Diagnostic Consistency and Change in a Follow-Up Study of 1215 Patients

Babigian, Haroutun M.; Gardner, Elmer A.; Miles, Harold; Romano, John

doi:10.1176/ajp.121.9.895

Cited by 71 publications

(18 citation statements)

References 10 publications

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“…Psychotic disorder and bipolar disorder were the most stable categories, whereas anxiety disorder and adjustment disorder were less stable. These results are comparable with previous studies [2,[6][7][8], in which psychotic conditions were the most stable, whereas 'neurotic' and affective diagnoses were more subject to change. Adjustment disorder was the weakest diagnostic group.…”

Section: Stability Of Diagnosessupporting

confidence: 90%

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Stability of DSM-III-R Diagnoses: Study of a Case Register

Huguelet

Gueddari²,

Glauser³

2001

Psychopathology

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We studied the diagnostic stability and the factors associated with it in 1,443 psychiatric patients with multiple admissions for a period of 45 months. We successively considered the whole population, the psychotic and then the schizophrenic patients. Demographic and DSM-III-R diagnostic information was collected on a computerized database. During the observation period, 1,443 patients were hospitalized twice or more. Diagnostic stability ranged from 34 to 86%. Psychotic disorder was the most stable, whereas adjustment and anxiety disorders were the least stable. Among schizophrenic patients, higher stability appeared for residual and disorganized types (83 and 71%, respectively). Statistical analysis did not show any variable associated with change, apart from the diagnoses themselves. The reasons that could explain changes are discussed, as well as the clinical consequences of these shifts.

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Section: Stability Of Diagnosessupporting

confidence: 90%

“…Kaelbling and Volpe [1] studied 934 patient records and found a stability of about 66% in the different diagnostic groups. Since then, other studies have been made on this topic, either from case registers [2][3][4], from medical records [1,5,6], or from patient interviews [7,8]. Overall, the diagnostic stability ranged from 60 to 80%.…”

Section: Introductionmentioning

confidence: 99%

Stability of DSM-III-R Diagnoses: Study of a Case Register

Huguelet

Gueddari²,

Glauser³

2001

Psychopathology

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“…Earlier studies had suggested similar levels of diagnostic stability, and had identified particularly unstable diagnostic groups, such as reactive psychosis [ S ] and affective psychosis. owing to the difficulty in distinguishing between psychotic and neurotic affective disorders [6]. In these early studies it is difficult to discriminate between the effects of low reliability and other factors possibly contributing to diagnostic instability.…”

mentioning

confidence: 99%

Stability of Psychiatric Diagnoses in New Zealand Psychiatric Hospitals

Stanton¹,

Joyce²

1993

Aust N Z J Psychiatry

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This study examines the stability over a five year follow-up of first admission psychiatric diagnoses assigned in New Zealand psychiatric hospitals in 1980 and 1981. Diagnostic stability is a measure of the degree to which psychiatric diagnoses remained unchanged at a later hospital admission. Reasonably high levels of stability were found for the initial diagnoses of substance abuse disorders (86% stable), anorexia nervosa (70%), schizophrenia (67%), and affective disorder (67%). Poor levels of stability were noted for the initial diagnoses of personality disorder (36%), other psychosis (excluding schizophrenia and affective psychosis) (22%), and other neurosis (excluding neurotic depression) (20%). The major trends in diagnostic change are described. Factors influencing diagnostic instability are also examined. For patients with an initial diagnosis of schizophrenia, a change in hospital is found to be the strongest factor causing diagnostic instability, with time between admissions and age at first admission also having a significant influence. The implications of these findings are discussed.

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“…[1][2][3][4][5][6][7][8][9][10] Stability has been reported to be greatest for in-patients as compared to out-patient diagnoses. 2 A possible explanation for this is that it may be easier to diagnose a condition when symptom severity is at its highest, as in emergency or inpatient settings, than it would be among outpatients.…”

Section: Introductionmentioning

confidence: 99%

Short-term diagnostic stability among re-admitted psychiatric in-patients in Eldoret, Kenya

et al. 2012

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Objective: To determine the prospective and retrospective consistency of diagnoses among readmitted psychiatric in-patients at the Moi Teaching and Referral Hospital in Eldoret, Kenya. Method: Admission and discharge diagnoses among a consecutive sample of 114 psychiatric in-patients readmitted at the Moi Teaching and Referral Hospital between August and December 2009 were compared. Results:The commonest diagnoses at admission were schizophrenia spectrum disorders (47.4%) and bipolar spectrum disorders (30.7%). Overall diagnostic stability as measured by prospective consistency in this study was 72.8%.The most stable diagnostic category was Major Depressive Disorder (100% prospective and retrospective consistency), followed by Bipolar Disorders (91.4% prospective consistency, 69.6% retrospective consistency) and Substance-related disorders (87.5% prospective consistency, 50% retrospective consistency). Schizophrenia-spectrum disorders had a prospective consistency of 75.9% and a retrospective consistency of 87.2%. 'Other Psychotic Disorders' (acute psychotic episode and psychotic disorder not otherwise specified) had the lowest diagnostic stability, with both prospective and retrospective consistency being 0%. Conclusion: Mood disorders and substance-related disorders have the highest diagnostic stability among readmitted psychiatric inpatients in a low-income country.

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Diagnostic Consistency and Change in a Follow-Up Study of 1215 Patients

Cited by 71 publications

References 10 publications

Stability of DSM-III-R Diagnoses: Study of a Case Register

Stability of DSM-III-R Diagnoses: Study of a Case Register

Stability of Psychiatric Diagnoses in New Zealand Psychiatric Hospitals

Short-term diagnostic stability among re-admitted psychiatric in-patients in Eldoret, Kenya

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