Outcome of acute and transient psychotic disorder in an index episode: A study from a tertiary care centre in North India

Asian J Psychiatr. 2017 Feb:25:101-105. doi: 10.1016/j.ajp.2016.10.018. Epub 2016 Oct 26.

Abstract

Background: Acute and Transient Psychotic Disorder (ATPD) is a psychotic disorder of brief duration with acute onset and uncertain diagnostic stability.

Aim: To study the diagnostic stability of ATPD during the index episode.

Method: 140 patients diagnosed with ATPD as per ICD-10, attending a tertiary care hospital in North India were evaluated at follow ups.

Results: Other acute and transient psychotic disorder (ICD10: F23.8) was the most common (69.3%) subtype of ATPD. In 14.28% patients, there was a past episode of ATPD. In our study, 66.3% patient's episodes resolved as ATPD, 32.7% patients converted into either a mood disorder or schizophrenia spectrum disorders.

Conclusion: The diagnostic stability of ATPD during the index episode was 66.3% during three months follow up period. Nearly two third of patients with ATPD evolve to either, schizophrenia or mood disorders during the index episode.

Keywords: Acute transient psychotic disorder; Diagnostic stability; Outcome.

MeSH terms

  • Acute Disease
  • Adolescent
  • Adult
  • Disease Progression
  • Female
  • Follow-Up Studies
  • Humans
  • India / epidemiology
  • Male
  • Outcome Assessment, Health Care*
  • Psychotic Disorders* / diagnosis
  • Psychotic Disorders* / epidemiology
  • Psychotic Disorders* / therapy
  • Tertiary Care Centers
  • Young Adult