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Acute and transient psychoses: clinical and nosological issues

  • Augusto Castagnini and Gian Maria Galeazzi
Summary

This article examines the clinical, epidemiological and nosological aspects of short-lived psychotic disorders as currently classified under ‘acute and transient psychotic disorders' in ICD-10 and ‘brief psychotic disorder’ in DSM-5. After describing earlier diagnostic concepts such as bouffée délirante, cycloid psychosis, reactive psychosis and schizophreniform psychosis, we present an overview of the literature and discuss implications for classification, diagnosis and treatment of these conditions, pointing out differences from longer-lasting psychotic disorders.

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Copyright
Corresponding author
Dr Augusto C. Castagnini, School of Child Neuropsychiatry, University of Modena and Reggio Emilia, Modena, Italy. Email: augusto.castagnini@unimore.it
Footnotes
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LEARNING OBJECTIVES

• Appreciate the different ways in which acute and transient psychoses have been conceptualised historically and recognise how these relate to current nosologies

• Identify clinical and epidemiological features of acute and transient psychoses and differentiate them from organic psychosis, schizophrenia-spectrum disorders and affective disorders on the basis of ICD-10 and DSM-5 criteria

• Recognise the increased risk of premature mortality, particularly suicide, associated with acute and transient psychoses, and the difficulty in treating these varied conditions

DECLARATION OF INTEREST

None

Footnotes
References
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Acute and transient psychoses: clinical and nosological issues

  • Augusto Castagnini and Gian Maria Galeazzi
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