Retrospective analysis of the course of psychotic episodes in adolescent inpatients
Journal Title: Psychiatria Polska - Year 2012, Vol 46, Issue 4
Abstract
Aim. Analysis of clinical presentations and course of psychotic episodes in adolescent inpatients. Method. A retrospective analysis of charts of all (n=300) hospitalised patients diagnosed with of one of the schizophrenia-spectrum disorders (F20 – F29) over a 10-year span period (1998–2008) was conducted at the Child and Adolescent Department of Institute of Psychiatry and Neurology. The distribution of diagnoses was compared with a sample of 200 adult hospitalisations. Also, the demographic and clinical data, percentage of rehospitalisations and stability of the diagnosis was analysed. Results. The distribution of diagnoses in the schizophrenia spectrum of psychotic episodes was found to be different in adolescent patients than in adults. In further analysis of schizophrenia (F20), schizotypal disorder (F21), acute and transient psychotic disorder (F23) and schizoaffective disorder (F25) significant differences in the length of hospitalisation, gender distribution, frequency of rehospitalisation and stability of the diagnosis were observed. Stability of the diagnosis in the whole group was 52%. Schizophrenia was the most stable diagnosis. Conclusion. Distribution of schizophrenia spectrum diagnoses is different in adolescent and adult inpatients. In adolescents psychotic episodes other then schizophrenia are frequent. Diagnostic difficulties seemed to be confirmed by not very high diagnostic stability. However for F20, F21, F23 and F25 diagnoses different clinical and demographic profiles were observed, what may confirm that these disorders are separate nosological entities.
Authors and Affiliations
Barbara Remberk, Bożena Bogumił, Irena Namysłowska
Keywords
Related Articles
- EP ID EP86923
- DOI -
- Views 130
- Downloads 0
Funkcjonalny polimorfizm genów enzymów inaktywujących aminy biogenne a deficyty procesów poznawczych w schizofrenii paranoidalnej
Aim. The aim of the work was to assess relationship between gene polymorphism of enzymes influencing dopaminergic-, serotoninergic, and noradrenergic transfer and cognitive functioning of paranoid schizophrenic inpatient...
Rozpowszechnienie zaburzeń psychicznych i używania substancji psychoaktywnych w populacji 17-letniej młodzieży wielkomiejskiej
Cel: Określenie w jakim stopniu rozpowszechnione są zaburzenia psychiczne (zburzenia depresyjne, lękowe, zaburzenia jedzenia) oraz używanie substancji psychoaktywnych wśród młodzieży krakowskich szkół średnich w późnej f...
Will new diagnostic criteria facilitate the diagnostic process of ADHD in adults?
ADHD is traditionally described as a pediatric disorder. According to contemporary knowledge in around 60% of children suffering from ADHD symptoms of the disorder persist into adulthood. The epidemiological data show th...
Polish adaptation and validation of the Agoraphobic Cognitions Questionnaire and the Body Sensations Questionnaire
Aim. The present study aimed at the adaptation and validation of two questionnaires assessing fear of bodily sensations (BSQ; suggested Polish name: Kwestionariusz Doznań Cielesnych [KDC]) and concerns specific to agorap...
Personality in the Big Five Model and maintaining abstinence after one year follow-up
Aim. To compare Five-Factor personality traits in patients maintaining abstinence and relapsed patients (i.e. those who relapsed within a year after treatment), following eight weeks of in-house treatment and three month...