Pattern of admission and the over representation in Schizophrenia diagnosis in a psychiatric ward in Malaysia

Introduction: Based on the US-UK Diagnostic Project (1972), schizophrenia was over diagnosed at the expense of mood disorders and personality disorders in New York. With the advent of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III), diagnosis of schizophrenia in America became na...

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Main Authors:	Mohamad Ismail, Maung Ko @ Hajee, Musa, Ramli, Abu Bakar, Ahmad Zafri, Min Ko, Ba, Mat Zin, Nora, Naing, Nyi Nyi, Oo, Myo
Format:	Article
Language:	English
Published:	Japan International Cultural Exchange Foundation (JICEF) 2012
Subjects:	R Medicine (General)
Online Access:	http://irep.iium.edu.my/27215/ http://irep.iium.edu.my/27215/1/31.IMJ_-_Maung_Ko_-_Japan_-_June_2012.pdf

id	iium-27215
recordtype	eprints
spelling	iium-272152012-12-03T07:36:27Z http://irep.iium.edu.my/27215/ Pattern of admission and the over representation in Schizophrenia diagnosis in a psychiatric ward in Malaysia Mohamad Ismail, Maung Ko @ Hajee Musa, Ramli Abu Bakar, Ahmad Zafri Min Ko, Ba Mat Zin, Nora Naing, Nyi Nyi Oo, Myo R Medicine (General) Introduction: Based on the US-UK Diagnostic Project (1972), schizophrenia was over diagnosed at the expense of mood disorders and personality disorders in New York. With the advent of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III), diagnosis of schizophrenia in America became narrow and misdiagnosis of mood disorders as schizophrenia became less. As assessment and reporting of pattern of admission to psychiatric wards is important for strategic service development and planning, this study aimed to investigate the pattern of admissions and identify over representation in schizophrenia diagnosis and under-representation in bipolar mood disorder diagnosis in a psychiatric ward in Malaysia. Method: This was a retrospective record review study of patients with psychiatric illness admitted between 2006 and 2007 in the Psychiatric Ward at Hospital Tengku Ampuan Afzan, Kuantan, Malaysia. Results: Forty-two percent of patients in our study had schizophrenia/delusional disorder and 7.5% had bipolar disorder. Personality disorder had the least number of patients (0.8%). The distribution of schizophrenia diagnosis in our study was higher than the distribution in studies from the West and other Asian countries. It was statistically significant. In contrast, diagnosis of bipolar mood disorder (7.5%) was lower compared with other studies. Conclusions: Our study highlighted the phenomena of over representation in schizophrenia diagnosis and under-representation in diagnosis of bipolar mood disorder. This problem needs to be addressed. Japan International Cultural Exchange Foundation (JICEF) 2012-06 Article PeerReviewed application/pdf en http://irep.iium.edu.my/27215/1/31.IMJ_-_Maung_Ko_-_Japan_-_June_2012.pdf Mohamad Ismail, Maung Ko @ Hajee and Musa, Ramli and Abu Bakar, Ahmad Zafri and Min Ko, Ba and Mat Zin, Nora and Naing, Nyi Nyi and Oo, Myo (2012) Pattern of admission and the over representation in Schizophrenia diagnosis in a psychiatric ward in Malaysia. International Medical Journal, 19 (2). pp. 120-123. ISSN 1341-2051
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	R Medicine (General)
spellingShingle	R Medicine (General) Mohamad Ismail, Maung Ko @ Hajee Musa, Ramli Abu Bakar, Ahmad Zafri Min Ko, Ba Mat Zin, Nora Naing, Nyi Nyi Oo, Myo Pattern of admission and the over representation in Schizophrenia diagnosis in a psychiatric ward in Malaysia
description	Introduction: Based on the US-UK Diagnostic Project (1972), schizophrenia was over diagnosed at the expense of mood disorders and personality disorders in New York. With the advent of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III), diagnosis of schizophrenia in America became narrow and misdiagnosis of mood disorders as schizophrenia became less. As assessment and reporting of pattern of admission to psychiatric wards is important for strategic service development and planning, this study aimed to investigate the pattern of admissions and identify over representation in schizophrenia diagnosis and under-representation in bipolar mood disorder diagnosis in a psychiatric ward in Malaysia. Method: This was a retrospective record review study of patients with psychiatric illness admitted between 2006 and 2007 in the Psychiatric Ward at Hospital Tengku Ampuan Afzan, Kuantan, Malaysia. Results: Forty-two percent of patients in our study had schizophrenia/delusional disorder and 7.5% had bipolar disorder. Personality disorder had the least number of patients (0.8%). The distribution of schizophrenia diagnosis in our study was higher than the distribution in studies from the West and other Asian countries. It was statistically significant. In contrast, diagnosis of bipolar mood disorder (7.5%) was lower compared with other studies. Conclusions: Our study highlighted the phenomena of over representation in schizophrenia diagnosis and under-representation in diagnosis of bipolar mood disorder. This problem needs to be addressed.
format	Article
author	Mohamad Ismail, Maung Ko @ Hajee Musa, Ramli Abu Bakar, Ahmad Zafri Min Ko, Ba Mat Zin, Nora Naing, Nyi Nyi Oo, Myo
author_facet	Mohamad Ismail, Maung Ko @ Hajee Musa, Ramli Abu Bakar, Ahmad Zafri Min Ko, Ba Mat Zin, Nora Naing, Nyi Nyi Oo, Myo
author_sort	Mohamad Ismail, Maung Ko @ Hajee
title	Pattern of admission and the over representation in Schizophrenia diagnosis in a psychiatric ward in Malaysia
title_short	Pattern of admission and the over representation in Schizophrenia diagnosis in a psychiatric ward in Malaysia
title_full	Pattern of admission and the over representation in Schizophrenia diagnosis in a psychiatric ward in Malaysia
title_fullStr	Pattern of admission and the over representation in Schizophrenia diagnosis in a psychiatric ward in Malaysia
title_full_unstemmed	Pattern of admission and the over representation in Schizophrenia diagnosis in a psychiatric ward in Malaysia
title_sort	pattern of admission and the over representation in schizophrenia diagnosis in a psychiatric ward in malaysia
publisher	Japan International Cultural Exchange Foundation (JICEF)
publishDate	2012
url	http://irep.iium.edu.my/27215/ http://irep.iium.edu.my/27215/1/31.IMJ_-_Maung_Ko_-_Japan_-_June_2012.pdf
first_indexed	2023-09-18T20:40:29Z
last_indexed	2023-09-18T20:40:29Z
_version_	1777409331655868416

Pattern of admission and the over representation in Schizophrenia diagnosis in a psychiatric ward in Malaysia

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