Skip to main content
Log in

Course and outcome of acute non-organic psychotic states in India

  • Special Section The Acute Psychoses
  • Published:
Psychiatric Quarterly Aims and scope Submit manuscript

Abstract

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 shortterm 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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Varma VK, Malhotra S, Jiloha RC. Acute non-organic psychotic states in India: Symptomatology. Indian Journal of Psychiatry 34(2):89–101, 1992.

    Google Scholar 

  2. Malhotra S, Varma V, Malhotra A. Classification of acute nonorganic psychotic states in India. International Journal of Mental Health 21(4):6–32, 1992–3.

    Google Scholar 

  3. Cooper JE, Jablensky A, Sartorius N: WHO collaborative studies on acute psychoses using the SCAAPS schedule, in Psychiatry: A World Perspective, vol. 1. Edited by Stefanis CN, Rabavilas AD, Soldatos CR. Amsterdam, Elsevier Science Publishers, 1990.

    Google Scholar 

  4. Okasha A, el Dawla AS, Khalik AH, et al. Presentation of acute psychosis in an Egyptian sample: A transcultural comparison. Comprehensive Psychiatry 34(1):4–9, 1993.

    Google Scholar 

  5. Stromgren E. The development of the concept of reactive psychosis. Psychopathology 20:62–67, 1986.

    Google Scholar 

  6. Menuck M, Legault S, Schmidt P, et. al. The nosologic status of the remiting atypical psychoses. Compr Psychiatry 30:53–73, 1989.

    Google Scholar 

  7. Wig NN, Singh G. A proposed classification of psychiatric disorders for use in India. Indian Journal of Psychiatry 9:158–171, 1967.

    Google Scholar 

  8. Lambo TA: Schizophrenia and borderline states, in Transcultural Psychiatry, Ciba Foundation Symposium. Edited by de Reuck PVS, Porter R. London: Churchill, 1965.

    Google Scholar 

  9. Jilek WG, Jilek-Aall L. Transient psychosis in Africans. Psychiatrica Clinica 3:327–364, 1970.

    Google Scholar 

  10. Mitsuda H. The concept of atypical psychoses from aspects of clinical genetics. Acta Psychiatry Scand 41:372, 1965.

    Google Scholar 

  11. Littlewood R, Lipsedge M. Acute Psychotic reactions in migrants. Paper presented at the Annual Meeting of the Royal College of Psychiatrists. Summary in the Bulletin of the Royal College of Psychiatrists, November 1977.

  12. Susser E, Varma V, Malhotra S, et al. Delineation of acute and transient psychotic disorders in a developing country setting. British Journal of Psychiatry 167:216–219, 1995.

    Google Scholar 

  13. Susser E, Wanderling J. Epidemiology of nonaffective acute remitting psychosis vs schizophrenia: Sex and sociocultural setting. Archives of General Psychiatry 51:294–301, 1994.

    Google Scholar 

  14. Coryell W, Akiskal HS, Leon AC, et al. The time course of nonchronic major depressive disorder: Uniformity across episodes and samples. Archives of General Psychiatry 51:405–410, 1994.

    Google Scholar 

  15. Piccinelli M, Wilkinson G. Outcome of depression in psychiatric settings. British Journal of Psychiatry 164:297–304, 1994.

    Google Scholar 

  16. Surtees PG, Barkley C. Future imperfect: The long-term outcome of depression. British Journal of Psychiatry 164:327–341, 1994.

    Google Scholar 

  17. Keller MB, Lavori PW, Coryell W, et al. Differential outcome of pure manic, mixed/cycling, and pure depressive episodes in patients with bipolar illness. Journal of the American Medical Association 255:3138–3142, 1986.

    Google Scholar 

  18. Keller MB, Lavori PW, Coryell W, et al. Bipolar. I: A five-year prospective follow-up. Journal of Nervous and Mental Disorders 181:238–245, 1993.

    Google Scholar 

  19. Jablensky A, Sartorius N, Ernberg G, et al. Schizophrenia: Manifestations, incidence and course in different cultures. A World Health Organization Ten Country Study. Psychological Medicine Monograph Supplement 20:97, 1992.

    Google Scholar 

  20. Jablensky A. Prediction of the course and outcome of depression. Psychology and Medicine 17:1–9, 1987.

    Google Scholar 

  21. Varma V, Brown A, Malhotra S, et al. Course of acute affective disorders in a developing country setting. Acta Psychiatr Scand, submitted.

  22. Singh G, Sachdeva JS. Acute schizophrenic episodes: Are they schizophrenics? Indian Journal of Psychiatry 23:200–205, 1981.

    Google Scholar 

  23. Chaturvedi SK, Sahu RN. Clinical and follow-up study of unspecified nonorganic psychosis. Indian Journal of Psychiatry 28(1):73–77 1986.

    Google Scholar 

  24. Wing JK, Cooper JE, Sartorius N: The measurement and classification of psychiatric symptoms. London:Cambridge University Press., 1974.

    Google Scholar 

  25. World Health Organization: Mental Disorders: Glossary and Guide to Their Classification in Accordance With the Ninth Revision of the International Classification of Disease. Geneva: World Health Organization, 1978.

    Google Scholar 

  26. Fleiss JL: Statistical Methods for Rates and Proportions. New York: John Wiley and Sons, 1981.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Varma, V.K., Malhotra, S., Yoo, E.S. et al. Course and outcome of acute non-organic psychotic states in India. Psych Quart 67, 195–207 (1996). https://doi.org/10.1007/BF02238951

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02238951

Keywords

Navigation