Dhossche D M, Ghani S O
Department of Psychiatry, University of South Alabama College of Medicine, Mobile 36693, USA.
Ann Clin Psychiatry. 1998 Dec;10(4):151-5. doi: 10.1023/a:1022389911912.
Diagnoses obtained from the hospital computer system were compared at two consecutive visits in 286 psychiatric emergency room patients within a 7-month period. Diagnostic agreement of schizophrenia and changes from and to schizophrenia were examined. There was moderate stability for a schizophrenic diagnosis in patients at two consecutive visits (kappa 0.5). schizophrenia was a more stable diagnosis in males (kappa 0.6) than females (0.4). Underdiagnosis of schizophrenia in females may be due to initial diagnostic confusion with affective illnesses. Further studies are needed in other settings to assess if underdiagnosis is associated with undertreatment of schizophrenia in females.
在7个月内，对286名精神科急诊患者连续两次就诊时从医院计算机系统获得的诊断结果进行了比较。检查了精神分裂症的诊断一致性以及精神分裂症的前后变化情况。精神分裂症诊断在患者连续两次就诊时具有中等稳定性（kappa值为0.5）。男性精神分裂症的诊断比女性更稳定（男性kappa值为0.6，女性为0.4）。女性精神分裂症诊断不足可能是由于最初与情感性疾病的诊断混淆。需要在其他环境中进行进一步研究，以评估诊断不足是否与女性精神分裂症治疗不足有关。
