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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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