病例登记中单次抑郁发作诊断的有效性。
Validity of the diagnosis of a single depressive episode in a case register.
作者信息
Bock Camilla, Bukh Jens Drachmann, Vinberg Maj, Gether Ulrik, Kessing Lars Vedel
机构信息
Department of Psychiatry, Rigshospitalet, University Hospital of Copenhagen, Copenhagen, Denmark.
出版信息
Clin Pract Epidemiol Ment Health. 2009 Feb 12;5:4. doi: 10.1186/1745-0179-5-4.
Abstract
OBJECTIVE
To validate the ICD-10 diagnosis of a single depressive episode as used in daily clinical psychiatric practice and as recorded in the Danish Psychiatric Central Research Register.
METHODS
Patients discharged with a diagnosis of a single depressive episode were consecutively sampled from the register and diagnosed according to an interview using the Schedules for Clinical Assessment in Neuropsychiatry (SCAN).
RESULTS
A total of 75.4% of 399 patients with a register diagnosis of a single depressive episode also got this diagnosis according to the SCAN interview (82.8% for severe type of a single depression, 76.0% for moderate type of a single depression and 65.2% for mild type of a single depression).
CONCLUSION
The ICD-10 diagnosis of a single depressive episode can be used in daily clinical practice with sufficient precision. The validity of the diagnosis is highest for severe and moderate type of depression and decreases for mild depression.
摘要
目的
验证国际疾病分类第十版（ICD - 10）中关于单次抑郁发作的诊断在日常临床精神科实践中的应用情况以及丹麦精神病学中央研究登记册中的记录情况。
方法
从登记册中连续抽取诊断为单次抑郁发作的出院患者，并根据使用神经精神病学临床评估量表（SCAN）进行的访谈进行诊断。
结果
在399例登记诊断为单次抑郁发作的患者中，共有75.4%的患者根据SCAN访谈也得到了该诊断（重度单次抑郁类型为82.8%，中度单次抑郁类型为76.0%，轻度单次抑郁类型为65.2%）。
结论
ICD - 10中单次抑郁发作的诊断在日常临床实践中具有足够的准确性。该诊断对于重度和中度抑郁类型的有效性最高，而对于轻度抑郁则有所下降。
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本文引用的文献
1
Validity of diagnoses and other clinical register data in patients with affective disorder.情感障碍患者的诊断和其他临床登记数据的有效性。
Eur Psychiatry. 1998 Dec;13(8):392-8. doi: 10.1016/S0924-9338(99)80685-3.
2
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Br J Psychiatry. 2008 Apr;192(4):290-3. doi: 10.1192/bjp.bp.107.038935.
3
Higher risk of offspring schizophrenia following antenatal maternal exposure to severe adverse life events.产前母亲暴露于严重不良生活事件后，后代患精神分裂症的风险更高。
Arch Gen Psychiatry. 2008 Feb;65(2):146-52. doi: 10.1001/archgenpsychiatry.2007.20.
4
The prevalence of mixed episodes during the course of illness in bipolar disorder.双相情感障碍病程中混合发作的患病率。
Acta Psychiatr Scand. 2008 Mar;117(3):216-24. doi: 10.1111/j.1600-0447.2007.01131.x. Epub 2008 Jan 30.
5
Insulin resistance and lipid levels in adolescents with familial risk for psychosis.有精神病家族风险的青少年的胰岛素抵抗和血脂水平
Acta Psychiatr Scand. 2008 May;117(5):337-41. doi: 10.1111/j.1600-0447.2008.01154.x. Epub 2008 Jan 30.
6
Height and body mass index in young adulthood and risk of schizophrenia: a longitudinal study of 1 347 520 Swedish men.青年期身高、体重指数与精神分裂症风险：对1347520名瑞典男性的纵向研究
Acta Psychiatr Scand. 2007 Nov;116(5):378-85. doi: 10.1111/j.1600-0447.2007.01063.x.
7
Increased mortality among patients admitted with major psychiatric disorders: a register-based study comparing mortality in unipolar depressive disorder, bipolar affective disorder, schizoaffective disorder, and schizophrenia.患有重度精神疾病的入院患者死亡率增加：一项基于登记数据的研究，比较单相抑郁症、双相情感障碍、分裂情感性障碍和精神分裂症患者的死亡率。
J Clin Psychiatry. 2007 Jun;68(6):899-907. doi: 10.4088/jcp.v68n0612.
8
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Acta Psychiatr Scand. 2007 Jun;115(6):466-72. doi: 10.1111/j.1600-0447.2006.00975.x.
9
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Arch Suicide Res. 2007;11(2):163-75. doi: 10.1080/13811110701249889.
10
Toxoplasma gondii as a risk factor for early-onset schizophrenia: analysis of filter paper blood samples obtained at birth.弓形虫作为早发性精神分裂症的一个风险因素：对出生时采集的滤纸血样的分析。
Biol Psychiatry. 2007 Mar 1;61(5):688-93. doi: 10.1016/j.biopsych.2006.05.024. Epub 2006 Aug 22.
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