The prognostic role of catatonia, hallucinations, and symptoms of schizophrenia in acute and transient psychosis.

Autor: López-Díaz Á; UGC Salud Mental, Hospital Universitario Virgen Macarena, Sevilla, Spain., Fernández-González JL; UGC Salud Mental, Hospital San Juan de la Cruz, Úbeda, Spain., Lara I; UGC Salud Mental, Hospital Universitario Virgen Macarena, Sevilla, Spain., Crespo-Facorro B; UGC Salud Mental, Hospital Universitario Virgen del Rocío, Sevilla, Spain.; Departamento de Psiquiatría, Universidad de Sevilla, Sevilla, Spain.; Centro de Investigación Biomédica en Red Salud Mental (CIBERSAM), Barcelona, Spain., Ruiz-Veguilla M; UGC Salud Mental, Hospital Universitario Virgen del Rocío, Sevilla, Spain.; Departamento de Psiquiatría, Universidad de Sevilla, Sevilla, Spain.; Centro de Investigación Biomédica en Red Salud Mental (CIBERSAM), Barcelona, Spain.; Instituto de Biomedicina de Sevilla (IBIS), Grupo Psicosis y Neurodesarrollo, Sevilla, Spain.
Jazyk: angličtina
Zdroj: Acta psychiatrica Scandinavica [Acta Psychiatr Scand] 2019 Dec; Vol. 140 (6), pp. 574-585. Date of Electronic Publication: 2019 Sep 08.
DOI: 10.1111/acps.13092
Abstrakt: Objectives: To examine the prospective temporal stability of acute and transient psychotic disorders (ATPDs) and analyze whether there are clinical, psychopathological, or sociodemographic characteristics that predict ATPD diagnostic stability.
Method: We conducted a prospective, 2-year, observational study of patients presenting a first-episode ATPD. A multivariate logistic regression model was developed to identify independent variables associated with ATPD diagnostic stability. Well-established predictive factors of diagnostic stability, as well as all the psychopathological features included in the ICD-10 Diagnostic Criteria for Research (DCR) descriptions of ATPD, were analyzed.
Results: Sixty-eight patients with a first episode of ATPD completed the study with a diagnostic stability rate as high as 55.9% (n = 38) at the end of the follow-up period. Multivariate analysis revealed that diagnostic stability was independently significantly associated with the baseline presence of motility disturbances (OR = 6.86, 95% CI = 1.10-42.62; P = 0.039), the absence of hallucinations (OR = 5.75, 95% CI = 1.51-21.98; P = 0.010), and the absence of schizophrenic features (OR = 7.13, 95% CI = 1.38-36.90; P = 0.019).
Conclusion: A symptom checklist assessing these psychopathological features would enable early identification of those subjects whose initial ATPD diagnosis will remain stable over time.
(© 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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