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Acute and transient psychotic disorders: An overview of studies in Asia
Abstract
Acute and transient psychotic disorders (ATPD), introduced in the International Classification of Diseases (ICD-10) diagnostic system, have not received much attention in Asia. As the World Health Organization (WHO) is in the process of revising the ICD-10 and ICD-11 is expected to be published in the near future, it seems appropriate to review the status of ATPD in this region. A PubMed search using appropriate keywords was conducted to identify literature describing samples from Asian countries with the diagnosis of ATPD for evidence of ATPD as a distinct diagnostic group. A total of 103 papers were found, but only nine publications were specifically related to ATPD and the ICD-10 criteria. The total number of patients receiving a diagnosis of ATPD in these studies was 390. Immigrants appear prone to ATPD, especially foreign domestic workers. When compared to schizophrenia, ATPD as a group had a different family history, course and outcome. However, ATPD was diagnostically unstable over time. A range of 35.5% to 73.3% in Asian patients with baseline ATPD retained their diagnoses over 3-12 years. Most individuals with polymorphic subtypes of ATPD in India and Hong Kong were rediagnosed with bipolar disorder after 3-5 years. In Japan, 31.2% of polymorphic cases were diagnosed as schizophrenia after 12 years of follow-up. This review supports the ICD-10 concept of separating ATPD into its own group; however, polymorphic subtypes may need revision in ICD-11. Before firm suggest…
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The different approach to Acute and Transient Psychotic Disorders in ICD-11 is in part related to the international nature of the classification system and evidence that those conditions are particularly frequent in low- and middle-income countries and among migrant populations.
“The different approach to Acute and Transient Psychotic Disorders in the ICD-11 is in part related to the international nature of this classification system and the evidence that those conditions are particularly frequent in low- and middle-income countries and among migrant populations 43,45 .”
From An organization‐ and category‐level comparison of diagnostic requirements for mental disorders in ICD ‐11 and DSM ‐5 (2021) · cites this paper as [43]
Unlike ICD-10, ICD-11 restricts the diagnosis to the 'polymorphic' presentation, based on its greater diagnostic stability, and discourages use of this category for early presentations of Schizophrenia.
“Unlike the ICD-10, which included several possible presentations, the ICD-11 restricts the diagnosis to the presentation referred to as 'polymorphic' in the ICD-10, based on its greater diagnostic stability 43,44 , and discourages the use of this category for early presentations of Schizophrenia.”
From An organization‐ and category‐level comparison of diagnostic requirements for mental disorders in ICD ‐11 and DSM ‐5 (2021) · cites this paper as [43]
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Metadata
- Authors
- Udomratn, P., Burns, J., & Farooq, S.
- Affiliations
- Prince of Songkla University (TH)
- University of KwaZulu-Natal (ZA)
- University of Staffordshire (GB)
- Corresponding author
- Udomratn, Pichet
- Venue
- International Review of Psychiatry
- Publisher
- Informa UK Limited
- Published
- 2012-10
- Volume
- 24
- Issue
- 5
- Pages
- 463-466
- ISSN
- 0954-0261 (ISSN-L)
- 1369-1627
- OpenAlex
- W2100627954
- Cited by
- 16
- References
- 20
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 1 · 2021: 2 · 2020: 1 · 2019: 2 · 2018: 1 · 2017: 1 · 2016: 2 · 2014: 2 · 2013: 2
- FWCI
- 0.91
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Review of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Keywords
- acute and transient psychotic disorder, ICD-10, ICD-11, diagnostic stability, bipolar disorder misdiagnosis, schizophrenia misdiagnosis, foreign domestic workers, immigrants, family history (medicine), course and outcome, Asia
- MeSH terms
- Acute Disease, Asia, Humans, Psychotic Disorders
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