Skip to main content Accessibility help
×
Home

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

  • Andreas Marneros (a1), Frank Pillmann (a1), Annette Haring (a1), Sabine Balzuweit (a1) and Raffaela Blöink (a1)...

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.

Copyright

Corresponding author

*Corresponding author. Tel.: +49 345 557 3651; fax: +49 345 557 3607. E-mail address: andreas.marneros@medizin.uni-halle.de (A. Marneros).

References

Hide All
[1]Andreasen, NCNegative symptoms in schizophrenia. Arch Gen Psychiatry 1982;39:784788.
[2]Baumann, U, Stieglitz, RDTestmanual zum AMDP-System. Berlin: Springer; 1983.
[3]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;7:6870.
[4]Bobon, DThe AMDP-system in pharmacopsychiatry. Basel: Karger; 1983.
[5]Cooper, J, Sartorius, NCultural and temporal variations in schizophrenia: a speculation on the importance of industrialization. Br J Psychiatry 1977;130:5055.
[6]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.
[7]Cornblatt, BA, Lencz, T, Kane, JMTreatment of the schizophrenia prodrome: is it presently ethical?. Schizophr Res 2001;51:3138.
[8]Gaebel, W, Jänner, M, Frommann, N, Pietzcker, A, Köpcke, W, Linden, Met al.Prodromal states in schizophrenia. Compr Psychiatry 2000;41:7685.
[9]Gross, G, Huber, G, Klosterkötter, J, Linz, MBonn scale for the assessment of basic symptoms. Berlin, Heidelberg, New York: Springer; 1987.
[10]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;20:197.
[11]Jung, E, Krumm, B, Biehl, H, Maurer, K, Bauer-Schubart, CMannheimer Skala zur Einschätzung sozialer Behinderung, DAS-M. Weinheim: Beltz; 1989.
[12]Leonhard, KCycloid psychoses—endogenous psychoses which are neither schizophrenic nor manic-depressive. J Ment Sci 1961;107:633648.
[13]Leonhard, KDie Aufteilung der endogenen Psychosen. 1. Auflage. Berlin: Akademie-Verlag; 1957.
[14]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;24:133144.
[15]Marneros, A, Pillmann, FAcute and transient psychoses. Cambridge: Cambridge University Press; 2004.
[16]Marneros, A, Deister, A, Rohde, A(English abstract) Affektive, schizoaffektive und schizophrene Psychosen. Berlin: Springer; 1991.
[17]Marneros, A, Pillmann, F, Haring, A, Balzuweit, SDie akuten vorübergehenden psychotischen Störungen. Fortschr Neurol Psychiatr 2000 68(Suppl 1):S22SS5.
[18]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;36:165171.
[19]Marneros, A, Pillmann, F, Balzuweit, S, Blöink, R, Haring, AWhat is schizophrenic in ATPD?. Schizophr Bull 2003;29:311323.
[20]McGorry, PD, Yung, A, Phillips, LEthics and early intervention in psychosis: keeping up the pace and staying in step. Schizophr Res 2001;51:1729.
[21]Mundt, CPsychotic continuum or distinct entities: perspectives from psychopathology. In: Marneros, A, Andreasen, NC, Tsuang, MTPsychotic continuum. Berlin: Heidelberg, New York: Springer; 1995. 715.
[22]Okasha, A, El Dawla, AS, Khalil, AH, Saad, APresentation of acute psychosis in an Egyptian sample: a transcultural comparison. Compr Psychiatry 1993;34:49.
[23]Perris, CThe case for the independence of cycloid psychotic disorder from the schizoaffective disorders. In: Marneros, A, Tsuang, MTSchizoaffective psychoses. Berlin, Heidelberg: Springer; 1986. 272308.
[24]Pillmann, F, Marneros, ABrief and acute psychoses: the development of concepts. Hist Psychiatry 2003;14:161177.
[25]Pillmann, F, Haring, A, Balzuweit, S, Marneros, AConcordance of acute and transient psychotic disorders and cycloid psychoses. Psychopathology. 2001;34:305311.
[26]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;32:525533.
[27]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;152:14271437.
[28]Stevens, JBrief psychoses: do they contribute to the good prognosis and equal prevalence of schizophrenia in developing countries?. Br J Psychiatry 1987;151:393396.
[29]Susser, E, Wanderling, JEpidemiology of nonaffective acute remitting psychosis vs. schizophrenia: sex and sociocultural setting. Arch Gen Psychiatry 1994;51:294301.
[30]van Gülick-Bailer, M, Maurer, K, Häfner, HSchedules for clinical assessment in neuropsychiatry. Bern: Huber; 1995.
[31]Wing, JK, Cooper, JE, Sartorius, NThe measurement and classification of psychiatric symptoms. London: Cambrigde University Press; 1974.
[32]WHO The ICD-10 classification of mental and behavioral disorders: clinical descriptions and diagnostic guidelines. Geneva: WHO; 1992.
[33]WHO The ICD-10 classification of mental and behavioral disorders: diagnostic criteria for research Geneva: WHO; 1993.

Keywords

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

  • Andreas Marneros (a1), Frank Pillmann (a1), Annette Haring (a1), Sabine Balzuweit (a1) and Raffaela Blöink (a1)...

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed.

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

  • Andreas Marneros (a1), Frank Pillmann (a1), Annette Haring (a1), Sabine Balzuweit (a1) and Raffaela Blöink (a1)...
Submit a response

Comments

No Comments have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *