Skip to main content Accessibility help
×
Home

Long-term course of acute brief psychosis in a developing country setting

  • Ezra Susser (a1), Vijoy K. Varma (a2), S. K. Mattoo (a2), Molly Finnerty (a1), Ramin Mojtabai (a1), B. M. Tripathi (a2), Arun K. Misra (a2) and N. N. Wig (a2)...

Abstract

Background

This study in North India compared acute brief psychosis – defined by acute onset, brief duration and no early relapse – with other remitting psychoses, over a 12-year course and outcome.

Method

In a cohort of incident psychoses, we identified 20 cases of acute brief psychosis and a comparison group of 43 other remitting psychoses based on two-year follow-up. Seventeen people (85%) in the acute brief psychosis group and 36 (84%) in the comparison group were reassessed at five, seven and 12 years after onset, and were rediagnosed using ICD–10 criteria.

Results

At 12-year follow-up, the proportion with remaining signs of illness was 6% (n=1) for acute brief psychosis versus 50% (n=18) for the comparison group (P=0.002). Using ICD–10 criteria, the majority in both groups were diagnosed as having schizophrenia.

Conclusions

Acute brief psychosis has a distinctive and benign long-term course when compared with other remitting psychoses. This finding supports the ICD– 10 concept of a separable group of acute and transient psychotic disorders. To effectively separate this group, however, the ICD–10 criteria need modification.

Copyright

Corresponding author

Ezra Susser, Box 24, New York State Psychiatric Institute, 722 West 168 Street, New York, NY 10032, USA. Tel: 212-740-6316. Fax: 212-795-9768. E-mail: ess8@columbia.edu

References

Hide All
Andreasen, N. C. & Olsen, S. (1982) Negative versus positive schizophrenia: Definition and validation. Archives of General Psychiatry, 39, 789794.
Cutting, J. (1990) Relationship between cycloid psychosis and typical affective psychosis. Psychopathology, 23, 212219.
Fleiss, J. L. (1981) Statistical Methods for Rates and Proportions. (2nd edn). New York: John Wiley and Sons.
Fogelson, D. L. Cohen, B. M. & Pope, H. G. Jr (1982) A study of DSM–III schizophreniform disorder. American Journal of Psychiatry, 139, 12811285.
Gilbert, P. L. Harris, M. J. McAdams, L. A. et al (1995) Neuroleptic withdrawal in schizophrenic patients: A review of literature. Archives of General Psychiatry 52, 173188.
Guineas, E. A. (1992) Brief reactive psychosis and the major functional psychoses: descriptive case studies in Africa. British Journal of Psychiatry, 160 (suppl. 16), 2441.
Jablensky, A. Sartorius, N. Ernberg, G. et al (1992) Schizophrenia: Manifestations, Incidence and Course in Different Cultures. A World Health Organization Ten Country Study Psychological Medicine Monograph Supplement 20. Cambridge: Cambridge University Press.
Jorgensen, P. Bennedsen, B. Christensen, J. et al (1997) Acute and transient psychotic disorder: A one-year follow-up study. Acta Psychiatrica Scandinavica, 96, 150154.
Lambo, T. A. (1960) Further neuropsychiatric observations in Nigeria with comments on the need for epidemiological study in Africa. British Medical Journal, ii, 1965–1704.
Leonhard, K. (1961) Cycloid psychoses–endogenous psychoses which are neither schizophrenic nor manic-depressive. Journal of Mental Science, 197, 633648.
Menuck, M. Legault, S. Schmidt, P. et al (1989) The nosologic status of the remitting atypical psychoses. Comprehensive Psychiatry 30, 5373.
Pichot, P. (1986) The concept of “bouffée délirante” with special reference to the Scandinavian concept of reactive psychosis. Psychopathology, 19, 3543.
Strömgren, E. (1974) Psychogenic psychoses. In Themes and Variations in European Psychiatry (eds Hirsh, S. R. & Shepherd, M.), pp. 97117. Charlottesville, VA: University Press of Virginia.
Susser, E. & Wanderling, J. (1994) Epidemiology of non-affective acute remitting psychosis v. schizophrenia: Sex and sociocultural setting. Archives of General Psychiatry, 51, 294301.
Susser, E. Fenning, S. Jandorf, L. et al (1995 a) Epidemiology, diagnosis and course of brief psychoses. American Journal of Psychiatry, 152, 17431748.
Susser, E. Varma, V. K. Malhotra, S. et al (1995 b) Delineation of acute and transient psychotic disorder in a developing country setting. British Journal of Psychiatry 167, 216219.
Susser, E. Finnerty, M. T. & Sohler, N. (1996) Acute brief psychosis: A diagnosis for ICD–II and DSM–V. Psychiatric Quarterly, 67, 165176.
Wig, N. N. & Singh, G. (1967) A proposed classification of psychiatric disorders for use in India. Indian Journal of Psychiatry, 9, 158171.
Wig, N. N. Varma, B. K. Mattoo, P. B. et al (1993) An Incidence Study of Schizophrenia in India. Indian Journal of Psychiatry, 35, 1117.
Wimmer, A. (1916) Psykogene Sindssygdomsformer. In St. Hans Hospital 1816–1916 Jubilee Publication, pp. 85216. Copenhagen: Gad.
Wing, J. K. Cooper, J. E. & Sartorious, N. (1974) The Measurement and Classification of Psychiatric Symptoms. London: Cambridge University Press.
World Health Organization (1988) Psychiatric Disability Assessment Schedule. Geneva: WHO.
World Health Organization (1992) The ICD–10 Classification of Mental and Behavioural Disorders, pp. 7176. Geneva: WHO.

Long-term course of acute brief psychosis in a developing country setting

  • Ezra Susser (a1), Vijoy K. Varma (a2), S. K. Mattoo (a2), Molly Finnerty (a1), Ramin Mojtabai (a1), B. M. Tripathi (a2), Arun K. Misra (a2) and N. N. Wig (a2)...

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

Long-term course of acute brief psychosis in a developing country setting

  • Ezra Susser (a1), Vijoy K. Varma (a2), S. K. Mattoo (a2), Molly Finnerty (a1), Ramin Mojtabai (a1), B. M. Tripathi (a2), Arun K. Misra (a2) and N. N. Wig (a2)...
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *