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[Acute psychosis. Clinical contribution]

G Migliorini1, E Lazzarin

  • 1II Servizio Psichiatrico, ULSS n. 8 Vicenza Presidio Ospedaliero, Stabilimento di Sandrigo, Vincenza.

Minerva Psichiatrica
|December 1, 1993
PubMed
Summary

This study examined 50 acute psychosis cases, finding that pre-illness adaptation and acute, oneiric symptoms predict a better outcome. However, many cases later diagnosed as schizophreniform disorder experience relapses and lasting emotional damage.

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[Study of acute psychoses. I. The problem of acute psychoses: nosographic classification].

Minerva psichiatrica·1992

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Neuroscience

Context:

  • Investigated 50 clinical cases of acute psychosis.
  • Excluded organic, drug-induced, and prominent affective disorders.
  • Focused on early-stage presentations without clear affective symptoms.

Purpose:

  • To correlate social, personal, and clinical factors with the course and outcome of acute psychosis.
  • To identify predictors of positive and negative prognostic trajectories.
  • To analyze the diagnostic evolution of these cases, particularly towards schizophreniform disorder.

Summary:

  • Analyzed 50 acute psychosis cases, correlating pre-illness adaptation, stress, acute onset, and oneiric features with clinical course.
  • Found that good pre-illness adaptation and specific clinical features positively influenced the acute phase outcome.

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  • Further diagnosis revealed 20 cases as schizophreniform disorder, with most experiencing relapses and emotional sequelae.
  • Impact:

    • Highlights the prognostic significance of pre-illness psychological state and acute symptom presentation in psychosis.
    • Underscores the complex, often chronic, nature of schizophreniform disorder, emphasizing the need for long-term management.
    • Informs clinical practice regarding early identification of risk factors and potential long-term outcomes in acute psychosis.