Non-affective Acute Remitting Psychosis: a preliminary report from Iran

Authors

  • J. Alaghband-Rad,

    1. Department of Psychiatry, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran
    2. Psychiatry and Psychology Research Center, Tehran University of Medical Sciences, Tehran
    3. Institute for Cognitive Science Studies, Tehran
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  • M. Boroumand,

    1. Department of Psychiatry, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran
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  • H. Amini,

    1. Department of Psychiatry, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran
    2. Psychiatry and Psychology Research Center, Tehran University of Medical Sciences, Tehran
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  • V. Sharifi,

    1. Department of Psychiatry, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran
    2. Psychiatry and Psychology Research Center, Tehran University of Medical Sciences, Tehran
    3. Institute for Cognitive Science Studies, Tehran
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  • A. Omid,

    1. Department of Psychiatry, Army University of Medical Sciences, Tehran
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  • R. Davari-Ashtiani,

    1. Department of Psychiatry, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran
    2. Behavioral Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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  • A. Seddigh,

    1. Department of Psychiatry, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran
    2. Psychiatry and Psychology Research Center, Tehran University of Medical Sciences, Tehran
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  • F. Momeni,

    1. Department of Psychiatry, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran
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  • Z. Aminipour

    1. Department of Psychiatry, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran
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Vandad Sharifi, Department of Psychiatry, Roozbeh Hospital, South Kargar Avenue, Tehran 13337, Iran.
E-mail: vsharifi@sina.tums.ac.ir

Abstract

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.

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