Diagnostic stability in a Dutch psychosis incidence cohort
Diagnostic stability in a Dutch psychosis incidence cohort
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DOI：
10.1192/bjp.185.6.460
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发表时间：
2004-12-01
影响因子：
10.5
通讯作者：
Kahn, RS
中科院分区：
文献类型：
--
作者：
Veen, ND;Selten, JP;Kahn, RS
背景在英国以外的研究中，没有一项研究在基于人群的样本中检查精神病性障碍的诊断稳定性，目的是确定荷兰基于人群的精神病发病率队列的诊断稳定性，研究移民精神分裂症的诊断转换频率，并报告移民精神分裂症的修订相对危险度。结果精神分裂症的诊断稳定性较高（91%），而其他精神病性障碍的诊断稳定性较低。在后续行动中，最初的诊断调整为精神分裂症往往比相反的情况发生。几乎一半（49%）最初未被诊断为精神分裂症的患者在随访时接受了这一诊断。大多数移民群体的相对风险是stability.Conclusions精神分裂症的诊断，而不是过度诊断，在第一次介绍。
Background No study outside the UK has examined the diagnostic stability of psychotic disorders in a population- based sample.Aims To determine diagnostic stability in a Dutch population -based psychosis incidence cohort, to examine the frequencies of diagnostic shifts to and from schizophrenic disorders and to report the revised relative risks of schizophrenic disorders for immigrants.Method A 30 -month follow-up study assessed the cohort (n=181) by means of face-to-face diagnostic interviews.Results Diagnostic stability of schizophrenic disorders was high (91%), but lower for other psychotic disorders. At follow-up, the initial diagnosis was adjusted to schizophrenic disorder more often than that the reverse occurred. Almost half (49%) of the patients who were not initially diagnosed as having a schizophrenic disorder received this diagnosis at follow up. The relative risks for most immigrant groups were stable.Conclusions Schizophrenic disorders are under diagnosed, rather than overdiagnosed, at first presentation.