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 language | English |
|---|---|
| Pages (from-to) | 87-90 |
| Number of pages | 4 |
| Journal | Clinica Terapeutica |
| Volume | 166 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - 16 Nov 2015 |
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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 journal › Article
}
TY - JOUR
T1 - Assessment of documentation of DSM-IV-TR Criteria A for diagnosis of schizophrenia in psychiatric unit, tertiary hospital, Malaysia
AU - Maung, K.
AU - Htwe, Ohnmar
AU - Than, W.
AU - Ramli, M.
AU - Najwa Hanim, M. R.
AU - Ali Sabri, R.
AU - Ahmad Zafri, A. B.
PY - 2015/11/16
Y1 - 2015/11/16
N2 - 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.
AB - 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.
KW - Delusion
KW - DSM-IV-TR
KW - Hallucination
KW - Over-diagnosis
KW - Psychopathology
KW - Schizophrenia
UR - http://www.scopus.com/inward/record.url?scp=84947067078&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84947067078&partnerID=8YFLogxK
U2 - 10.7417/CT.2015.1823
DO - 10.7417/CT.2015.1823
M3 - Article
C2 - 25945438
AN - SCOPUS:84947067078
VL - 166
SP - 87
EP - 90
JO - Clinica Terapeutica
JF - Clinica Terapeutica
SN - 0009-9074
IS - 2
ER -