Susser E, Varma V K, Malhotra S, Conover S, Amador X F
Columbia University, N.Y., USA.
Br J Psychiatry. 1995 Aug;167(2):216-9. doi: 10.1192/bjp.167.2.216.
We examined whether acute transient psychoses can be distinguished from schizophrenia and the affective disorders.
We studied 46 cases of nonaffective acute psychosis in the Chandigarh Acute Psychosis Study. With respect to separation from schizophrenia, we examined the distribution of duration of the episode. With respect to separation from affective disorders, we assessed the frequency of affective symptoms.
Duration was bimodal, suggesting the presence of two distinct conditions of short and long duration. Affective symptoms were minimal, suggesting that these were not atypical affective syndromes.
Acute transient psychoses conform neither with schizophrenia of brief duration nor with atypical affective psychosis, and thus require separate classification as proposed in the ICD-10.
我们研究了急性短暂性精神病能否与精神分裂症及情感障碍相区分。
在昌迪加尔急性精神病研究中,我们对46例非情感性急性精神病患者进行了研究。关于与精神分裂症的区分,我们考察了发作持续时间的分布情况。关于与情感障碍的区分,我们评估了情感症状的出现频率。
持续时间呈双峰分布,提示存在短期和长期两种不同情况。情感症状极少,表明这些并非非典型情感综合征。
急性短暂性精神病既不符合短暂性精神分裂症,也不符合非典型情感性精神病,因此需要如《国际疾病分类第10版》(ICD - 10)所提议的那样进行单独分类。