Hostname: page-component-586b7cd67f-g8jcs Total loading time: 0 Render date: 2024-11-20T15:30:16.613Z Has data issue: false hasContentIssue false
  • English
  • Français

The diagnostic stability of ICD-10 psychiatric diagnoses in clinical practice

Published online by Cambridge University Press:  16 April 2020

TK Daradkeh ,
OEF El-Rufaie ,
YO Younis  and
R Ghubash
TK Daradkeh
Affiliation:
Department of Psychiatry and Behavioural Sciences, UAE University, PO Box 17666Al Ain, United Arab Emirates
OEF El-Rufaie
Affiliation:
Department of Psychiatry and Behavioural Sciences, UAE University, PO Box 17666Al Ain, United Arab Emirates
YO Younis
Affiliation:
Al Ain Hospital, Ministry of Health, Al Ain, United Arab Emirates
R Ghubash
Affiliation:
Department of Psychiatry and Behavioural Sciences, UAE University, PO Box 17666Al Ain, United Arab Emirates
Get access

Summary

This study examines the stability of ICD-10 diagnoses of patients admitted to Al Ain (United Arab Emirates) inpatients psychiatric unit during the period from November 1993 to August 1995. Diagnostic stability is a measure of the degree to which diagnoses remained unchanged at a later hospital admission. One hundred and seven patients were admitted more than once during this period, accounting for 168 readmissions. High levels of diagnostic stability were found for ICD-10 Fl-psychiatric disorders (100%), F2-schizophrenia (87%), F3-bipolar disorders (87%) and F3-depressive disorders (73%). A poor level of stability was found for patients with neurotic, stress related and adjustment disorders (F4), ranging from zero for somatoform disorders to 50% for generalized anxiety and panic disorders. Poor levels of stability were also found for other psychoses (excluding schizophrenia and affective psychoses) and personality disorders. We conclude that the introduction of ICD-10 as a formal diagnostic system has greatly improved the temporal stability of the most commonly encountered psychiatric disorders (ICD-10 Fl to F3 disorders), confirming the construct validity of those psychiatric disorders. Further investigations are required to evaluate the diagnostic stability of neurotic and other psychotic disorders.

Keywords

diagnostic stabilityICD-10clinical practice
Type
Original article
Information
European Psychiatry , Volume 12 , Issue 3 , 1997 , pp. 136 - 139
Copyright
Copyright © Elsevier, Paris 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association 4th ed (DSM-IV) Diagnostic and Statistical Manual of Mental Disorders Oulu: APA, 1994Google Scholar
Blacker, DTsuang, MTContested boundaries of bipolar disorder and the limits of categorical diagnosis in psychiatry. Am J Psychiatry 1992; 149: 1473–1483Google Scholar
Caduff, FDiagnosekarriern. Schweiz Arch Neurol Neurochir Psychiatr 1991; 142: 451–473Google Scholar
Daradkeh, TKStability of psychiatric diagnoses in clinical practice Int J Soc Psychiatry 42 31996 207–212CrossRefGoogle ScholarPubMed
Daradkeh, TKEl-Rufaie, FEOReda, FKarim, LPredictors of length of hospital stay. Nordic J Psychiatr 1996; 50: 127–131CrossRefGoogle Scholar
Degonda, MWyss, MAngst, JThe Zurich study. XVIII. Obsessive-compulsive disorders and syndromes in the general population. Eur Arch Psychiatr Clin Neurosci 1993; 243(1): 16–22CrossRefGoogle ScholarPubMed
Greenberg, WMRosenfeld, DNOrtega, EAAdjustment disorder as an admission diagnosis Am J Psychiatry 152 3 1995 459–461Google ScholarPubMed
Guinness, EABrief reactive psychosis and the major functional psychoses: descriptive case studies in Africa Br J Psychiatry 1992 160 suppl 16 24–41CrossRefGoogle Scholar
The ICD-10 Classification of Mental and Behavioural Disorders. Clinical Descriptions and Diagnostic Guidelines Washington, DC: World Health Organization, 1992Google Scholar
Kastrup, MThe use of a psychiatric register in predicting the outcome of the ‘revolving door patient’. Acta Psychiatr Scand 1987; 76: 552–560CrossRefGoogle Scholar
Kendell, REGourlay, JThe clinical distinction between affective psychoses and schizophrenia. Br J Psychiatry 1970; 117: 261–266CrossRefGoogle Scholar
Kendell, REBrockington, IThe identification of disease entities and the relationship between schizophrenic and affective psychoses. Br J Psychiatry 1980; 137: 324–331CrossRefGoogle ScholarPubMed
Links, PSMitton, MJESteiner, MStability of borderline personality disorder. Can J Psychiatry 1993; 38: 255–259CrossRefGoogle ScholarPubMed
Marneros, ADeister, ARohde, AAffektive, schizoaffektive und schizophrene psychosen. Eine vergleichende langzeistudie In: Hippius, HJanzarik, WMuller, CMonographien aus dem Gesamtgebiet der Psychiatric vol 65 Geneva: Springer-Verlag, 1991Google Scholar
Mattanah, JJFBecker, DFLevy, KN, et al.Diagnostic stability in adolescents followed up 2 years after hospitalization Am J Psychiatry 152 6 1995 889–894Google ScholarPubMed
Retterstol, NClassification of functional psychoses with special reference to follow-up studies. Psychopathology 1986; 19: 5–15Google ScholarPubMed
Rice, JPRochberg, NEndicott, JLavori, PWMiller, CStability of psychiatric diagnoses: an application to the affective disorders. Arch Gen Psychiatry 1992; 49: 824–830CrossRefGoogle ScholarPubMed
Stanton, MWJoyce, PRStability of psychiatric diagnoses in New Zealand psychiatric hospitals. Aust NZ J Psychiatry 1993; 27: 2–8CrossRefGoogle ScholarPubMed
Vetter, PKoller, OStability of diagnoses in various psychiatric disorders: a study of long-term course. Psychopathology 1993; 26: 173–180CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.