Sensitivity of ICD-10 diagnosis of psychotic disorders in the Israeli National Hospitalization Registry compared with RDC diagnoses based on SADS-L

Weiser, Mark; Kanyas, Kyra; Malaspina, Dolores; Harvey, Philip D.; Glick, Ittai; Goetz, Deborah; Karni, Osnat; Yakir, A; Turetsky, N.; Fennig, Shmuel; Nahon, Daniella; Lerer, Bernard; Davidson, Michael

doi:10.1016/j.comppsych.2004.07.016

Cited by 92 publications

(56 citation statements)

References 32 publications

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“…This is determined by a committee, including a psychiatrist and recognized by National Insurance Institute regulations. The last registry hospital discharge diagnosis of schizophrenia, of whom all Israeli rehab service users are part of, has acceptable sensitivity and specificity assessed against research diagnosis (57); has acceptable stability over time (58); and captured over 90% of cases with schizophrenia disorders based on research criteria in a community sample (59). Inclusion criteria were: men and women over the age of 18, who had been psychiatrically hospitalized in the past, had experienced psychotic symptoms according to their clinicians and corroborated by the Positive and Negative Syndrome Scale (PANSS) [(60) –see measures] clinical interview (administered by the first author) and were eligible to sign an informed consent.…”

Section: Methodsmentioning

confidence: 99%

Posttraumatic Growth in Psychosis

et al. 2016

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ObjectiveRecent research has shown high rates of exposure to trauma among people with serious mental illness (SMI). In addition, studies suggest that psychosis and mental illness-related experiences can be extremely traumatic. While some individuals develop full blown PTSD related to these experiences, it has been noted that some may also experience posttraumatic growth (PTG). However, few studies have examined PTG as a possible outcome in people who have experienced psychosis.MethodTo further understand the relationships between psychosis and PTG, 121 participants were recruited from community mental health rehabilitation centers and administered trauma and psychiatric questionnaires.ResultsHigh levels of traumatic exposure were found in the sample. Regarding our main focus of study, we observed that people who endured psychosis can experience PTG, and that PTG is mediated by meaning making and coping self-efficacy (CSE) appraisal. Psychotic symptoms were found to be a major obstacle to meaning making, CSE, and PTG, whereas negative symptoms were found to be significantly related to PTG when mediated by meaning making and CSE.ConclusionThe current research provides preliminary evidence for potential role of meaning making and CSE as mediators of PTG in the clinical, highly traumatized population of people with SMI who have experienced psychosis. This may have both research as well as clinical practice relevance for the field of psychiatric rehabilitation.

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Section: Methodsmentioning

confidence: 99%

Posttraumatic Growth in Psychosis

et al. 2016

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“…Run by the Ministry of Health since 1950 (Lichtenberg, Kaplan, Grinshpoon, Feldman, & Nahon, 1999), it contains a record of all admissions to psychiatric hospitals or psychiatric wards within general hospitals, as well as admissions to day-facilities for psychiatric treatment; it includes dates of admission and discharge and a single discharge diagnosis for each episode, assigned by a board-certified psychiatrist. These diagnoses are coded with the International Classification of Diseases (ICD); codes from earlier years have been update to 10th Revision and those for psychotic disorders have been validated recently (Weiser et al, 2005). …”

Section: Methodsmentioning

confidence: 99%

Age, sex and first treatment of schizophrenia in a population cohort

Kleinhaus

Harlap

Perrin

et al. 2011

Journal of Psychiatric Research

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Objective-Schizophrenia affects men more than women, but this may not be true at all ages. This study examines the incidence of first hospitalization for treatment of schizophrenia in each sex over different ages.Methods-We compared the incidence of first admission for treatment in a cohort a cohort of 46,388 males and 43,680 females followed from birth until ages 29-41, using life tables and proportional hazards methods.Results-Life table estimates of cumulative incidence by age 40 were 1.44% in males) and .86% in females. Over all ages the relative risk (RR) in males was 1.6 (95% confidence limits=1.4-1.8) compared with females. Before age 17 there was no significant difference between the sexes (RR=.86, .56-1.3). Excess risk in males was observed only from age 17 (RR=1.7, 1.4-1.9). There was no evidence of the incidence in females catching up with that in males, during the 30s.Conclusion-In this population, there was a significant change, over age, in the relative incidence of first hospitalization for schizophrenia between the sexes; the excess incidence in males first developed at age 17.

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“…Entretanto, diversos estudos apontam que os SIS no Brasil vêm apresentando melhoras progressivas quanto à qualidade de seus dados 1,2,8,9 , até mesmo em decorrência de esforços empreendidos pelo Ministério da Saúde em parceria com outros órgãos, que incluíram ações como a padronização dos instrumentos básicos de coleta de dados 12 e a criação da RIPSA 13 . Dessa forma, este artigo reforça a possibilidade de utilização dos SIS em pesquisas sobre morbidade na área da saúde mental, que, embora já muito frequente em estudos internacionais 39,[42][43][44][45] , ainda conta com uma tímida produção bibliográfica nacional 7,8,46 . Conhecer o perfil das internações por transtornos mentais pelo Sistema de Informações Hospitalares pode ser útil não só para o conhecimento epidemiológico desses transtornos, mas também para avaliar a efetividade das políticas públicas implementadas na área da saúde mental, bem como para o planejamento de novas ações de saúde.…”

Section: Metodologiaunclassified

Transtornos mentais e comportamentais no Sistema de Informações Hospitalares do SUS (SIH-SUS) no estado do Rio de Janeiro no período de 1999 a 2010

Pereira

Santos

Lima³

et al. 2012

Cad. saúde colet.

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Cad. Saúde Colet., 2012, Rio de Janeiro, 20 (4): 482-91 482 Artigo OriginalResumo O objetivo do presente artigo foi realizar uma análise epidemiológica das internações psiquiátricas do Sistema Único de Saúde (SUS) no estado do Rio de Janeiro. Os dados das internações por transtornos mentais e comportamentais foram coletados do Sistema de Informações Hospitalares (SIH-SUS) no período de 1999 a 2010. A grande maioria dos pacientes era do sexo masculino na faixa etária de 30 a 49 anos e os diagnósticos mais frequentes foram: esquizofrenia, transtornos devido ao uso de álcool e transtornos do humor. Foi observado que o número de internações por transtornos mentais apresentou queda de 70% ao longo do período estudado. As internações por transtornos mentais corresponderam a cerca de 10% do total de hospitalizações ocorridas no estado do Rio de Janeiro, representando o segundo maior gasto com internações e perdendo apenas para as doenças do aparelho circulatório. Dessa forma, o presente artigo reforça que a utilização dos SIS em pesquisas na área da saúde mental pode ser útil não só para prover dados secundários de transtornos mentais, como também para avaliar a efetividade das políticas públicas implementadas e planejar novas ações de saúde.Palavras-chave: transtornos mentais; hospitalização; unidades de internação; sistemas de informação; Sistema Único de Saúde. AbstractThe aim of this study was to carry out an epidemiological analysis of the psychiatric hospitalizations in the Unified Health System (SUS) in Rio de Janeiro State. Data of hospitalization for mental and behavioral disorders were collected from the Hospital Information System (SIH-SUS) between 1999 and 2010. The majority of the patients was male, from 30 to 49 years old and the most frequent diagnosis were schizophrenia, alcohol use and mood disorders. We observed the number of hospitalizations for mental disorders decreased 70% in the studied period. The hospitalizations for mental disorders accounted for about 10% of all hospitalizations in the state of Rio de Janeiro, representing the second highest expending, after cardiovascular diseases. Therefore, this article reinforces that the SIH-SUS may be useful in mental health research area not only for providing secondary data of mental disorders, but also to evaluate the effectiveness of public policies implemented, as well to plan new health actions.

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Sensitivity of ICD-10 diagnosis of psychotic disorders in the Israeli National Hospitalization Registry compared with RDC diagnoses based on SADS-L

Cited by 92 publications

References 32 publications

Posttraumatic Growth in Psychosis

Posttraumatic Growth in Psychosis

Age, sex and first treatment of schizophrenia in a population cohort

Transtornos mentais e comportamentais no Sistema de Informações Hospitalares do SUS (SIH-SUS) no estado do Rio de Janeiro no período de 1999 a 2010

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