Summary
The objective of the present study on cycloid psychosis was to describe the incidence and risk in a defined population sample. We therefore re-evaluated specific diagnostic groups in the 1947 cohort of the Lundby Study. Three female cases were identified as cycloid psychosis according to the diagnostic criteria of Leonhard, Perris and Brockington. No men were found. The incidence rate (per 100 observation years) was found to be 0.016% for women. The cumulative probability i.e. risk, up to 60 years of age was calculated to be 0.7%. Incidence rate and risk for cycloid psychosis in women was thus about half of the corresponding values for schizophrenia as described for the same population in a parallel study. We conclude that cases of cycloid psychosis constitute a substantial proportion of female psychotic patients.
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References
Angst J, Felder W, Lohmeyer B (1980) Course of schizoaffective psychoses: Results of a follow-up study. Schiz Bull 6:579–585
Brockington IF, Perris C, Meltzer HY (1982a) Cycloid psychoses. Diagnosis and heuristic value. J Nerv Ment Dis 170:651–656
Brockington IF, Perris C, Kendell RE, Hillier VE, Wainwright S (1982b) The course and outcome of cycloid psychosis. Psychol Med 12:97–105
Clayton P (1982) Schizoaffective disorders. J Nerv Ment Dis 170:646–650
Cutting JC, Clare AW, Mann AH (1978) Cycloid psychosis: an investigation of the diagnostic concept. Psychol Med 8: 637–648
Essen-Möller E (1961) A current field study in the mental disorders in Sweden. In: Hoch P, Zubin J (eds) Comparative epidemiology of the mental disorders. Grune & Stratton, New York, pp 1–12
Essen-Möller E, Larsson H, Uddenberg CE, White G (1956) Individual traits and morbidity in a Swedish rural population. Acta Psychiatr Neurol Scand. Suppl 100
Fish F (1964) The cycloid psychoses. Compreh Psychiatry 5:155–169
Hagnell O (1966) A prospective study of the incidence of mental disorder. Scand Univ Books (Svenska Bokförlaget/Norstedts-Bonniers), Stockholm
Hagnell O (1981) The Lundby Study on psychiatric morbidity (Sweden). In: Mednick SA, Baert AE (eds) Prospective longitudinal research; an empirical basis for the primary prevention of psychosocial disorders. Oxford University Press, Oxford, pp 189–206
Hagnell O, Rorsman B (1978) Suicide and endogenous depression with somatic symptoms in the Lundby Study. Neuropsychobiology 4:180–187
Hagnell O, Lanke J, Rorsman B, Öjesjö L (1982) Are we entering an age of melancholy? Depressive illnesses in a prospective epidemiological study over 25 years: the Lundby Study, Sweden. Psychol Med 12:279–289
Hagnell O, Lanke J, Rorsman B, Öhman R, Öjesjö L (1983) Current trends in the incidence of senile and multi-infarct dementia. Arch Psychiatr Nervenkr 233:423–438
Hagnell O, Lanke J, Rorsman B, Öjesjö L (1986) A prospective longitudinal study of the incidence of mental disorders in a total population investigated in 1947, 1957, and 1972. The Lundby Study
Kasanin J (1933) The acute schizoaffective psychoses. Am J Psychiatry 13:97–126
Kleist K (1928) Über zykloide, paranoide und epileptoide Psychosen und über die Frage der Degenerationspsychosen. Schweizer Arch Neurol Neurochir Psychiatr 23:1–35
Langfeldt G (1939) The schizophreniform states. Munksgaard, Copenhagen
Leonhard K (1961) Cycloid psychoses — endogenous psychoses which are neither schizophrenic nor manic-depressive. J Ment Sci 107:633–648
Leonhard K (1980) Aufteilung der endogenen Psychosen. 5th ed, Akademie-Verlag, Berlin
Mitsuda H (1965) The concept of “atypical psychoses” from the aspect of clinical genetics. Acta Psychiatr Scand 41:372–377
Öjesjö L (1983) An epidemiological investigation of alcoholism in a total population; the Lundby Study. Thesis, Lund
Okasha A (1983) Problems of schizo-affective disorders. Psychiatria Clin 16:149–155
Perris C (1974) A study of cycloid psychoses. Acta Psychiatr Scand Suppl 253
Perris C, Brockington IF (1981) Cycloid psychoses and their relation to the major psychoses. In: Perris C, Struwe G, Jansson B (eds) Biological Psychiatry. Elsevier/North Holland, Amsterdam, pp 447–450
Strömgren E (1974) Psychogenic psychoses. In: Hirsch SR, Shepherd M (eds) Themes and variations in European psychiatry. John Wright & Sons Ltd, Bristol, pp 97–117
Tonks CM (1976) Differential aspects of psychiatry in the female. In: Granville-Grossman K (ed) Recent advances in clinical psychiatry (2nd edn). Churchill Livingstone, London, pp 147–168
Tsuang MT (1979) “Schizoaffective disorder” dead or alive? Arch Gen Psychiatry 36:633–634
Tsuang MT, Dempsey GM, Rauscher F (1976) A study of “atypical schizophrenia”. Arch Gen Psychiatry 33:1157–1160
Wernicke C (1894) Grundriss der Psychiatrie in Klinischen Vorlesungen. Thieme, Leipzig
Zaudig M, Vogl G (1983) Zur Frage der operationalisierten Diagnostik schizoaffektiver und zykloider Psychosen. Arch Psychiatr Nervenkr 233:385–396
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The present study was financed by the following grants: Nos. 4803, 06881 from The Swedish Medical Research Council, No. 83/64:1 from The Swedish Ministry of Health and Social Affairs, Delegation for Social Research and Pfannenstillska Stiftelsen
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Lindvall, M., Hagnell, O. & Öhma, R. Epidemiology of cycloid psychosis. Eur Arch Psychiatr Neurol Sci 236, 109–118 (1986). https://doi.org/10.1007/BF00454020
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DOI: https://doi.org/10.1007/BF00454020