BACKGROUND: Psychiatric disorders are among the top causes worldwide of disease burden and disability. A major criterion for validating diagnoses is stability over time. AIMS: To evaluate the long-term stability of the most prevalent psychiatric diagnoses in a variety of clinical settings. METHOD: A total of 34 368 patients received psychiatric care in the catchment area of one Spanish hospital (1992-2004). This study is based on 10 025 adult patients who were assessed on at least ten occasions (360 899 psychiatric consultations) in three settings: in-patient unit, 2000-2004 (n=546); psychiatric emergency room, 2000-2004 (n=1408); and out-patient psychiatric facilities, 1992-2004 (n=10 016). Prospective consistency, retrospective consistency and the proportion of patients who received each diagnosis in at least 75% of the evaluations were calculated for each diagnosis in each setting and across settings. RESULTS: The temporal consistency of mental disorders was poor, ranging from 29% for specific personality disorders to 70% for schizophrenia, with stability greatest for in-patient diagnoses and least for out-patient diagnoses. CONCLUSIONS: The findings are an indictment of our current psychiatric diagnostic practice.
BACKGROUND:Psychiatric disorders are among the top causes worldwide of disease burden and disability. A major criterion for validating diagnoses is stability over time. AIMS: To evaluate the long-term stability of the most prevalent psychiatric diagnoses in a variety of clinical settings. METHOD: A total of 34 368 patients received psychiatric care in the catchment area of one Spanish hospital (1992-2004). This study is based on 10 025 adult patients who were assessed on at least ten occasions (360 899 psychiatric consultations) in three settings: in-patient unit, 2000-2004 (n=546); psychiatric emergency room, 2000-2004 (n=1408); and out-patientpsychiatric facilities, 1992-2004 (n=10 016). Prospective consistency, retrospective consistency and the proportion of patients who received each diagnosis in at least 75% of the evaluations were calculated for each diagnosis in each setting and across settings. RESULTS: The temporal consistency of mental disorders was poor, ranging from 29% for specific personality disorders to 70% for schizophrenia, with stability greatest for in-patient diagnoses and least for out-patient diagnoses. CONCLUSIONS: The findings are an indictment of our current psychiatric diagnostic practice.
Authors: Nikolaos Koutsouleris; Eva M Meisenzahl; Stefan Borgwardt; Anita Riecher-Rössler; Thomas Frodl; Joseph Kambeitz; Yanis Köhler; Peter Falkai; Hans-Jürgen Möller; Maximilian Reiser; Christos Davatzikos Journal: Brain Date: 2015-05-01 Impact factor: 13.501
Authors: Samuel R Chamberlain; Sarah A Redden; Dan J Stein; Christine Lochner; Jon E Grant Journal: Ann Clin Psychiatry Date: 2017-08 Impact factor: 1.567
Authors: Enrique Baca-Garcia; Maria M Perez-Rodriguez; Ignacio Basurte-Villamor; F Javier Quintero-Gutierrez; Juncal Sevilla-Vicente; Maria Martinez-Vigo; Antonio Artes-Rodriguez; Antonio L Fernandez del Moral; Miguel A Jimenez-Arriero; Jose L Gonzalez de Rivera Journal: Eur Arch Psychiatry Clin Neurosci Date: 2007-11-07 Impact factor: 5.270
Authors: Mary E Bongiovi-Garcia; Jessica Merville; M Goretti Almeida; Ainsley Burke; Steven Ellis; Barbara H Stanley; Kelly Posner; J John Mann; Maria A Oquendo Journal: J Affect Disord Date: 2008-09-23 Impact factor: 4.839