordance to classic descriptions of cycloid psychoses, especially Leonhard's anxiety-elation type. Important features included shifting delusional themes (ideas of reference, persecution, religion, grandiosity, guilt, and misidentification), rich and complex hallucinations, and rapid fluctuation between anxietyagitation and ecstatic-excitement.…”

Section: Relationships To Other Modern Diagnosesmentioning

confidence: 89%

Cycloid Psychoses Revisited: Case Reports, Literature Review, and Commentary

Salvatore

Bhuvaneswar

Ebert

et al. 2008

Harvard Review of Psychiatry

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Emil Kraepelin proposed to separate psychiatric disorders with psychotic features into two major categories, dementia praecox (later schizophrenia) and manic-depressive insanity (later bipolar disorder and major depression). Over the past century, there have been many efforts to categorize conditions that do not fit readily in either group. These conditions include many cases of acute psychotic illnesses of limited duration, with recovery between recurrences. For some of these conditions, Karl Kleist proposed the term cycloid psychosis: acute features were psychotic, as in schizophrenia, but the course was episodic, as in manic-depression. His concept was later elaborated by Karl Leonhard and Carlo Perris, and validated by modern studies. Leonhard described three overlapping cycloid subtypes (anxiety-beatific, excited-inhibited confusional, and hyperkinetic-akinetic motility dysfunction forms); Perris proposed a more unitary syndrome with operational diagnostic criteria; and recent investigators have considered relatively affective versus thought-disordered subtypes. The cycloid concept is not explicitly included in standard international diagnostic schemes, but both DSM-IV and ICD-10 have broad categories for acute, recurrent psychotic disorders, whose validity remains insecure. We present two cases of probable cycloid psychosis, review the history of the concept, and propose that it be reconsidered as a clinically useful category whose validity and utility for prognosis and treatment can be further tested.

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“…Im Vergleich zu einem selektierten Kollektiv schizophrener Patienten mit überwiegender Positivsymptomatik finden sich bei Patienten mit AVPS seltener Halluzinationen, dafür jedoch häu-figer Angst sowie schnell wechselnde Affekte und Wahnthemen [17]. Verglichen mit der Querschnittsymptomatik von bipolar schizoaffektiven Störungen zeigen die AVPS ebenfalls häufiger Angst sowie schnell wechselnde Affekte und Wahnthemen [17].…”

Section: Psychopathologische Querschnittsymptomatikunclassified

“…Verglichen mit der Querschnittsymptomatik von bipolar schizoaffektiven Störungen zeigen die AVPS ebenfalls häufiger Angst sowie schnell wechselnde Affekte und Wahnthemen [17]. Diese Befunde sind gut mit den historischen Konzepten der "zykloiden Psychosen" und der "bouffée délirante" in Einklang zu bringen, bei denen ebenfalls ein schneller Wechsel der Symptomatik beschrieben wurde [21,22].…”

Section: Psychopathologische Querschnittsymptomatikunclassified

Akute vorübergehende psychotische Störungen (ICD-10: F23)

2007

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The defining clinical features of acute and transient psychotic disorders (ICD-10: F23) are an acute onset and a duration of psychotic symptoms not exceeding 1-3 months. Previous empirical investigations show that patients with this diagnosis have a favourable prognosis, but also a high risk of relapses (58-77%). The diagnostic stability in the further course of illness seems to be low (34-73%) with a frequent diagnostic change to schizophrenia and affective disorders being observed. As yet, data from controlled clinical trials regarding therapy do not exist. The implications for the treatment of acute and transient psychotic disorders are discussed with this background.

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Is the psychopathology of acute and transient psychotic disorder different from schizophrenic and schizoaffective disorders?

Abstract: ATPD show a characteristic psychopathological picture consistent with earlier concepts such as cycloid psychoses and bouffée délirante. Nevertheless, psychopathology alone is not enough to establish ATPD as an independent nosological entity.

Cited by 42 publications

References 27 publications

Short-term outcome in acute and transient psychotic disorder and its correlate to various sociobiological factors

Short-term outcome in acute and transient psychotic disorder and its correlate to various sociobiological factors

Cycloid Psychoses Revisited: Case Reports, Literature Review, and Commentary

Akute vorübergehende psychotische Störungen (ICD-10: F23)

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