Diagnostic stability of acute and transient psychotic disorders in developing country settings: an overview

Shubham Mehta (Department of Psychiatry, Maharaja Agrasen Medical College, Agroha (Hisar), Haryana, India)

Mental Illness

ISSN: 2036-7465

Article publication date: 24 February 2015

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Abstract

Acute and transient psychotic disorders (ATPD), introduced in the International Classification of Diseases (ICD-10) diagnostic system in 1992, are not receiving much attention in developing countries. Therefore, the main objective of this article is to review the literature related to the diagnostic stability of ATPD in developing countries. A PubMed search was conducted to review the studies concerned with this issue in the context of developing countries, as diagnostic stability is more of a direct test of validity of psychiatric diagnoses. Four publications were found. According to the literature search, the stability percentage of the ICD-10 ATPD diagnosis is 63-100%. The diagnostic shift is more commonly either towards bipolar disorder or schizophrenia, if any. Shorter duration of illness (<1 month) and abrupt onset (<48 hours) predict a stable diagnosis of ATPD. Based on available evidence, the diagnosis of ATPD appears to be relatively stable in developing countries. However, it is difficult to make a definitive conclusion, as there is a substantial lack of literature in developing country settings.

Keywords

Citation

Mehta, S. (2015), "Diagnostic stability of acute and transient psychotic disorders in developing country settings: an overview", Mental Illness, Vol. 7 No. 1, pp. 13-15. https://doi.org/10.1108/mi.2015.5640

Publisher

:

Emerald Publishing Limited

Copyright © 2015 S. Mehta

License

This work is licensed under a Creative Commons Attribution 3.0 License (by-nc 3.0).


Corresponding author

Shubham Mehta, Department of Psychiatry, Maharaja Agrasen Medical College, Agroha (Hisar) 125047, Haryana, India. Tel.: +91.8295.762550.