ĐẶC ĐIỂM LÂM SÀNG KÍCH ĐỘNG Ở NGƯỜI BỆNH RỐI LOẠN LOẠN THẦN CẤP VÀ NHẤT THỜI

Abstract

Background: Acute and transient psychotic disorder is a common mental disorder. Psychomotor agitation (referred to as agitation) is a common psychiatric emergency in the clinical setting of mental illnesses in general and acute and transient psychotic disorders in particular. Objectives: Describe the clinical characteristics of agitation in patients with acute and transient psychotic disorders inpatient treatment at the National Institute of Mental Health. Subjects and research methods: Cross-sectional description on 97 patients diagnosed acute and transient psychotic disorders treating at the National Institute of Mental Health in Bach Mai hospital from August 2021 to 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 present before admission (92.9%) and without cause (40.0%). In the group of verbal agitation symptoms, the angry tone was the most common (84.3%), the symptoms of voice attention were the most common in the group of non-verbal agitation symptoms (38.6%). The most common symptoms of aimless agitated behavior with difficulty relaxing and chest thrusting (22.9%), threatening posture (21.4%), in the group of agitated behavior with the aim of throwing objects were the most common symptom with 37.1%. Conclusion: The rate of agitation in patients with acute and transient psychotic disorders is relatively high, symptoms are diverse and abundant, it is necessary to detect early to have appropriate management attitude.