Estudio de seguimiento a cinco años de la psicosis aguda: evolución diagnóstica y adaptación psicosocial

Abstract

Introduction. A group of acute psychosis presents a more favourable prognosis. However, some of these can develop into chronic psychotic or affective disorders. The objective is the study of diagnostic stability and prognosis in acute psychosis.Method. Five years follow-up study of acute psychosis in a population sample.Results. Within five years, 73.2% of the 41 patients studied received a diagnosis of chronic psychotic or affective illness, presenting further deterioration in their adaptation and quality on life. Approximately 50% of cases with brief psychosis at baseline maintained that diagnosis. Although there were no differences in the diagnoses with respect to gender, women exhibited a lesser degree of degradation along with better adjustment.Conclusions. The majority of patients diagnosed developed a chronic psychotic or affective illness during the five year period. The only diagnosis with a greater stability and better prognosis was that of brief psychosis disorder, especially triggered with life events. Women exhibited a better evolution and ability to adapt than men.