Variations in incidence and age of onset of acute and transient psychotic disorders
| Autor: | Augusto Castagnini, Leslie Foldager |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Pediatrics Bipolar Disorder Time Factors Health (social science) Adolescent Social Psychology Epidemiology Denmark Poison control Delusions Young Adult Age Distribution International Classification of Diseases mental disorders medicine Humans Registries Age of Onset Sex Distribution Young adult Psychiatry Schizophrenia Paranoid business.industry Incidence Incidence (epidemiology) Brief psychotic disorder ICD-10 Middle Aged medicine.disease Psychiatry and Mental health Psychotic Disorders Schizophrenia Acute Disease Female Age of onset business |
| Zdroj: | Castagnini, A & Foldager, L 2013, ' Variations in incidence rates and age of onset of acute and transient psychotic disorders ', Social Psychiatry and Psychiatric Epidemiology, vol. 48, no. 12, pp. 1917-1922 . https://doi.org/10.1007/s00127-013-0726-7 |
| ISSN: | 1433-9285 0933-7954 |
| Popis: | Purpose: To determine incidence and age of onset of the ICD-10 category of ‘acute and transient psychotic disorders’ (ATPDs) characterised by subtypes with polymorphic, schizophrenic and predominantly delusional symptoms, pointing out differences from schizophrenia (SZ) and bipolar affective disorder (BD). Methods: We identified all subjects aged 15–64 years who were listed for the first time in the Danish Psychiatric Register with a diagnosis of ATPDs (n = 3,350), SZ (n = 4,576) and BD (n = 3,200) in 1995–2008. Incidence rates and rate ratios (IRR; 95 % confidence interval) by gender and age were calculated. Results: The incidence of ATPDs was 6.7 per 100,000 person-years, similarly high for both genders (IRR 1.0; 0.9–1.1). Among the ATPD subtypes, polymorphic psychotic disorder was more common in females (IRR 1.4; 1.2–1.6) as opposed to those featuring schizophrenic symptoms, which tended to occur in younger males (IRR 1.4; 1.2–1.7). No significant gender difference was found for acute predominantly delusional disorder (IRR 1.0; 0.9–1.2), which had a later onset than any ATPD subtypes. SZ had an incidence twice as high in males (IRR 2.0; 1.9–2.2), and an earlier age of onset than ATPDs. A different pattern was observed for BD in terms of a slightly greater incidence in females (IRR 1.1; 1.0–1.1), and a later age of onset than both ATPDs and SZ. Conclusion: These findings are likely to reflect the heterogeneity of the clinical features encompassed by ATPDs, and contribute to building a case for their revision in ICD-11. |
| Databáze: | OpenAIRE |
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