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E. If any of the symptoms listed for schizophrenia, criterion G(1) and (2), are present, they are present only for a minority of the time from the onset; i.e., criterion B of acute polymorphic psychotic disorder with symptoms of schizophrenia is not fulfilled. D. The total duration of the disorder does not exceed 3 months.
Summary
APPD is a very variable condition with hallucinations, delusions, emotional turmoil, intense transient feelings such as ecstasy or anxiety but the criteria for the major psychotic illnesses are not fulfilled. Also, there are symptoms of schizophrenia that are present such as thought broadcasting, delusions of control, passivity, and hallucinations or catatonic behavior.
Summary
They may or may not be associated with a marked precipitating stressor and are defined as such, with associated acute stress or without associated acute stress. There may be prodromal symptoms before the florid onset or it may be observed as abrupt(i.e. within 48 hours) or over a longer period of up to two weeks, the symptoms remitting completely usually within 3 months.
Introduction
In brief psychotic disorder, the patient experiences a full psychotic episode that is short-lived. It can be temporally related to some stressor or occur post- partum, but is also seen without any apparent antecedent.
Epidemiology
The exact incidence and prevalence = unknown generally considered uncommon among younger patients (20s and 30s) > among older patients sex and sociocultural determinants?
higher incidence in women and persons in developing countries low socioeconomic classes those who have experienced disasters or major cultural changes (e.g., immigrants) The age of onset in industrialized settings may be higher than in developing countries Persons who have gone through major psychosocial stressors may be at greater risk for subsequent brief psychotic disorder
Etiology
Unknown borderline, schizoid, schizotypal, or paranoid qualities may have a biological or psychological vulnerability a family history of schizophrenia or mood disorders in their families? presence of inadequate coping mechanisms possibility of secondary gain for patients with psychotic symptoms a defense against a prohibited fantasy, the fulfillment of an unattained wish, or an escape from a stressful psychosocial situation