Assessment of documentation of DSM - IV - TR criteria a for diagnosis of schizophrenia in psychiatric unit, tertiary hospital, Malaysia
Objective. The purposes of this study were to investigate the documentation of the DSM - IV - TR - Criteria A in diagnoses of schizo - phrenia and to identify the symptoms associated with over diagnosis of schizophrenia Method. This study involved a retrospective review...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English English English |
| Published: |
Società Editrice Universo (SEU)
2015
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/44747/ http://irep.iium.edu.my/44747/ http://irep.iium.edu.my/44747/ http://irep.iium.edu.my/44747/1/51.REVIEW_MAUNG_%281%29_2015_09_15_15_45_14_426.pdf http://irep.iium.edu.my/44747/4/44747_Assessment%20of%20documentation%20of%20DSM_WOS.pdf http://irep.iium.edu.my/44747/5/44747_Assessment%20of%20documentation%20of%20DSM_SCOPUS.pdf |
| Summary: | Objective. The purposes of this study were to investigate the documentation of the DSM - IV - TR - Criteria A in diagnoses of schizo - phrenia 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 a nd 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 delus ion (18.3%) significantly contributed to the over - diagnosis of schizophrenia. Symptoms such as non - bizarre delusion and hallucina - tion 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 over - diagnosing schizophrenia. This key problem needs to be addres sed. The reliability of a diagnosis is indispensable and achievable with the proper clinical application of DSM - IV - TR Criteria A. The DSM - IV - TR Criteria have been perceived to be useful and reliable and is most widely used throughout the world |
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