Assessment of documentation of DSM-IV-TR Criteria A for diagnosis of schizophrenia in psychiatric unit, tertiary hospital, Malaysia

K. Maung, Ohnmar Htwe, W. Than, M. Ramli, M. R. Najwa Hanim, R. Ali Sabri, A. B. Ahmad Zafri

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective. The purposes of this study were to investigate the documentation of the DSM-IV-TR- Criteria A in diagnoses of schizophrenia and to identify the symptoms associated with over diagnosis of schizophrenia Method. This study involved a retrospective review and analysis of data from case notes. Results. Data of 107 newly diagnosed patients with schizophrenia were keyed in and analyzed using SPSS v 19. The cases were then evaluated for the use of the DSM-IV-TR- Criteria A. Over diagnosis was noted in 37.39% of the patients. Disorganised behaviour (12.5%), affective flattening (12.5%), hallucination (16%) and non-bizarre delusion (18.3%) significantly contributed to the over-diagnosis of schizophrenia. Symptoms such as non-bizarre delusion and hallucination were the most commonly used in over-diagnosing schizophrenia and were statistically significant with p ≤0.05. Conclusion. There was a significant lack of DSM-IV-TR Criteria A among the data documented to diagnose schizophrenia and non-bizarre delusion and hallucination were the most commonly used in overdiagnosing schizophrenia. This key problem needs to be addressed. The reliability of a diagnosis is indispensable and achievable with the proper clinical application of DSM-IV-TR Criteria A. The DSM-IVTR Criteria have been perceived to be useful and reliable and is most widely used throughout the world.

Original languageEnglish
Pages (from-to)87-90
Number of pages4
JournalClinica Terapeutica
Volume166
Issue number2
DOIs
Publication statusPublished - 16 Nov 2015

Fingerprint

Malaysia
Tertiary Care Centers
Diagnostic and Statistical Manual of Mental Disorders
Documentation
Psychiatry
Schizophrenia
Delusions
Hallucinations

Keywords

  • Delusion
  • DSM-IV-TR
  • Hallucination
  • Over-diagnosis
  • Psychopathology
  • Schizophrenia

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Assessment of documentation of DSM-IV-TR Criteria A for diagnosis of schizophrenia in psychiatric unit, tertiary hospital, Malaysia. / Maung, K.; Htwe, Ohnmar; Than, W.; Ramli, M.; Najwa Hanim, M. R.; Ali Sabri, R.; Ahmad Zafri, A. B.

In: Clinica Terapeutica, Vol. 166, No. 2, 16.11.2015, p. 87-90.

Research output: Contribution to journalArticle

Maung, K. ; Htwe, Ohnmar ; Than, W. ; Ramli, M. ; Najwa Hanim, M. R. ; Ali Sabri, R. ; Ahmad Zafri, A. B. / Assessment of documentation of DSM-IV-TR Criteria A for diagnosis of schizophrenia in psychiatric unit, tertiary hospital, Malaysia. In: Clinica Terapeutica. 2015 ; Vol. 166, No. 2. pp. 87-90.
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