Validity of the diagnosis of a single depressive episode in a case register.
Validity of the diagnosis of a single depressive episode in a case register.
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DOI：
10.1186/1745-0179-5-4
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发表时间：
2009-02-12
期刊：
影响因子：
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通讯作者：
Kessing, Lars Vedel
中科院分区：
文献类型：
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作者：
Bock, Camilla;Bukh, Jens Drachmann;Kessing, Lars Vedel
目的：验证ICD-10在日常临床精神病学实践中对单个抑郁发作的诊断，并记录在丹麦精神病学中心研究登记册中。方法：从登记册中连续抽取诊断为单一抑郁发作的出院患者，并根据使用神经精神病学临床评估表（SCAN）的访谈进行诊断。结果：399例登记诊断为单一抑郁发作的患者中，共有75.4%的患者通过SCAN访谈得到了这一诊断（重度单一抑郁为82.8%，中度单一抑郁为76.0%，轻度单一抑郁为65.2%）。结论：ICD-10对单次抑郁发作的诊断可用于日常临床实践，具有足够的准确性。重度和中度抑郁症的诊断有效性最高，轻度抑郁症的诊断有效性降低。
OBJECTIVE: To validate the ICD-10 diagnosis of a single depressive episode as used in daily clinical psychiatric practice and as recorded in the Danish Psychiatric Central Research Register.METHODS: Patients discharged with a diagnosis of a single depressive episode were consecutively sampled from the register and diagnosed according to an interview using the Schedules for Clinical Assessment in Neuropsychiatry (SCAN).RESULTS: A total of 75.4% of 399 patients with a register diagnosis of a single depressive episode also got this diagnosis according to the SCAN interview (82.8% for severe type of a single depression, 76.0% for moderate type of a single depression and 65.2% for mild type of a single depression).CONCLUSION: The ICD-10 diagnosis of a single depressive episode can be used in daily clinical practice with sufficient precision. The validity of the diagnosis is highest for severe and moderate type of depression and decreases for mild depression.