AI Article Synopsis
- Psychiatric disorders contribute significantly to global disease burden, and the study aims to assess the long-term stability of common psychiatric diagnoses across different clinical environments.
- The research analyzed data from over 34,000 patients in a Spanish hospital, focusing on 10,025 adults who underwent multiple evaluations in various settings.
- Results showed poor stability in psychiatric diagnoses, with schizophrenia being the most consistent at 70% and specific personality disorders the least at 29%, highlighting concerns about current diagnostic practices.
Article Abstract
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 (360 899 psychiatric consultations) in three settings: in-patient unit, 2000-2004 (n=546); psychiatric emergency room, 2000-2004 (n=1408); and out-patient psychiatric facilities, 1992-2004 (n=10 016). Prospective consistency, retrospective consistency and the proportion of patients who received each diagnosis in at least 75% of the evaluations were calculated for each diagnosis in each setting and across settings.
Results: The temporal consistency of mental disorders was poor, ranging from 29% for specific personality disorders to 70% for schizophrenia, with stability greatest for in-patient diagnoses and least for out-patient diagnoses.
Conclusions: The findings are an indictment of our current psychiatric diagnostic practice.
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| http://dx.doi.org/10.1192/bjp.bp.106.024026 | DOI Listing |
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