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Revista de la Asociación Española de Neuropsiquiatría

Print version ISSN 0211-5735

Abstract

PEDROS ROSELLO, A  and  TENIAS BURILLO, J. Mª. Five years follow-up study of the acute psychosis: diagnostic evolution and psychosocial adjustment. Rev. Asoc. Esp. Neuropsiq. [online]. 2012, vol.32, n.114, pp.261-270. ISSN 0211-5735.  http://dx.doi.org/10.4321/S0211-57352012000200004.

Introduction: A group of acute psychosis presents a more favourable prognosis. However, some of these can develop into chronic psychotic or affective disorders. The objective is the study of diagnostic stability and prognosis in acute psychosis. Method: Five years follow-up study of acute psychosis in a population sample. Results: Within five years, 73.2% of the 41 patients studied received a diagnosis of chronic psychotic or affective illness, presenting further deterioration in their adaptation and quality on life. Approximately 50% of cases with brief psychosis at baseline maintained that diagnosis. Although there were no differences in the diagnoses with respect to gender, women exhibited a lesser degree of degradation along with better adjustment. Conclusions: The majority of patients diagnosed developed a chronic psychotic or affective illness during the five year period. The only diagnosis with a greater stability and better prognosis was that of brief psychosis disorder, especially triggered with life events. Women exhibited a better evolution and ability to adapt than men.

Keywords : Acute psychosis; Social adjustment; Quality of life; Follow up studies.

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