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Non‐affective Acute Remitting Psychosis: a preliminary report from Iran
Author(s) -
AlaghbandRad J.,
Boroumand M.,
Amini H.,
Sharifi V.,
Omid A.,
DavariAshtiani R.,
Seddigh A.,
Momeni F.,
Aminipour Z.
Publication year - 2006
Publication title -
acta psychiatrica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.849
H-Index - 146
eISSN - 1600-0447
pISSN - 0001-690X
DOI - 10.1111/j.1600-0447.2005.00658.x
Subject(s) - psychosis , psychiatry , mood , acute psychosis , mood disorders , psychology , medicine , pediatrics , clinical psychology , anxiety
Objective: To investigate the concept of ‘Non‐affective Acute Remitting Psychosis’ (NARP) in a group of patients with first episode psychosis in Iran. Method: This is a 24‐month follow‐up study of 54 patients with first‐episode psychosis admitted consecutively to a psychiatric hospital in Tehran, Iran. At the end of follow‐up, consensus judgments were made on fulfillment of the NARP criteria as well as illness course and treatment. NARP was defined as a psychotic illness with acute onset (developed within 1 week), short duration (remission within 6 months), and the absence of prominent mood symptoms. Results: Of 49 patients who completed the follow‐up, 15 (30.6%) had NARP, accounting for 60% of non‐affective psychoses. Ten patients with NARP remained relapse free, four had a very short‐lived relapse, and only one developed a chronic illness. Throughout the follow‐up, patients with NARP received fewer months of treatment than did patients with other non‐affective psychoses. Conclusion: The high proportion of NARP among patients with first episode psychosis, and the favorable course is in keeping with previous studies in developing countries.