Mojtabai R, Varma V K, Susser E
Department of Psychiatry, Columbia University, New York, NY, USA.
Br J Psychiatry. 2000 Jun;176:576-80. doi: 10.1192/bjp.176.6.576.
The acute and transient psychotic disorders (ATPD) in ICD-10 advanced the nosology of remitting psychoses with acute onset. But the proposed criteria for ATPD--especially in regard to duration--are tentative and need to be validated.
To evaluate: (a) the duration of remitting psychoses with acute onset; (b) the applicability of the ATPD criteria for these cases; and (c) differences in duration and ATPD diagnoses across sociocultural settings.
Data from the World Health Organization Determinants of Outcome study were used.
The 98 cases of remitting psychoses with acute onset had a modal duration of 2-4 months, with 43% falling in this range. Mainly because of this, few met the ATPD criteria. Duration and diagnostic findings were similar across settings.
ATPD criteria need refinement, especially in regard to duration. Further studies aimed at early detection and assessment of onset and duration of these disorders are needed.
国际疾病分类第10版（ICD - 10）中的急性短暂性精神病性障碍（ATPD）推进了急性起病的缓解性精神病的分类学。但ATPD的拟定标准——尤其是在病程方面——是暂定的，需要验证。
评估：（a）急性起病的缓解性精神病的病程；（b）ATPD标准对这些病例的适用性；以及（c）不同社会文化背景下病程和ATPD诊断的差异。
使用了世界卫生组织转归决定因素研究的数据。
98例急性起病的缓解性精神病的典型病程为2至4个月，43%的病例在此范围内。主要因此，很少有病例符合ATPD标准。不同背景下的病程和诊断结果相似。
ATPD标准需要完善，尤其是在病程方面。需要开展进一步研究以早期发现并评估这些障碍的起病和病程。
