CLINICAL CHARACTERISTICS OF THE OCCURENCE OF AGITATION IN PATIENTS WITH ACUTE AND TRANSIENT PSYCHOTIC DISORDERS

Thị Vân Anh Trịnh , Đình Thủy Vương, Văn Tuất Ngô

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Abstract

Background: Agitation is a common psychiatric emergency in the clinical setting of psychiatry in general and acute and transient psychotic disorders in particular. Researching some clinical features of agitation in patients with acute and transient psychotic disorders is meaningful in clinical practice. Objectives: describe clinical characteristics of the occuremce of agitation in patients with acute and transient psychotic disorders inpatient treatment at the Institute of Mental Health - Bach Mai Hospital. Subjects and research methods: Cross-sectional description of 97 patients selected for the study who are patients with acute and transient psychotic disorders receiving inpatient treatment at the National Institute of Mental Health from August 2021 until July 2022. Results: Acute and transient psychotic disorders are common in both men and women (male/female=1.4/1), mostly in the 18-40 age group. Agitation is a common symptom in acute and transient psychotic disorders (72.2%). Usually occurs before admission to the hospital (92.9%). Agitation commonly occurs in the afternoon (52.9%) and evening (44.3%). Regarding the circumstances of its occurrence, agitation mostly occurs without cause (40%) and is due to psychological stress (34.3%). Regarding the characteristics of occurence, most agitation occured suddenly (77.1%), occuring after psychotic symptoms were obvious (72.9%). Conclusion: The rate of agitation in patients with acute and transient psychotic disorders is relatively high, the characteristics of time, circumstances and properties of the occurence are diverse, needing to be assessed and treated appropriately

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References

1. William T. Carpenter, Deanna M. Barch. Brief psychotic disorder. In: Diagnostic and Statistical Manual of Mental Disorders: DSM-5. 5th ed. American Psychiatric Association; 2013:94-96.
2. Sachs GS. A Review of Agitation in Mental Illness: Burden of Illness and Underlying Pathology. Published online 2006:8.
3. Nguyễn Hữu Chiến. Đặc Điểm Lâm Sàng, Tiến Triển Rối Loạn Loạn Thần Cấp và Nhất Thời. Trường đại học Y Hà Nội; 2008.
4. Esan O, Fawole OI. Acute and transient psychotic disorder in a developing country. Int J Soc Psychiatry. 2014;60(5):442-448. doi:10.1177/ 0020764013495525
5. Trịnh Trọng Tuấn. Đặc Điểm Hoang Tưởng, Ảo Giác ở Bệnh Nhân Rối Loạn Loạn Thần Cấp Đa Dạng Không Có Triệu Chứng Của Tâm Thần Phân Liệt. Luận văn bác sỹ nội trú. Đại học Y Hà Nội; 2020.
6. Abas M, Vanderpyl J, Le Prou T, Kydd R, Emery B, Alo Foliaki S. Psychiatric Hospitalization: Reasons for Admission and Alternatives to Admission in South Auckland, New Zealand. Aust N Z J Psychiatry. 2003;37(5):620-625. doi:10.1046/j.1440-1614.2003.01229.x
7. San L, Marksteiner J, Zwanzger P, et al. State of Acute Agitation at Psychiatric Emergencies in Europe: The STAGE Study. Clin Pract Epidemiol Ment Health. 2016;12(1):75-86. doi:10.2174/1745017901612010075
8. Girasek H, Nagy VA, Fekete S, Ungvari GS, Gazdag G. Prevalence and correlates of aggressive behavior in psychiatric inpatient populations. World J Psychiatry. 2022;12(1):1-23. doi:10.5498/wjp.v12.i1.1