Varma V K, Malhotra S, Yoo E S, Jiloha R C, Finnerty M T, Susser E
Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Psychiatr Q. 1996 Fall;67(3):195-207. doi: 10.1007/BF02238951.
This paper presents an overview of the diagnoses and short-term course of acute psychotic illnesses--affective as well as nonaffective--in a developing country setting. In the Chandigarh Acute Psychosis Study (CAPS) in Northern India, a cohort of 91 cases of acute psychotic illness were assessed for symptoms, diagnosis, and course ratings at multiple intervals over a 12 month period; cases were drawn from a rural and an urban clinic, permitting comparison of patients in these two settings. Non-affective (mainly schizophrenic) patients were found to be the predominant group (51%), followed by manic (26%), and depressive (19%) patients. Overall the acute psychoses had an excellent short-term course and outcome, a result which held across all diagnostic groups and both the rural and urban setting. Rural and urban patients were similar in diagnostic distribution and course of illness. Investigations of such cases can expand our view of the possible manifestations and course of psychotic disorders, and may have implications for diagnosis.
本文概述了在一个发展中国家环境中急性精神病性疾病（包括情感性和非情感性）的诊断及短期病程。在印度北部的昌迪加尔急性精神病研究（CAPS）中，对91例急性精神病性疾病患者进行了为期12个月的多阶段症状、诊断及病程评定；这些病例来自农村和城市诊所，以便比较这两种环境中的患者。发现非情感性（主要是精神分裂症）患者是主要群体（51%），其次是躁狂患者（26%）和抑郁患者（19%）。总体而言，急性精神病具有良好的短期病程和结局，这一结果在所有诊断组以及农村和城市环境中均成立。农村和城市患者在诊断分布和病程方面相似。对此类病例的研究可以拓宽我们对精神病性障碍可能表现和病程的认识，并且可能对诊断有影响。
