Clinical features and outcomes in acute psychosis: A retrospective hospital-based study in rural patients of central India
Background: Acute and transient psychotic disorder (ATPD) is a distinct diagnostic category (F23) in ICD-10 which includes non-schizophrenic and non-affective psychoses following a transient course. The clinical features, diagnostic stability, and epidemiology of ATPD have not been adequately explor...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Industrial Psychiatry Journal |
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| Online Access: | http://www.industrialpsychiatry.org/article.asp?issn=0972-6748;year=2023;volume=32;issue=2;spage=297;epage=301;aulast=Mishra |
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| author | Kshirod K Mishra Vrushti Patil Harshal S Sathe Ahmed M Reshamvala |
| author_facet | Kshirod K Mishra Vrushti Patil Harshal S Sathe Ahmed M Reshamvala |
| author_sort | Kshirod K Mishra |
| collection | DOAJ |
| description | Background: Acute and transient psychotic disorder (ATPD) is a distinct diagnostic category (F23) in ICD-10 which includes non-schizophrenic and non-affective psychoses following a transient course. The clinical features, diagnostic stability, and epidemiology of ATPD have not been adequately explored in the developing countries. The aim was to explore the socio-demographic and clinical characteristics of ATPD as well as examine the diagnostic stability and longitudinal revisions in the diagnosis of ATPD. Material and Methods: An observational retrospective study based on 10-year OPD records of ATPD patients was conducted in a tertiary health care center after ethics committee approval. A total of 120 patient records were analyzed for socio-demographic data, clinical symptoms, mental status examination findings, diagnosis on the first visit, and subsequent revisions in the diagnosis. Results: The mean age of ATPD patients was 31.8 (±11.73) years. Delusion was the most common psychiatric symptom in ATPD patients followed by abnormal speech, hallucinations, and disorganized behavior. Antecedent psychosocial stressors were found in 44.2% cases. More than half of ATPD patients (51%) followed up after initial symptom remission and were diagnosed with chronic mental illnesses (schizophrenia or bipolar affective disorder). The ATPD patients experiencing a stressor at the onset of illness were less likely to develop chronic mental illness compared to the ones who did not have antecedent stressors. Conclusion: Irrespective of the genetic and phenomenological distinctiveness of ATPD, which has led to its inclusion as a separate diagnostic category in ICD-10, ATPD is an unstable diagnosis. |
| first_indexed | 2024-04-24T19:25:35Z |
| format | Article |
| id | doaj.art-aef4f38bfb2441839855cced600f9405 |
| institution | Directory Open Access Journal |
| issn | 0972-6748 0976-2795 |
| language | English |
| last_indexed | 2024-04-24T19:25:35Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Industrial Psychiatry Journal |
| spelling | doaj.art-aef4f38bfb2441839855cced600f94052024-03-25T15:40:36ZengWolters Kluwer Medknow PublicationsIndustrial Psychiatry Journal0972-67480976-27952023-01-0132229730110.4103/ipj.ipj_139_22Clinical features and outcomes in acute psychosis: A retrospective hospital-based study in rural patients of central IndiaKshirod K MishraVrushti PatilHarshal S SatheAhmed M ReshamvalaBackground: Acute and transient psychotic disorder (ATPD) is a distinct diagnostic category (F23) in ICD-10 which includes non-schizophrenic and non-affective psychoses following a transient course. The clinical features, diagnostic stability, and epidemiology of ATPD have not been adequately explored in the developing countries. The aim was to explore the socio-demographic and clinical characteristics of ATPD as well as examine the diagnostic stability and longitudinal revisions in the diagnosis of ATPD. Material and Methods: An observational retrospective study based on 10-year OPD records of ATPD patients was conducted in a tertiary health care center after ethics committee approval. A total of 120 patient records were analyzed for socio-demographic data, clinical symptoms, mental status examination findings, diagnosis on the first visit, and subsequent revisions in the diagnosis. Results: The mean age of ATPD patients was 31.8 (±11.73) years. Delusion was the most common psychiatric symptom in ATPD patients followed by abnormal speech, hallucinations, and disorganized behavior. Antecedent psychosocial stressors were found in 44.2% cases. More than half of ATPD patients (51%) followed up after initial symptom remission and were diagnosed with chronic mental illnesses (schizophrenia or bipolar affective disorder). The ATPD patients experiencing a stressor at the onset of illness were less likely to develop chronic mental illness compared to the ones who did not have antecedent stressors. Conclusion: Irrespective of the genetic and phenomenological distinctiveness of ATPD, which has led to its inclusion as a separate diagnostic category in ICD-10, ATPD is an unstable diagnosis.http://www.industrialpsychiatry.org/article.asp?issn=0972-6748;year=2023;volume=32;issue=2;spage=297;epage=301;aulast=Mishraatpddiagnostic stabilityretrospectiverevision in diagnosisrural |
| spellingShingle | Kshirod K Mishra Vrushti Patil Harshal S Sathe Ahmed M Reshamvala Clinical features and outcomes in acute psychosis: A retrospective hospital-based study in rural patients of central India Industrial Psychiatry Journal atpd diagnostic stability retrospective revision in diagnosis rural |
| title | Clinical features and outcomes in acute psychosis: A retrospective hospital-based study in rural patients of central India |
| title_full | Clinical features and outcomes in acute psychosis: A retrospective hospital-based study in rural patients of central India |
| title_fullStr | Clinical features and outcomes in acute psychosis: A retrospective hospital-based study in rural patients of central India |
| title_full_unstemmed | Clinical features and outcomes in acute psychosis: A retrospective hospital-based study in rural patients of central India |
| title_short | Clinical features and outcomes in acute psychosis: A retrospective hospital-based study in rural patients of central India |
| title_sort | clinical features and outcomes in acute psychosis a retrospective hospital based study in rural patients of central india |
| topic | atpd diagnostic stability retrospective revision in diagnosis rural |
| url | http://www.industrialpsychiatry.org/article.asp?issn=0972-6748;year=2023;volume=32;issue=2;spage=297;epage=301;aulast=Mishra |
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