Increasing frequency of the diagnosis of obsessive-compulsive disorder.
Increasing frequency of the diagnosis of obsessive-compulsive disorder.
复制标题
强迫症的诊断频率不断增加。
DOI：
10.1176/ajp.149.5.638
复制
发表时间：
1992
期刊：
影响因子：
--
通讯作者：
Baldessarini,RJ
中科院分区：
文献类型：
--
作者：
Stoll,AL;Tohen,M;Baldessarini,RJ
本研究试图记录一个假设的增加，在一个大型精神病教学医院的强迫症的诊断频率，并探讨这种trends.MethodThe精神病出院诊断在医院从1969年至1990年的年利率的相关性进行了审查，和强迫症的诊断频率进行了比较，与偏执型障碍。相关性也做了这些诊断率和在这些类型的疾病和他们的treatment.ResultsThe强迫症的诊断频率，但不是偏执型障碍，在20世纪80年代的文献中的报告率显着增加。这一增长与有关的障碍，特别是药物和行为therapy.ConclusionsThere的出版物的增加有很强的选择性，最近有一个大的增长率的诊断强迫症，显然与进步的研究和治疗的障碍。这些观察结果表明，以治疗为导向的诊断偏倚的影响，临床医生可能更容易考虑和诊断的条件下，创新或有效的治疗是可用的。
ObjectiveThis study attempted to document a hypothesized increase in the frequency of the diagnosis of obsessive-compulsive disorder at a large psychiatric teaching hospital and to investigate correlates of this trend.MethodThe annual rates of psychiatric discharge diagnoses at the hospital from 1969 to 1990 were reviewed, and the frequency of the diagnosis of obsessive-compulsive disorder was compared with that of paranoid disorders. Correlations were also done on these diagnostic rates and the rates of reports in the literature in the same years on each of these types of disorders and their treatment.ResultsThe frequency of the diagnosis of obsessive-compulsive disorder, but not paranoid disorders, increased markedly during the 1980s. This increase was associated strongly and selectively with increases in publications about that disorder, particularly reports on drug and behavior therapy.ConclusionsThere has been a large recent increase in the rate of diagnosis of obsessive-compulsive disorder, evidently associated with advances in the study and treatment of the disorder. The observations suggest the influence of a treatment-oriented diagnostic bias in which clinicians may more readily consider and diagnose a condition for which an innovative or effective treatment is available.