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… 
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153 Citations
Highly Influential Citations
8
Background Citations
45
Methods Citations
9
Results Citations
10

153 Citations

Psychotic disorders in the diagnostic stability of a Portuguese ward - Diagnostic retrospective analysis.
"Psychotic Disorders in the Diagnostic Stability of a Portuguese Ward - Diagnostic Retrospective Analysis".
Diagnostic Stability of Psychiatric Disorders in Re-Admitted Psychiatric Patients in Kerman, Iran
TLDR
Bipolar disorder had the most stability in diagnosis and the stability of schizoaffective disorder was poor among re-admitted patients at the Shahid Beheshti teaching hospital in Kerman, Iran.
Diagnostic Stability of First-Episode Psychotic Disorders and Persistence of Comorbid Psychiatric Disorders over 1 Year
TLDR
Findings demonstrate the stability of primary psychotic disorder diagnoses and greater fluidity of comorbid psychiatric diagnoses, with anxiety disorders persisting as comor bid conditions more than mood disorders and SUDs.
Stability of childhood anxiety disorder diagnoses: a follow-up naturalistic study in psychiatric care
TLDR
In this clinical pediatric outpatient sample it appears that phobic, social anxiety, and stress-related disorder diagnoses in children and adolescents treated in community outpatient services may have high diagnostic stability.
Classification of bipolar disorder in psychiatric hospital. a prospective cohort study
TLDR
There is a considerable misclassification of bipolar disorder in psychiatric hospital, mainly in patients currently depressed, which questions the validity of psychiatric case registers.
The clinical trajectory of patients with borderline personality disorder.
TLDR
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.
Diagnosing comorbidity in psychiatric hospital: challenging the validity of administrative registers
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.
The Diagnostic Stability in dual Diagnosis Study on a Sample of Patients with Opiate Addiction
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.
Diagnostic stability in bipolar disorder: a systematic review.
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.
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