关键词: ATPD Acute and transient psychotic disorders acute psychosis first-episode psychosis prevalence

来  源:   DOI:10.4103/indianjpsychiatry.indianjpsychiatry_254_23   PDF(Pubmed)

Abstract:
UNASSIGNED: Acute and transient psychotic disorder (ATPD) was recognized as separate from other psychotic disorders and described in the International Classification of Diseases (ICD) tenth revision for the first time. A lot of research on ATPD has been conducted in India over the last six decades, but a review focusing exclusively on Indian research on ATPD is not available.
UNASSIGNED: This paper aims to review the literature on ATPD emerging from India.
UNASSIGNED: A combination of search terms \"Acute and Transient Psychosis,\" \"acute psychosis,\" \"non-affective psychosis,\" \"non-affective psychotic disorder,\" \"reactive psychosis,\" \"first-episode psychosis,\" and \"India\" were searched on various search engines like PUBMED, Medknow, Hinari, and Google Scholar. We also did a hand search for additional relevant articles, including published abstracts of the Indian Journal of Psychiatry from 2007 to 2023. Relevant papers were selected.
UNASSIGNED: The prevalence of ATPD varies across different study settings, and it tends to have an abrupt to acute onset, and is primarily associated with stress. Few studies have assessed the subtypes of ATPD, and symptom profile has been inconsistently reported. There is a lack of trials on the effectiveness or efficacy of antipsychotics in ATPD patients. In a large proportion of patients initially diagnosed with ATPD, the diagnosis remains stable, with recurrence varying from 10% to 46.6% based on the duration of follow-up.
UNASSIGNED: There is a need for more multicentric studies, studies with larger sample sizes, and consistency in data about risk factors. There is a need to evaluate symptom profile, course, outcome, and treatment outcomes in patients with ATPD using validated instruments to improve our understanding. Further, there is a need for comparative studies to evaluate the risk factors for ATPD.
摘要:
急性和短暂性精神障碍(ATPD)被认为是与其他精神障碍分开的,并首次在国际疾病分类(ICD)第十次修订版中进行了描述。在过去的六十年中,印度对ATPD进行了许多研究,但是没有专门针对印度ATPD研究的评论。
本文旨在回顾印度出现的ATPD文献。
搜索术语的组合\“急性和短暂性精神病,急性精神病,\"\"非情感性精神病,非情感性精神障碍,“反应性精神病,\"\"首发精神病,“”和“印度”在各种搜索引擎上搜索,如PUBMED,Medknow,Hinari,谷歌学者。我们还手工搜索了其他相关文章,包括2007年至2023年出版的《印度精神病学杂志》摘要。选择了相关论文。
ATPD的患病率因不同的研究环境而异,它往往会突然到急性发作,主要与压力有关。很少有研究评估ATPD的亚型,和症状概况报告不一致。缺乏抗精神病药物在ATPD患者中的有效性或功效的试验。在大部分最初诊断为ATPD的患者中,诊断保持稳定,根据随访时间,复发率从10%到46.6%不等。
需要更多的多中心研究,样本量较大的研究,以及风险因素数据的一致性。有必要评估症状概况,当然,结果,以及使用经过验证的仪器对ATPD患者的治疗结果,以提高我们的理解。Further,有必要进行比较研究以评估ATPD的危险因素.
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