Sociodemographic and clinical characterization of acute and transient psychotic disorders
Abstract
Introduction: Acute and transient psychotic disorders are characterized by an abrupt onset, diverse and fluctuating symptoms, and full recovery.
Objective: To describe the sociodemographic and clinical characteristics of patients with acute and transient psychotic disorders.
Methods: A longitudinal descriptive study was conducted from March 2023 to March 2025. The study population consisted of 42 patients admitted to the Crisis Intervention Unit at the Comandante Rene Vallejo Ortiz Provincial Teaching Psychiatric Hospital. A non-probability, purposive sample of 30 patients was selected. The analyzed variables were age, sex, education level, marital status, occupational status, substance use, stressors, clinical manifestations, length of hospital stay, severity, clinical improvement, and pharmacological treatment.
Results: After the age of 40, most patients presented with acute and transient psychotic disorders (18 patients, or 60%), were single (13 patients, or 43.33%), and experienced economic and financial conflicts primarily (eight patients, or 26.66%). According to the ICD-10, the most frequent diagnosis was another acute psychotic disorder with a predominance of delusions (16 patients, or 53.33%). According to the ICD-11, acute and transient psychotic disorder with a first currently symptomatic episode was observed in 25 patients (83.34%), and haloperidol was the most frequently used medication (12 patients, 40%).
Conclusions: The majority of the patients studied were 40 years of age or older. Males predominated, and stressors were the most common trigger for the disorder. According to the ICD-10, the most frequent diagnosis was other acute psychotic disorder with predominance of delusions. According to the ICD-11, the most frequent diagnosis was acute and transient psychotic disorder (6A23.00), first currently symptomatic episode. The most common symptoms were delusions, hallucinations of various types, psychic anxiety, hostility, thought disorders, and disorganized speech.
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