Validity of routine clinical diagnoses in acute psychiatric inpatients

Zander, Eduard; Wyder, Lea; Grosse Holtforth, Martin; Schnyder, Ulrich; Hepp, Urs; Stulz, Niklaus (2018). Validity of routine clinical diagnoses in acute psychiatric inpatients. Psychiatry research, 259, pp. 482-487. Elsevier 10.1016/j.psychres.2017.11.004

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Aim: To examine the validity of diagnoses obtained by clinicians during routine clinical examination on acute psychiatric inpatient wards. Methods: N=100 inpatients with a broad spectrum of major mental disorders were randomly selected in a mental hospital's department of general psychiatry. Patients were diagnosed by independent assessors within Md = 5 (Range: 1–18) days of admission using the SCID I in order to examine the validity of the diagnoses given by the clinical staff based on routine assessments. Results: The commonly used clinical examination technique had good overall agreement with the SCID I assessments regarding primary diagnoses at the level of ICD-10 main categories (F2, F30-31, F32-F33, F4; κ = 0.65). However, agreement between routine clinical diagnoses and the SCID I diagnoses tended to be low for some specific mental disorders (e.g., depressive disorders) and for secondary diagnoses. Conclusions: The validity of routine clinical diagnoses established in acute inpatient settings is limited and should be improved.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology > Centre of Competence for Psychosomatic Medicine
07 Faculty of Human Sciences > Institute of Psychology > Clinical Psychology and Psychotherapy
07 Faculty of Human Sciences > Institute of Psychology

UniBE Contributor:

Grosse Holtforth, Martin and Stulz, Niklaus

Subjects:

600 Technology > 610 Medicine & health
100 Philosophy > 150 Psychology

ISSN:

0165-1781

Publisher:

Elsevier

Language:

English

Submitter:

Salome Irina Rahel Bötschi

Date Deposited:

24 Apr 2018 14:36

Last Modified:

29 Oct 2019 19:08

Publisher DOI:

10.1016/j.psychres.2017.11.004

PubMed ID:

29154169

BORIS DOI:

10.7892/boris.108487

URI:

https://boris.unibe.ch/id/eprint/108487

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