title: Onset of acute and transient psychotic disorder in India: a study of socio-demographics and factors affecting its outcomes.
abstract: OBJECTIVE
  Acute and transient psychotic disorder has been accepted as a distinct diagnostic entity in the ICD-10. However, there are few studies delineating its demographics and factors affecting its outcome. This study aimed to examine the socio-demographic profile of patients with acute and transient psychotic disorder and the variables associated with the onset of illness and their effect on illness outcome in an Indian setting.
  
  
  METHODS
  This was a retrospective study in which case notes of patients admitted from 1 January to 31 December 2012 and diagnosed with acute and transient psychotic disorder (according to the ICD-10 diagnostic criteria) were analysed. Socio-demographic variables and variables associated with the onset of illness were noted. Duration of hospital stay was used as a proxy measure for clinical outcome.
  
  
  RESULTS
  A total of 185 patient records were analysed. Overall, 49% of the patients were males and 51% were females. Most of the cases (60%) were aged between 20 and 39 years. The majority was married, unemployed, educated up to middle school, living in a nuclear family, and had a rural background. Age (p = 0.05) and marital status (p = 0.03) significantly affected the outcome. Overall, 46% of the patients had stress as a precipitating factor, 27% reported substance use, and 23% had a family history of psychiatric illness prior to the onset of their illness. The onset of illness was from May to October in 54% of the patients, with the duration of untreated illness ranging from 7 to 15 days in 38% of the patients. The clinical outcome was significantly affected by duration of untreated illness (p = 0.05).
  
  
  CONCLUSIONS
  Acute and transient psychotic disorders show slight female preponderance and occur in early adulthood. There is no precipitating stress in most cases and shorter duration of untreated illness predicts favourable clinical outcome.
authors.affiliation: Department of Psychiatry, SMS Medical College, Jaipur, Rajasthan, India.
authors.forename: S
authors.initials: S
authors.lastname: Mehta
authors.affiliation: Department of Psychiatry, SMS Medical College, Jaipur, Rajasthan, India.
authors.forename: A
authors.initials: A
authors.lastname: Tyagi
authors.affiliation: Department of Psychiatry, BPS Government Medical College for Women, Sonepat, Haryana, India.
authors.forename: M K
authors.initials: MK
authors.lastname: Swami
authors.affiliation: Department of Psychiatry, SMS Medical College, Jaipur, Rajasthan, India.
authors.forename: S
authors.initials: S
authors.lastname: Gupta
authors.affiliation: Department of Psychiatry, SMS Medical College, Jaipur, Rajasthan, India.
authors.forename: M
authors.initials: M
authors.lastname: Kumar
authors.affiliation: Department of Psychiatry, SMS Medical College, Jaipur, Rajasthan, India.
authors.forename: R
authors.initials: R
authors.lastname: Tripathi
mesh_terms: D000328:Adult; D017668:Age of Onset; D004651:Employment / Q000706:statistics & numerical data; D005192:Family Health / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007194:India / Q000453:epidemiology; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D017533:Marital Status / Q000706:statistics & numerical data; D011618:Psychotic Disorders / Q000150:complications / Q000453:epidemiology*; D012189:Retrospective Studies; D012621:Seasons; D017678:Sex Distribution; D012959:Socioeconomic Factors; D013315:Stress, Psychological / Q000150:complications / Q000453:epidemiology; D019966:Substance-Related Disorders / Q000150:complications / Q000453:epidemiology; D013997:Time Factors; D055815:Young Adult
keywords: India; International classification of diseases; Stress, psychological; Treatment outcome