Taş Halil İbrahim, Çelik Merve, Altinbaş Kürşat
Çanakkale Onsekiz Mart University, Faculty of Medicine, Department of Mental Health and Diseases, Çanakkale, Turkey.
Çanakkale Onsekiz Mart University, Faculty of Medicine, Department of Family Medicine, Çanakkale, Turkey.
Noro Psikiyatr Ars. 2019 Mar;56(1):47-51. doi: 10.29399/npa.22903. Epub 2018 Sep 17.
Unspecified psychosis, defined with the F29 code in the International Classification of Diseases (ICD) 10th version is commonly used if there is inadequate information to make the diagnosis of a specific psychotic disorder. There is a lack of data about the prevalence, incidence, diagnostic validity and stability of this diagnosis. Therefore, we aimed to evaluate the prevalence and diagnostic consistency of unspecified psychosis in the outpatient unit.
Patients diagnosed with the ICD-10 F29 code at the first visit and interviewed at least three times between January 2012-2016 in the Psychiatry Outpatient Clinic were included (n=138). Hospital records were reviewed retrospectively and data were analyzed with SPSS 19th version.
Mean duration of follow-up was 22.8±14.7 months. The diagnoses at the final follow-up were unspecified psychosis (43%), bipolar disorders (18%), schizophrenia (11%), major depression (7%), and anxiety disorders (4%). No significant difference was found between the follow-up diagnoses in terms of age, duration of follow-up, gender, educational status and marital status.
The diagnostic stability of unspecified psychosis is low compared to other psychotic disorders. Follow-up studies with larger sample sizes are required to elucidate the the low diagnostic stability of unspecified psychosis.
未特定的精神病，在《国际疾病分类》（ICD）第10版中用F29编码定义，当缺乏足够信息来诊断特定的精神病性障碍时通常会使用。关于这种诊断的患病率、发病率、诊断效度和稳定性的数据较少。因此，我们旨在评估门诊中未特定的精神病的患病率和诊断一致性。
纳入2012年1月至2016年期间在精神科门诊首次就诊时被诊断为ICD - 10 F29编码且至少接受三次访谈的患者（n = 138）。对医院记录进行回顾性审查，并使用SPSS第19版进行数据分析。
平均随访时间为22.8±14.7个月。末次随访时的诊断为未特定的精神病（43%）、双相情感障碍（18%）、精神分裂症（11%）、重度抑郁症（7%）和焦虑症（4%）。随访诊断在年龄、随访时间、性别、教育程度和婚姻状况方面未发现显著差异。
与其他精神病性障碍相比，未特定的精神病的诊断稳定性较低。需要进行更大样本量的随访研究来阐明未特定的精神病诊断稳定性低的原因。
