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Paper Information

Journal:   TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)   2004 , Volume 62 , Number 5; Page(s) 411 To 418.
 
Paper: 

TWELVE-MONTH DIAGNOSTIC STABILITY OF FIRST EPISODE PSYCHOSIS

 
 
Author(s):  OMID A., ALAGHBANDRAD J., SHARIFI V., DAVARI ASHTIANI R., MOUMENI F., AMINI POOR Z.
 
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Abstract: 

Background: This study was conducted to measure 1-year stability of diagnoses in a group of patients with first episode psychosis in a developing country.
Materials and Methods: During a 35-month period, 61 patients with first psychotic episode from Roozbeh Hospital were selected. Their illnesses couldnt be attributed to any medical condition and substance use. Patients were assessed at the time of admission, discharge and at 3, 6, and 12-month intervals following admission .Two psychiatrists made consensus DSM-IV and ICD-10 diagnosis based on all available information. Stability was defined as the consistency between diagnosis at the time of discharge and 12-month follow-up.
Results: Forty-seven patients (77% of the sample) completed the follow-up period. Affective psychoses and schizophrenia diagnoses in both classification systems were highly stable .In addition, all diagnoses of Brief Psychotic Disorder and Acute and Transient Psychotic Disorder were highly stable. The only unstable diagnosis was schizophrenifom disorder.
Conclusion: Consistent with previous studies, affective psychosis and schizophrenia were stable diagnoses, However in contrast to previous studies, diagnoses of brief psychosis were highly stable. This could reflect the validity and good prognosis of this group of psychotic disorders, especially in developing countries.

 
Keyword(s): PSYCHOTIC DISORDER, FIRST EPISODE PSYCHOSIS, DIAGNOSTIC STABILITY, BRIEF PSYCHOSIS
 
References: 
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