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9 - Acute and transient psychotic disorder: an atypical bipolar disorder?

Published online by Cambridge University Press:  10 August 2009

By
Andreas Marneros ,
Frank Pillmann ,
Stephan Röttig ,
Andrea Wenzel  and
Raffaela Blöink
Edited by
Andreas Marneros  and
Frederick Goodwin
Andreas Marneros
Affiliation:
Martin-Luther University Halle-Wittenberg Halle Germany
Frank Pillmann
Affiliation:
Martin-Luther University Halle-Wittenberg Halle Germany
Stephan Röttig
Affiliation:
Martin-Luther University Halle-Wittenberg Halle Germany
Andrea Wenzel
Affiliation:
Martin-Luther University Halle-Wittenberg Halle Germany
Andreas Marneros
Affiliation:
Martin Luther-Universität Halle-Wittenburg, Germany
Frederick Goodwin
Affiliation:
George Washington University, Washington DC
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Summary

Introduction

Karl Kleist, the main creator of the concept of “cycloid psychoses,” wrote in 1928 that many of the cases allocated by Kraepelin into the group of “mixed states” would better be described as “cycloid psychoses.” In Kleist's opinion, cycloid psychoses are bipolar disorders, but do not belong to the category of manic-depressive insanity (Kleist, 1928, 1953). Cycloid psychoses are the essential component of what the World Health Organization (WHO, 1992) defined as “acute and transient psychotic disorder (ATPD)” (ICD-10 F23). We investigated the ATPD by carrying out the Halle Study on Brief and Acute Psychotic Disorder (HASBAP), which is a longitudinal comparative study (Marneros et al., 2000, 2002; Pillmann et al., 2001; 2002a, b; Marneros and Pillmann, 2004). The HASBAP compares patients with acute and transient psychotic disorders with patients diagnosed as having schizophrenia or bipolar schizoaffective disorder, as well as with a mentally healthy control group. In a further step, we now combine the findings of HASBAP with the findings of the Halle Bipolarity Longitudinal Study (HABILOS), already presented in Chapter 1. In this chapter, we longitudinally compare patients diagnosed as having ATPD from the HASBAP with patients diagnosed as having affective or schizoaffective mixed states belonging to the HABILOS group.

Definitions of acute and transient psychotic disorders

As ATPD (ICD-10 F23), the WHO defines psychotic states having an acute or abrupt onset, usually a good prognosis, and typical symptoms. They may or may not be associated with acute stress (Table 9.1).

Keywords

acute and transient psychotic disorderbipolar schizoaffective mixed statesbouffée délirantecycloid psychosesHalle bipolarity longitudinal studyHASBAP
Type
Chapter
Information
Bipolar Disorders
Mixed States, Rapid Cycling and Atypical Forms
 , pp. 207 - 236
Publisher: Cambridge University Press
Print publication year: 2005

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