Validity of reaction to severe stress and adjustment disorder diagnoses in the Danish Psychiatric Central Research Registry.
Validity of reaction to severe stress and adjustment disorder diagnoses in the Danish Psychiatric Central Research Registry.
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DOI：
10.2147/clep.s80514
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发表时间：
2015
影响因子：
3.9
通讯作者：
Gradus JL
中科院分区：
文献类型：
--
作者：
Svensson E;Lash TL;Resick PA;Hansen JG;Gradus JL
评估反应的有效性，以严重的压力和适应障碍的诊断登记在丹麦精神病学中央研究登记册（DPCRR），检查文件的压力和创伤性事件的医疗记录，并调查发生的压力诊断之间的人没有登记在DPCRR。在1995年至2011年期间诊断为国际疾病分类第10版（ICD-10）F43诊断的101，633例患者中，我们从两家医院（共100例）中选择了50例患者，其中包括五个时间段的每种诊断的一名中位年龄以上和一名中位年龄以下的患者，并回顾了他们的医疗记录。我们计算了阳性预测值，将DPCRR中的登记与原始医疗记录进行比较，并捕获了有关压力生活事件的数据。两名全科医生询问了约50名在DPCRR中没有压力诊断的患者，询问他们是否接受过压力诊断。急性应激反应的阳性预测值为58%，创伤后应激障碍的阳性预测值为83%，适应障碍的阳性预测值为94%，严重应激的其他反应的阳性预测值为71%，严重应激反应的阳性预测值为68%，未指明。在80%的记录中，记录了压力或创伤事件。在DPCRR中没有F43诊断的100名患者中，有7名有应激诊断。DPCRR是研究对严重压力和适应障碍的反应，特别是创伤后压力障碍和适应障碍的有效和全面的资源。
To assess the validity of reaction to severe stress and adjustment disorder diagnoses registered in the Danish Psychiatric Central Research Register (DPCRR), to examine the documentation of stressful and traumatic events in the medical records, and to investigate the occurrence of stress diagnoses among persons not registered in the DPCRR. Among 101,633 patients diagnosed with International Classification of Diseases, 10th Edition (ICD-10) F43 diagnoses between 1995 and 2011, we selected 50 patients from two hospitals (100 total), comprising one above and one below median age for each diagnosis for five time periods, and reviewed their medical records. We calculated the positive predictive value, comparing registration in the DPCRR with the original medical records, and captured data on stressful life events. Two general practitioners were queried about 50 patients without a stress diagnosis in the DPCRR, regarding whether they had ever received a stress diagnosis. The positive predictive value was 58% for acute stress reaction, 83% for posttraumatic stress disorder, 94% for adjustment disorder, 71% for other reactions to severe stress, and 68% for reaction to severe stress, unspecified. In 80% of the records, a stressful or traumatic event was noted. Of 100 patients without an F43 diagnosis in the DPCRR, seven had a stress diagnosis. The DPCRR represents a valid and comprehensive resource for research on reaction to severe stress and adjustment disorders, particularly for posttraumatic stress disorder and adjustment disorder.