Psychogenic Psychosis Revisited: A Follow up Study
Abstract
Background: Although brief and acute psychoses are usually dramatic in presentation, they usually have benign course.
Studies investigating clinical features and changes in diagnosis between psychotic episodes have differed in design. However,
some consistent findings have emerged. This study seeks to clarify and extend these features by describing and comparing
clinical diagnostic stability in a group of subjects with first episode psychosis diagnosed as acute psychotic disorder
(psychogenic psychosis) followed up for 6 years.
Methods: The study comprises a retrospective evaluation of case records of 161 patients admitted for the first time with first
episode psychosis. Among this group a subgroup of 69 psychogenic psychoses were followed up with special reference to
stability of diagnosis within a period of 6 years.
Results: Forty-six patients (67.6%) were male, 22 (32.4%) were female and data were missing in one case-record. There was
no significant statistical difference between gender and diagnosis. The mean age was 27.5 years (13-45 years).
There were criteria, which distinguish acute psychotic disorder (psychogenic psychosis). These criteria include acute onset with
short duration of untreated psychosis, precipitating factors, adjusted pre-morbid personality, no family history of mental disorder,
short duration of admission, full recovery in most of cases, with no further admission. Nearly 80% of the patients have never
been admitted again in 6 years time.
Conclusions: Our findings show a high level of agreement with the original concept of psychogenic psychosis; however, these
bear little relationship to the DSM-IV (1994) and ICD-10 (WHO, 1993) criteria for brief or acute psychotic disorder.
Studies investigating clinical features and changes in diagnosis between psychotic episodes have differed in design. However,
some consistent findings have emerged. This study seeks to clarify and extend these features by describing and comparing
clinical diagnostic stability in a group of subjects with first episode psychosis diagnosed as acute psychotic disorder
(psychogenic psychosis) followed up for 6 years.
Methods: The study comprises a retrospective evaluation of case records of 161 patients admitted for the first time with first
episode psychosis. Among this group a subgroup of 69 psychogenic psychoses were followed up with special reference to
stability of diagnosis within a period of 6 years.
Results: Forty-six patients (67.6%) were male, 22 (32.4%) were female and data were missing in one case-record. There was
no significant statistical difference between gender and diagnosis. The mean age was 27.5 years (13-45 years).
There were criteria, which distinguish acute psychotic disorder (psychogenic psychosis). These criteria include acute onset with
short duration of untreated psychosis, precipitating factors, adjusted pre-morbid personality, no family history of mental disorder,
short duration of admission, full recovery in most of cases, with no further admission. Nearly 80% of the patients have never
been admitted again in 6 years time.
Conclusions: Our findings show a high level of agreement with the original concept of psychogenic psychosis; however, these
bear little relationship to the DSM-IV (1994) and ICD-10 (WHO, 1993) criteria for brief or acute psychotic disorder.
Salem, M. O., Moselhy, H. F., Attia, H., & Yousef, S. (2009). Psychogenic Psychosis Revisited: A Follow up Study. International Journal of Health Sciences, 3(1). Retrieved from https://pub.qu.edu.sa/index.php/journal/article/view/31
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
Copyright and license info is not available