Isolated high altitude psychosis, delirium at high altitude, and high altitude cerebral edema: are these diagnoses valid?
Psychosis is a psychopathological syndrome that can be triggered or caused by exposure to high altitude (HA). Psychosis can occur alone as isolated HA psychosis or can be associated with other mental and often also somatic symptoms as a feature of delirium. Psychosis can also occur as a symptom of h...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-08-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1221047/full |
| _version_ | 1797754769207459840 |
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| author | Katharina Hüfner Marika Falla Marika Falla Hermann Brugger Hannes Gatterer Giacomo Strapazzon Giacomo Strapazzon Iztok Tomazin Iztok Tomazin Ken Zafren Ken Zafren Barbara Sperner-Unterweger Paolo Fusar-Poli Paolo Fusar-Poli |
| author_facet | Katharina Hüfner Marika Falla Marika Falla Hermann Brugger Hannes Gatterer Giacomo Strapazzon Giacomo Strapazzon Iztok Tomazin Iztok Tomazin Ken Zafren Ken Zafren Barbara Sperner-Unterweger Paolo Fusar-Poli Paolo Fusar-Poli |
| author_sort | Katharina Hüfner |
| collection | DOAJ |
| description | Psychosis is a psychopathological syndrome that can be triggered or caused by exposure to high altitude (HA). Psychosis can occur alone as isolated HA psychosis or can be associated with other mental and often also somatic symptoms as a feature of delirium. Psychosis can also occur as a symptom of high altitude cerebral edema (HACE), a life-threatening condition. It is unclear how psychotic symptoms at HA should be classified into existing diagnostic categories of the most widely used classification systems of mental disorders, including the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) and the International Statistical Classification of Diseases and Related Health Problems (ICD-11). We provide a diagnostic framework for classifying symptoms using the existing diagnostic categories: psychotic condition due to a general medical condition, brief psychotic disorder, delirium, and HACE. We also discuss the potential classification of isolated HA psychosis into those categories. A valid and reproducible classification of symptoms is essential for communication among professionals, ensuring that patients receive optimal treatment, planning further trips to HA for individuals who have experienced psychosis at HA, and advancing research in the field. |
| first_indexed | 2024-03-12T17:38:16Z |
| format | Article |
| id | doaj.art-f2a030bc3f9d41e9a6f1c63b191afa56 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-03-12T17:38:16Z |
| publishDate | 2023-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-f2a030bc3f9d41e9a6f1c63b191afa562023-08-04T09:27:49ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-08-011410.3389/fpsyt.2023.12210471221047Isolated high altitude psychosis, delirium at high altitude, and high altitude cerebral edema: are these diagnoses valid?Katharina Hüfner0Marika Falla1Marika Falla2Hermann Brugger3Hannes Gatterer4Giacomo Strapazzon5Giacomo Strapazzon6Iztok Tomazin7Iztok Tomazin8Ken Zafren9Ken Zafren10Barbara Sperner-Unterweger11Paolo Fusar-Poli12Paolo Fusar-Poli13Division of Psychiatry II, Department of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, Medical University of Innsbruck, Innsbruck, AustriaInstitute of Mountain Emergency Medicine, Eurac Research, Bolzano, ItalyDepartment of Neurology/Stroke Unit, Hospital of Bolzano (SABES-ASDAA), Bolzano, ItalyInstitute of Mountain Emergency Medicine, Eurac Research, Bolzano, ItalyInstitute of Mountain Emergency Medicine, Eurac Research, Bolzano, ItalyInstitute of Mountain Emergency Medicine, Eurac Research, Bolzano, ItalyDepartment of Anesthesia and Intensive Care Medicine, Medical University of Innsbruck, Innsbruck, AustriaDepartment of Family Medicine, Faculty of Medicine, University of Ljubljana, Ljubljana, SloveniaMountain Rescue Association of Slovenia, Kranj, SloveniaDepartment of Emergency Medicine, Stanford University Medical Center, Palo Alto, CA, United StatesDepartment of Emergency Medicine, Alaska Native Medical Center, Anchorage, AK, United StatesDivision of Psychiatry II, Department of Psychiatry, Psychotherapy, Psychosomatics and Medical Psychology, Medical University of Innsbruck, Innsbruck, AustriaDepartment of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom0Department of Brain and Behavioral Sciences, University of Pavia, Pavia, ItalyPsychosis is a psychopathological syndrome that can be triggered or caused by exposure to high altitude (HA). Psychosis can occur alone as isolated HA psychosis or can be associated with other mental and often also somatic symptoms as a feature of delirium. Psychosis can also occur as a symptom of high altitude cerebral edema (HACE), a life-threatening condition. It is unclear how psychotic symptoms at HA should be classified into existing diagnostic categories of the most widely used classification systems of mental disorders, including the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) and the International Statistical Classification of Diseases and Related Health Problems (ICD-11). We provide a diagnostic framework for classifying symptoms using the existing diagnostic categories: psychotic condition due to a general medical condition, brief psychotic disorder, delirium, and HACE. We also discuss the potential classification of isolated HA psychosis into those categories. A valid and reproducible classification of symptoms is essential for communication among professionals, ensuring that patients receive optimal treatment, planning further trips to HA for individuals who have experienced psychosis at HA, and advancing research in the field.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1221047/fullacute mountain sicknessaltitudehigh altitude cerebral edemapsychosisdelirium |
| spellingShingle | Katharina Hüfner Marika Falla Marika Falla Hermann Brugger Hannes Gatterer Giacomo Strapazzon Giacomo Strapazzon Iztok Tomazin Iztok Tomazin Ken Zafren Ken Zafren Barbara Sperner-Unterweger Paolo Fusar-Poli Paolo Fusar-Poli Isolated high altitude psychosis, delirium at high altitude, and high altitude cerebral edema: are these diagnoses valid? Frontiers in Psychiatry acute mountain sickness altitude high altitude cerebral edema psychosis delirium |
| title | Isolated high altitude psychosis, delirium at high altitude, and high altitude cerebral edema: are these diagnoses valid? |
| title_full | Isolated high altitude psychosis, delirium at high altitude, and high altitude cerebral edema: are these diagnoses valid? |
| title_fullStr | Isolated high altitude psychosis, delirium at high altitude, and high altitude cerebral edema: are these diagnoses valid? |
| title_full_unstemmed | Isolated high altitude psychosis, delirium at high altitude, and high altitude cerebral edema: are these diagnoses valid? |
| title_short | Isolated high altitude psychosis, delirium at high altitude, and high altitude cerebral edema: are these diagnoses valid? |
| title_sort | isolated high altitude psychosis delirium at high altitude and high altitude cerebral edema are these diagnoses valid |
| topic | acute mountain sickness altitude high altitude cerebral edema psychosis delirium |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1221047/full |
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