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Acute psychoses: A proposed diagnosis for ICD-11 and DSM-V

  • Special Section The Acute Psychoses
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Abstract

This paper concerns the diagnostic classification of nonaffective acute remitting psychosis (NARP), which we also term acute brief psychosis. We argue that NARP can be delineated from both schizophrenia and the affective psychoses and considered as a single diagnosis. As indicated by the term NARP, four criteria would be central to the diagnosis: 1. nonaffective, 2. acute onset (over less than two weeks), 3. recovery within a brief duration (less than six months), and 4. psychosis broadly defined. We review the rationale and the empirical evidence for this proposed classification.

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References

  1. Robins E, Guze S. Establishment of diagnostic validity in psychiatric illness: Its application to schizophrenia. American Journal of Psychiatry 126:983–989, 1970.

    Google Scholar 

  2. World Health Organization: International Classification of Diseases, 8th revision, clinical modification. Geneva, World Health Organization, 1967.

    Google Scholar 

  3. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorder, 2nd edition. Washington DC, American Psychiatric Association, 1968.

    Google Scholar 

  4. Menuck M, Legault S, Schmidt P, et al. The nosologic status of the remitting atypical psychoses. Compr Psychiatry 30:53–73, 1989.

    Google Scholar 

  5. Collins P, Malhotra S, Varma V, et al. Psychological and biological aspects of acute brief psychoses in three developing country sites.

  6. Cooper JE, Jablensky A, Sartorius N: WHO collaborative studies on acute psychoses using the SCAAPS schedule, in Psychiatry: A World Perspective, vol. 1. Edited by Stefanis CN, Rabavilas AD, Soldatos CR. Amsterdam, Elsevier Science Publishers, 1990.

    Google Scholar 

  7. Indian Council of Medical Research: Collaborative Study on the Phenomenology and Natural History of Acute Psychosis. New Delhi: Indian Council of Medical Research, 1989.

    Google Scholar 

  8. Jablensky A, Sartorius N, Ernberg G, et al. Schizophrenia: Manifestations, incidence and course in different cultures. A World Health Organization Ten Country Study. Psychological Medicine Monograph Supplement 20:97, 1992.

    Google Scholar 

  9. Susser E, Wanderling J: Epidemiology of nonaffective acute remitting psychosis vs schizophrenia: Sex and sociocultural setting. Archives of General Psychiatry 51: 294–301, 1994.

    Google Scholar 

  10. Susser E, Fennig S, Jandorf L, Amador X, Bromet E. Epidemiology, diagnosis, and course of brief psychoses, in press.

  11. Susser E, Finnerty M, Varma V. Long term follow-up study of NARP. Unpublished manuscript.

  12. Jaspers K. Allegemeine Psychopathologie (General Psychology). Translated by: Hoening J, Hamilton MW, Manchester University Press, 1963.

  13. Langfeld G. The prognosis in schizophrenia and the factors influencing the course of the Disease. Acta Psychiatr Neurol Scand 13 (supplement):1–13, 1937.

    Google Scholar 

  14. Pichot P. The concept of bouffee delirante with special reference to the Scandinavian concept of reactive psychosis. Psychopathology 19:75–43, 1986.

    Google Scholar 

  15. Leonhard K. Cycloid Psychoses—endogenous psychoses which are neither schizophrenic nor manic-depressive. J Ment Sci 197:663–648, 1961.

    Google Scholar 

  16. Lambo TA: Schizophrenia and borderline states, in Transcultural Psychiatry, Ciba Foundation Symposium. Edited by de Reuck PVS, Porter R. London, Churchill, 1965.

    Google Scholar 

  17. Mitsuda H. The concept of atypical psychoses from aspects of clinical genetics. Acta Psychiatry Scand 41:372, 1965.

    Google Scholar 

  18. Wig NN, Singh G. A proposed classification of psychiatric disorders for use in India. Indian Journal of Psychiatry 9:158–171, 1967.

    Google Scholar 

  19. World Health Organization: International Classification of Diseases and Related Health Problems, 9th revision, clinical modification. Geneva, World Health Organization, 1978.

    Google Scholar 

  20. World Health Organization: The International Statistical Classification of Diseases and Related Health Problems, 10th revision. Geneva, World Health Organization, 1992.

    Google Scholar 

  21. Astrup C, Fossum A, Holmboe. A follow-up study of 27 patients with acute affective psychosis. Acta Psychiatr Neurol Scand 34:1–65, 1959 (suppl 135)

    Google Scholar 

  22. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 3rd edition. Washington, DC, American Psychiatric Association, 1980.

    Google Scholar 

  23. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 4th edition. Washington, DC, American Psychiatric Association, 1994.

    Google Scholar 

  24. Susser E, Varma V, Malhotra S, et al. Delineation of acute and transient psychotic disorders in a developing country setting. British Journal of Psychiatry 167: 216–219, 1995.

    Google Scholar 

  25. McCabe MS. Reactive psychosis: A clinical and genetic investigation. Acta Psychiatr Scand 259:1–133, 1975 (suppl).

    Google Scholar 

  26. Fowler RC, McCabe MS, Cadoret RJ, et al: The validity of good prognosis schizophrenia. Archives of General Psychiatry 26:182–185, 1972.

    Google Scholar 

  27. Coryell W, Tsuang MT. DSM-III schizophreniform disorder: Comparisons with schizophrenia and affective disorder. Archives of General Psychiatry 39:66–69, 1982.

    Google Scholar 

  28. McCabe MS, Stromgren E. Reactive psychosis: A family study. Archives of General Psychiatry 32:447–454, 1975.

    Google Scholar 

  29. McCabe MS. Reactive psychoses and schizophrenia with good prognosis. Archives of General Psychiatry 33:571–576, 1976.

    Google Scholar 

  30. McCabe MS, Cadoret RJ: Genetic investigations of atypical psychoses. I. Morbidity in parents and siblings. Comprehensive Psychiatry 17:347–352, 1976.

    Google Scholar 

  31. Tsuang MT Dempsey GM, Rauscher F. A study of “atypical schizophrenia”: Comparison with schizophrenia and affective disorders by sex, age of admission, precipitant, outcome and family history. Archives of General Psychiatry 33:1157–1160, 1976.

    Google Scholar 

  32. Taylor MA, Abrams R. Manic-depression illness and good prognosis schizophrenia. American Journal of Psychiatry 132:741–742, 1975.

    Google Scholar 

  33. Varma V, Brown A, Malhotra S, et al. Course of acute affective disorders in a developing country setting. Acta Psychiatr Scand, submitted.

  34. Susser E, Varma V, Wanderling J. Delineation of NARP. Unpublished manuscript.

  35. Strakowski SM. Diagnostic validity of schizophreniform disorder. American Journal of Psychiatry 151(6):815–824, 1994.

    Google Scholar 

  36. Gift TE, Strauss JS, Young Y. Hysterical psychosis: An empirical approach. American Journal of Psychiatry 142:345–347, 1985.

    Google Scholar 

  37. Munoz RA, Amado H, Hyatt S. Brief reactive psychosis. Journal of Clinical Psychiatry 48:324–327, 1987.

    Google Scholar 

  38. Kendell RE. The choice of diagnostic criteria for biological research. Archives of General Psychiatry 39:1334–1339, 1982.

    Google Scholar 

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Susser, E., Finnerty, M.T. & Sohler, N. Acute psychoses: A proposed diagnosis for ICD-11 and DSM-V. Psych Quart 67, 165–176 (1996). https://doi.org/10.1007/BF02238949

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