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

Published online by Cambridge University Press:  16 April 2020

Andreas Marneros ,
Frank Pillmann ,
Annette Haring ,
Sabine Balzuweit  and
Raffaela Blöink
Andreas Marneros*
Affiliation:
Department of Psychiatry and Psychotherapy, Martin Luther University of Halle-Wittenberg, 06097Halle, Germany
Frank Pillmann
Affiliation:
Department of Psychiatry and Psychotherapy, Martin Luther University of Halle-Wittenberg, 06097Halle, Germany
Annette Haring
Affiliation:
Department of Psychiatry and Psychotherapy, Martin Luther University of Halle-Wittenberg, 06097Halle, Germany
Sabine Balzuweit
Affiliation:
Department of Psychiatry and Psychotherapy, Martin Luther University of Halle-Wittenberg, 06097Halle, Germany
Raffaela Blöink
Affiliation:
Department of Psychiatry and Psychotherapy, Martin Luther University of Halle-Wittenberg, 06097Halle, Germany
*
*Corresponding author. Tel.: +49 345 557 3651; fax: +49 345 557 3607. E-mail address: [email protected] (A. Marneros).
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Abstract

Objective

This study explores psychopathological aspects of acute and transient psychotic disorders (ATPD), a diagnostic category introduced with ICD-10, to elucidate its relationship with schizophrenia and schizoaffective psychoses.

Methods

We recruited all consecutive inpatients fulfilling the ICD-10 criteria of ATPD (F23) during a 5-year period as well as control groups with “positive” schizophrenia (PS) and bipolar schizoaffective disorder (BSAD) matched for gender and age at index episode. For the evaluation of psychopathological parameters during index episode a standardized symptom list was used. Prepsychotic (prodromal) symptoms were also assessed.

Results

During the prepsychotic period few differences between the groups were detected. The most important difference between ATPD and the other two other psychotic disorders regarding phenomenology of the full-blown episodes was a higher frequency of “rapidly changing delusional topics”, “rapidly changing mood” and anxiety in ATPD.

Conclusion

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.

Keywords

Acute and transient psychotic disordersSchizophreniaBipolar schizoaffective disorderPsychopathologyProdromal
Type
Original article
Information
European Psychiatry , Volume 20 , Issue 4 , June 2005 , pp. 315 - 320
Copyright
Copyright © Elsevier SAS 2005

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References

Andreasen, NCNegative symptoms in schizophrenia. Arch Gen Psychiatry 1982;39:784–788.CrossRefGoogle Scholar
Baumann, U, Stieglitz, RDTestmanual zum AMDP-System. Berlin: Springer; 1983.CrossRefGoogle Scholar
Biehl, H, Maurer, K, Jablensky, A, Cooper, JE, Tomov, TThe WHO psychological impairments rating schedule (WHO/PIRS). I. Introducing a new instrument for rating observed behaviour and the rationale of the psychological impairment concept. Br J Psychiatry Suppl 1989;7:68–70.CrossRefGoogle Scholar
Bobon, DThe AMDP-system in pharmacopsychiatry. Basel: Karger; 1983.Google Scholar
Cooper, J, Sartorius, NCultural and temporal variations in schizophrenia: a speculation on the importance of industrialization. Br J Psychiatry 1977;130:50–55.CrossRefGoogle ScholarPubMed
Cooper, JE, Jablensky, A, Sartorius, NWHO collaborative studies on acute psychoses using the SCAAPS schedule. In: Stefanis, CNPsychiatry: a world-wide perspective, vol. I. New York: Elsevier; 1990.Google Scholar
Cornblatt, BA, Lencz, T, Kane, JMTreatment of the schizophrenia prodrome: is it presently ethical?. Schizophr Res 2001;51:31–38.CrossRefGoogle ScholarPubMed
Gaebel, W, Jänner, M, Frommann, N, Pietzcker, A, Köpcke, W, Linden, Met al.Prodromal states in schizophrenia. Compr Psychiatry 2000;41:76–85.CrossRefGoogle Scholar
Gross, G, Huber, G, Klosterkötter, J, Linz, MBonn scale for the assessment of basic symptoms. Berlin, Heidelberg, New York: Springer; 1987.Google Scholar
Jablensky, A, Sartorius, N, Ernberg, G, Anker, M, Korten, A, Cooper, JEet al.Schizophrenia: manifestations, incidence and course in different cultures. A World Health Organization 10-country study. Psychol Med Monogr Suppl 1992;20:1–97.CrossRefGoogle Scholar
Jung, E, Krumm, B, Biehl, H, Maurer, K, Bauer-Schubart, CMannheimer Skala zur Einschätzung sozialer Behinderung, DAS-M. Weinheim: Beltz; 1989.Google Scholar
Leonhard, KCycloid psychoses—endogenous psychoses which are neither schizophrenic nor manic-depressive. J Ment Sci 1961;107:633–648.CrossRefGoogle ScholarPubMed
Leonhard, KDie Aufteilung der endogenen Psychosen. 1. Auflage. Berlin: Akademie-Verlag; 1957.Google Scholar
Manton, KG, Korten, A, Woodbury, MA, Anker, M, Jablensky, ASymptom profiles of psychiatric disorders based on graded disease classes: an illustration using data from the WHO International Pilot Study of Schizophrenia. Psychol Med 1994;24:133–144.CrossRefGoogle ScholarPubMed
Marneros, A, Pillmann, FAcute and transient psychoses. Cambridge: Cambridge University Press; 2004.CrossRefGoogle Scholar
Marneros, A, Deister, A, Rohde, A(English abstract) Affektive, schizoaffektive und schizophrene Psychosen. Berlin: Springer; 1991.CrossRefGoogle Scholar
Marneros, A, Pillmann, F, Haring, A, Balzuweit, SDie akuten vorübergehenden psychotischen Störungen. Fortschr Neurol Psychiatr 2000 68(Suppl 1):S22–SS5.Google Scholar
Marneros, A, Pillmann, F, Balzuweit, S, Blöink, R, Haring, AThe relation of “acute and transient psychotic disorder” (ICD-10 F23) to bipolar schizoaffective disorder. J Psychiatr Res 2002;36:165–171.CrossRefGoogle Scholar
Marneros, A, Pillmann, F, Balzuweit, S, Blöink, R, Haring, AWhat is schizophrenic in ATPD?. Schizophr Bull 2003;29:311–323.CrossRefGoogle Scholar
McGorry, PD, Yung, A, Phillips, LEthics and early intervention in psychosis: keeping up the pace and staying in step. Schizophr Res 2001;51:17–29.CrossRefGoogle ScholarPubMed
Mundt, CPsychotic continuum or distinct entities: perspectives from psychopathology. In: Marneros, A, Andreasen, NC, Tsuang, MTPsychotic continuum. Berlin: Heidelberg, New York: Springer; 1995. 7–15.CrossRefGoogle Scholar
Okasha, A, El Dawla, AS, Khalil, AH, Saad, APresentation of acute psychosis in an Egyptian sample: a transcultural comparison. Compr Psychiatry 1993;34:4–9.CrossRefGoogle Scholar
Perris, CThe case for the independence of cycloid psychotic disorder from the schizoaffective disorders. In: Marneros, A, Tsuang, MTSchizoaffective psychoses. Berlin, Heidelberg: Springer; 1986. 272–308.CrossRefGoogle Scholar
Pillmann, F, Marneros, ABrief and acute psychoses: the development of concepts. Hist Psychiatry 2003;14:161–177.CrossRefGoogle Scholar
Pillmann, F, Haring, A, Balzuweit, S, Marneros, AConcordance of acute and transient psychotic disorders and cycloid psychoses. Psychopathology. 2001;34:305–311.CrossRefGoogle ScholarPubMed
Pillmann, F, Haring, A, Balzuweit, S, Blöink, R, Marneros, AThe concordance of ICD-10 acute and transient psychosis and DSM-IV brief psychotic disorder. Psychol Med 2002;32:525–533.CrossRefGoogle ScholarPubMed
Sartorius, N, Üstün, TB, Korten, A, Cooper, JE, Van Drimmelen, JProgress toward achieving a common language in psychiatry, II: results from the international field trials of the ICD-10 diagnostic criteria for research for mental and behavioral disorders. Am J Psychiatry 1995;152:1427–1437.Google ScholarPubMed
Stevens, JBrief psychoses: do they contribute to the good prognosis and equal prevalence of schizophrenia in developing countries?. Br J Psychiatry 1987;151:393–396.CrossRefGoogle Scholar
Susser, E, Wanderling, JEpidemiology of nonaffective acute remitting psychosis vs. schizophrenia: sex and sociocultural setting. Arch Gen Psychiatry 1994;51:294–301.CrossRefGoogle ScholarPubMed
van Gülick-Bailer, M, Maurer, K, Häfner, HSchedules for clinical assessment in neuropsychiatry. Bern: Huber; 1995.Google Scholar
Wing, JK, Cooper, JE, Sartorius, NThe measurement and classification of psychiatric symptoms. London: Cambrigde University Press; 1974.Google Scholar
WHO The ICD-10 classification of mental and behavioral disorders: clinical descriptions and diagnostic guidelines. Geneva: WHO; 1992.Google Scholar
WHO The ICD-10 classification of mental and behavioral disorders: diagnostic criteria for research Geneva: WHO; 1993.Google Scholar
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