Hostname: page-component-6b989bf9dc-zrclq Total loading time: 0 Render date: 2024-04-15T04:05:40.054Z Has data issue: false hasContentIssue false
  • English
  • Français

Validity of diagnoses and other clinical register data in patients with affective disorder

Published online by Cambridge University Press:  16 April 2020

LV Kessing
LV Kessing*
Affiliation:
Department of Psychiatry, Rigshospitaler, Blegdamsvej 9, DK 2100Copenhagen Ø Department of Psychiatric Demography, University of Aarhus, Psychiatric Hospital, Risskov, Denmark
Get access

Summary

Studies validating the clinical diagnoses of affective disorder recorded in case registers against research diagnostic criteria do not exist. In the present study, a random sample of 100 patients was selected among 21,734 patients who were recorded in the Danish Psychiatric Central Register with a diagnosis of manic-depressive psychosis at their first admission to psychiatric ward in a period from January 1, 1971 to December 31, 1993. Case notes from alt over Denmark were reviewed for all 100 patients and diagnoses were made with the use of OPCRIT. Patients who were still alive were contacted and interviewed face to face or by telephone. In total, 95 out of the 100 patients received an ICD-10 diagnosis of affective disorder computed with OPCRIT and confirmed at the interviews. Other clinical characteristics such as the age at onset and the number of affective episodes estimated from the register corresponded well with information from the case notes and the interviews.

Keywords

affective disordercase registerdiagnosisconcurrent validity
Type
Original article
Information
European Psychiatry , Volume 13 , Issue 8 , December 1998 , pp. 392 - 398
Copyright
Copyright © Elsevier, Paris 1998

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 edDiagnostic and Statistical Manual of Mental Disorders Washington, DC: APA; 1994.Google Scholar
Angst, JCourse of affective disordersSachar, EJHandbook of biological psychiatry. Part 5. Brain mechanisms and abnormal behaviour New York: Marcel Dekker; 1981. 225–242Google Scholar
Bertelsen, AHarvald, BHauge, MA Danish twin study of manic-depressive disordersBr J Psychiatry 1977; 130: 330–351CrossRefGoogle Scholar
Dickson, WEKendell, REDoes maintenance lithium therapy prevent recurrence of mania under ordinary clinical conditions?Psychol Medicine 1986; 16: 521–530Google Scholar
Dupont, AA national psychiatric case register as a tool for mental health planning, research, and administrationLaska, EMGulbinat, WHRegier, DAThe Danish model. Information support to mental health programs. An international perspective New York: Human sciences press; 1983. 257–274Google Scholar
Eaton, WWMortensen, PBHerrman, HFreeman, HBilker, WBurgess, Pet al.Long-term course of hospitalization for schizophrenia: Part 1. Risk for rehospitalization Schizophr Bul 1992; 18: 217–228CrossRefGoogle Scholar
Farmer, AEJenkins, PLKatz, RRyder, LComparison of the Catego-derived ICD-8 and DSM-II classifications using the Composite International Diagnostic Interview in severely ill subjects Br J Psychiatry 1991; 158: 177–182CrossRefGoogle Scholar
Frank, EPrien, RFJarret, RBKeller, MBKupfer, DJLavori, PWet al.Conceptualization and rationale for consensus definitions of terms in major depressive disorder. Remission, recovery, relapse and recurrence Arch Gen Psychiatry 1991; 48: 851–855CrossRefGoogle ScholarPubMed
Hafner, Han der Heiden, WThe contribution of European case registers to research on schizophrenia Schizophr Bul 1986; 12: 26–50CrossRefGoogle ScholarPubMed
Kessing, LVA comparison of ICD-8 and ICD-10 diagnoses of affective disorder —a case register study Eur Psychiatry 1998; 13: 342–345CrossRefGoogle ScholarPubMed
Kessing, LVAndersen, PKMortensen, PBBolwig, TGRecurrence in affective disorder —a case register study Br J Psychiatr 1998; 172: 23–28CrossRefGoogle ScholarPubMed
Kessing, LVMortensen, PBBolwig, TGClinical definitions of sensitisation in affective disorder —a case register study J Affect Disord 1998; 47: 31–39CrossRefGoogle ScholarPubMed
Loranger, AWLevine, PMAge at onset of bipolar affective illness Arch Gen Psychiatry 1978; 35: 1345–1348CrossRefGoogle ScholarPubMed
McGuffin, PFarmer, AHarvey, IA polydiagnostic application of operational criteria in studies of psychotic illness. Development and reliability of the OPCRIT system Arch Gen Psychiatry 1991; 48: 764–770CrossRefGoogle ScholarPubMed
Munk-Jørgensen, PKastrup, MMortensen, PBThe Danish psychiatric register as a tool in epidemiology Acta Psychiatr Scand 79suppl 3701993 27–32CrossRefGoogle Scholar
Munk-Jørgensen, PMortensen, PThe Danish Psychiatric Central Register Dan Med Bul 1997; 44: 82–84Google ScholarPubMed
National Board of Health Denmark [Classification of diseases. The Danish edition of ICD-8.] Copenhagen: Sundhedsstyrelsen; 1971.Google Scholar
NIMH/NIH, Consensus Development Conference Statement Mood disorders: pharmacological prevention of recurrence Am J Psychiatry 142 1985 469–476CrossRefGoogle Scholar
Post, RMRoy-Byrne, PPUhde, TWGraphic representation of the life course of illness in patients with affective disorder Am J Psychiatry 1988; 145: 844–848Google ScholarPubMed
Pridmore, SHornsby, HHay, DJones, ISurvival analysis and re-admission in mood disorder Br J Psychiatry 1994; 165: 824–827CrossRefGoogle Scholar
Riso, LPThase, MEHowland, RHFriedman, ESSimons, ADTu, XMA prospective test of criteria for response, remission, relapse, recovery, and recurrence in depressed patients treated with cognitive behaviour therapy J Affect Disord 1997; 43: 131–142CrossRefGoogle Scholar
Roy-Byrne, PPost, RMUhde, TWPorcu, TDavis, DThe longitudinal course of recurrent affective illness: Life chart data from research patients at the NIMH Acta Psychiatr Scand 1985; 317: 3–34Google ScholarPubMed
SSPS, Base 7.5 for Windows Chicago: SPSS inc; 1997.Google Scholar
Svendsen, SWSecular trends in first-ever admission rates of affective disorders in Denmark, 1971–1993 Nord J Psychiatry 1997; 51: 119–125CrossRefGoogle Scholar
Symonds, RLWilliams, PLithium and the changing incidence of mania Psychol Medicine II 1981 193–194CrossRefGoogle Scholar
Weeke, AAdmission pattern and diagnostic stability among unipolar and bipolar manic-depressive patients Acta Psychiatr Scand 1984; 70: 603–613CrossRefGoogle ScholarPubMed
Weeke, ABille, MVidebech, THDupont, AJuel-Nielsen, NIncidence of depressive syndromes in a Danish county Acta Psychiatr Scand 1975; 51: 28–41CrossRefGoogle Scholar
Weeke, AV˦th, MExcess mortality of bipolar and unipolar manic-depressive patients J Aff Disord 1986; 11: 227–234CrossRefGoogle Scholar
Weissman, MMLeaf, PJTischler, GLBlazer, DGKarno, MBruce, MLet al.Affective disorders in five United States communities Psychol Medicine 1988; 18: 141–153CrossRefGoogle ScholarPubMed
Wender, PHKety, SSRosenthal, DSchulsinger, FOrtmann, JLunde, IPsychiatric disorders in the biological and adoptive families of adopted individuals with affective disorders Arch Gen Psychiatry 1986; 43: 923–929CrossRefGoogle ScholarPubMed
Wing, JKBarbor, TBrugha, TBurke, JCooper, JEGiel, Ret al.SCAN: Schedules for clinical assessment in neuropsychiatry Arch Gen Psychiatry 1990; 47: 589–593CrossRefGoogle ScholarPubMed
Winokur, GCoryell, WAkiskal, HSEndicott, JKeller, MMueller, TManic-depressive (bipolar) disorder: the course in the light of a prospective ten-year follow-up of 131 patients Acta Psychiatr Scand 1994; 89: 102–110CrossRefGoogle Scholar
Wittchen, H-UKnauper, BKessler, RCLifetime risk of depression Br J Psychiatry 1994; 26: 16–22CrossRefGoogle Scholar
World Health Organisation, Glossary of mental disorders and guide to their classification for use in conjunction with the International Classification of Diseases Geneva: WHO; 1974.Google Scholar
World Health Organisation, The ICD-10 classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines Geneva: WHO; 1992.Google Scholar
World Health Organisation, The ICD-10 classification of mental and behavioural disorders: diagnostic criteria for research 1993Google Scholar
Submit a response

Comments

No Comments have been published for this article.