Diagnostic stability of psychiatric disorders in clinical practice

@article{BacaGarca2007DiagnosticSO,
  title={Diagnostic stability of psychiatric disorders in clinical practice},
  author={Enrique Baca-Garc{\'i}a and M Mercedes Perez-Rodriguez and Ignacio Basurte-Villamor and A. Fern{\'a}ndez del Moral and Miguel {\'A}ngel Jim{\'e}nez-Arriero and Jose L Gonzalez de Rivera and Jer{\'o}nimo Saiz-ruiz and Maria A. Oquendo},
  journal={British Journal of Psychiatry},
  year={2007},
  volume={190},
  pages={210 - 216}
}
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… Expand
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145 Citations
Highly Influential Citations
7
Background Citations
44
Methods Citations
9
Results Citations
9

145 Citations

Citation Type

Citation Type

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There is a considerable misclassification of bipolar disorder in psychiatric hospital, mainly in patients currently depressed, which questions the validity of psychiatric case registers. Expand
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The low diagnostic stabilities demonstrate a heterogenous patient group diagnosed with many other psychiatric diagnoses over time, including schizophrenia, notably for those with longer follow-up and males. Expand
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TLDR
The validity of administrative registers in psychiatry seems dubious for research purposes and even for administrative and clinical purposes, and the diagnostic process in the clinic should be more structured and treatment guidelines should include comorbidity. Expand
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TLDR
Evaluating the stability of psychiatric diagnoses in a cohort of patients with dual diagnosis, under treatment of the Dependence Department of the Local Health Unit n.8 Veneto, Italy found that Psychoses are the most stable diagnoses and Neuroses are more unstable. Expand
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TLDR
In this review, it is found that Bipolar Disorder has in its favor a greater construct validity and longterm stability than other mental disorders. Expand
Five-year stability of ICD-10 diagnoses among Chinese patients presented with first-episode psychosis in Hong Kong
TLDR
Schizophrenia and bipolar affective disorder were diagnostically stable and could be reliably classified at intake in a Chinese first-episode psychosis sample using the ICD-10 criteria. Expand
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