DSM-IV 단기정신병적장애와 ICD-10 급성일과성정신병적장애의 임상적 유사점과 차이점 = Similarities and Differences between DSM-IV Brief Psychotic Disorder and ICD-10 Acute and Transient Psychotic Disorder

다국어 초록 (Multilingual Abstract)

Time is the most important factor in defining the diagnostic concepts of DSM-IV brief psychotic
disorder (BPD) and ICD-10 acute and transient psychotic disorder (ATPD). Time factor is more
complicated in ICD-10 ATPD than in DSM-IV BPD because he first time factor in ICD-10 ATPD
concerns the development of symptoms (acute onset within 2 weeks), and the second factor,
the duration of an episode, depends on the subtypes of ICD-10 ATPD. For instance, the duration
of an episode in acute polymorphic psychotic disorder (APPD) with symptoms of schizophrenia
must not exceed I month, while APPD without symptoms of schizophrenia may occur forup
to three months. Despite the differences with respect to time factor in DSM-IV BPD and ICD-10
ATPD, it is not necessary to consider them as separate diagnostic entitie because they are identical
in almost all of the essential clinical parameters. The strict criterion of episode duration in
DSM-IV BPD should therefore be reconsidered. The APPD within ICD-10 ATPD subtypes, which
is very similar to both cycloid psychosis and bouff´ee d´elirante, has a significant diagnostic concordance
with DSM-IV BPD, and can be distinguished more clearly from schizophrenia and bipolar
schizoaffective disorder. In contrast, ASPD not only has similarities to schizophrenia but
also to bipolar schizoaffective disorder. This means that ASPD could function as a bridge between
one end of the psychotic continuum occupied by schizophrenia and the opposite end occupied
by major affective disorder. Taking this into consideration, ICD-10 ATPD could be much
more homogeneous if APPD was not combined with ASPD. On the other hand, the symptomatologic
polymorphism carries the most relevant distinguishing power in differentiating the subtypes
of ICD-10 ATPD, so the distinction of APPD with and without symptoms of schizophrenia is not
needed.

목차 (Table of Contents)

• 서 론
• 급성단기성정신병적장애의 개념
• DSM-IV BPD와 ICD-10 ATPD의 유사점과 차이점
• ICD-10 ATPD의 아형과 DSM-IV BPD 간의 관계
• 약물치료적 관점에서 본 DSM-IV BPD와 ICD-10 ATPD
• 결 론
• REFERENCES