Bouff  e d  lirante and ICD-10 acute and transient XXXX : a comparative study.

@entity1 @entity914
OBJECTIVE: ICD-10 acute and transient @entity914 (ATPD; F23) has one of its historical roots in the French concept of bouff  e d  lirante. This study explores the empirical relationship of the two concepts. METHOD: During a 5-year period, all inpatients with ATPD were identified; the diagnosis of bouff  e d  lirante was also determined. We systematically evaluated demographic and clinical features and carried out follow-up investigations at an average of 2.2 years after the index episode using standardized instruments. RESULTS: Forty-two (4.1%) of 1036 @entity1 treated for @entity914 or major affective episode fulfilled the ICD-10 criteria of ATPD. Of these, only 28.6% also fulfilled the criteria of bouff  e d  lirante. @entity1 with bouff  e d  lirante were significantly younger than the remaining ATPD @entity1 . Outcome parameters were generally more favourable for @entity1 diagnosed with bouff  e d  lirante than for ATPD @entity1 without a concurrent diagnosis of bouff  e d  lirante, but the difference was statistically significant only for occupational status. CONCLUSIONS: There are indications that a diagnosis of bouff  e d  lirante carries a somewhat better prognosis than ATPD in general. However, the low frequency of operationally diagnosed bouff  e d  lirante suggests that the criteria might be too narrow.
