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

Atwoli, Lukoye; Ndambuki, D.; Owiti, Philip; Manguro, Griffins; Omulimi, N.

doi:10.4314/ajpsy.v15i2.15

Cited by 8 publications

(7 citation statements)

References 28 publications

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“…We also found that most patients retained the diagnosis of schizophrenia in the four years after its onset (65%). Although schizophrenia has a high diagnostic stability, according to previous works, prospective consistencies can vary from 52–100% 45–49 . In our sample approximately 35% of the patients diagnosed with schizophrenia, presented a change in their diagnosis (prospective consistency of 65%).…”

Section: Discussionmentioning

confidence: 99%

Onset of schizophrenia diagnoses in a large clinical cohort

López-Castromán

Leiva-Murillo

Cegla-Schvartzman

et al. 2019

Sci Rep

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We aimed to describe the diagnostic patterns preceding and following the onset of schizophrenia diagnoses in outpatient clinics. A large clinical sample of 26,163 patients with a diagnosis of schizophrenia in at least one outpatient visit was investigated. We applied a Continuous Time Hidden Markov Model to describe the probability of transition from other diagnoses to schizophrenia considering time proximity. Although the most frequent diagnoses before schizophrenia were anxiety and mood disorders, direct transitions to schizophrenia usually came from psychotic-spectrum disorders. The initial diagnosis of schizophrenia was not likely to change for two of every three patients if it was confirmed some months after its onset. When not confirmed, the most frequent alternative diagnoses were personality, affective or non-schizophrenia psychotic disorders. Misdiagnosis or comorbidity with affective, anxiety and personality disorders are frequent before and after the diagnosis of schizophrenia. Our findings give partial support to a dimensional view of schizophrenia and emphasize the need for longitudinal assessment.

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Section: Discussionmentioning

confidence: 99%

Onset of schizophrenia diagnoses in a large clinical cohort

López-Castromán

Leiva-Murillo

Cegla-Schvartzman

et al. 2019

Sci Rep

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“…The current study determined the DS for psychotic disorders to be 46.3%. Two other studies determined the DS of schizophrenia to be 74% and 67% [19]. In another study, patients with an initial episode of schizophrenic psychosis showed the greatest DS (93%) [4].…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Stability of Psychiatric Disorders in Baqiyatallah Hospital from 1997 to 2015

Tavalaei

Assari

Tavalaei³

et al. 2016

Hosp Pract Res

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Background: Hospitalization compared to outpatient care leads to better diagnosis. Stability of diagnosis varies among different psychiatric disorders and is associated with some demographic and mental health variables. Objective: The current study evaluated the stability of diagnosis in Baqiyatallah Hospital Psychiatric Ward. Methods: In this retrospective study, 908 inpatient records from the psychiatric ward of Baqiyatallah Hospital in the years 1997-2015 were randomly selected. Having primary and final diagnoses was the inclusion criterion. Demographic variables (age, sex, marital status, education, and employment) and mental health variables (primary and final psychiatric diagnoses, duration of hospitalization, psychiatric history, and medication history) were recorded. Ultimately, 429 cases were entered into the study. Results: The overall diagnostic stability rate was 57.6%. In mood, anxiety, psychotic, and personality disorders, the diagnostic stability rates were 84%, 63.8%, 46.3%, and 36.4%, respectively. For depressive and bipolar disorders, the stability of diagnosis rates were 85.5% and 86%, respectively. A significant relation between diagnosis axis, number of diagnoses, drug abuse and somatic disease history and diagnostic stability was seen (p<0.05). Conclusion: According to the present study, the maximum diagnostic stability rate was related to mood disorders with anxiety disorders ranking second. The minimum stability was related to personality disorders. Other studies have reported completely different results which may be due to different situations. Future studies in this field seem to be essential.

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“…On the other hand in our study, bipolar disorder showed relatively higher prospective and retrospective consistency than other studies. Dramatic representation of manic episodes can facilitate its diagnosis compared to other psychiatric disorders ( Atwoli et al, 2012) .…”

Section: Discussionmentioning

confidence: 99%

“…The stability of diagnosis refers to consistency or difference between preliminary and follow up examination of patient and is used to determine response to treatment and to examine progression of disease ( Atwoli et al, 2012) .…”

Section: Introductionmentioning

confidence: 99%

Diagnostic Stability of Psychiatric Disorders in Re-Admitted Psychiatric Patients in Kerman, Iran

Alavi¹,

Nakhaee²,

Sabahi³

2014

GJHS

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Background:Several studies have evaluated the stability of psychiatric diagnosis follow in readmission of patients in psychiatric hospitals. However, there is little data concerning this matter from Iran. This study is designed to evaluate this diagnostic stability of the commonest psychiatric disorders in Iran.Objectives:The objective of this study was to determine the long-term diagnostic stability of the most prevalent psychiatric disorders among re-admitted patients at the Shahid Beheshti teaching hospital in Kerman, Iran.Patients and Methods:This study was based on 485 adult patients re-admitted at the Shahid Beheshti hospital between July and November 2012. All of the diagnoses were made according to DSM IV TR. Prospective and retrospective consistency and the ratio of patients who were obtained a diagnosis in at least 75%, 100% of the admissions were calculated.Results:The most frequent diagnoses at the first admission were bipolar disorder (48.5%) and Major depressive disorder (18.8%). The most stable diagnosis was bipolar disorder (71% prospective consistency, 69.4% retrospective consistency). Schizoaffective disorder had the greatest diagnostic instability (28.5% prospective consistency, 16.6% retrospective consistency).Conclusions:Among the cases evaluated, bipolar disorder had the most stability in diagnosis and the stability of schizoaffective disorder was poor.

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

Cited by 8 publications

References 28 publications

Onset of schizophrenia diagnoses in a large clinical cohort

Onset of schizophrenia diagnoses in a large clinical cohort

Diagnostic Stability of Psychiatric Disorders in Baqiyatallah Hospital from 1997 to 2015

Diagnostic Stability of Psychiatric Disorders in Re-Admitted Psychiatric Patients in Kerman, Iran

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