Hostname: page-component-76fb5796d-vvkck Total loading time: 0 Render date: 2024-04-26T18:32:16.157Z Has data issue: false hasContentIssue false
  • English
  • Français

The Stability of Diagnosis over Time in a Register-based Study of Psychiatric Inpatients

Published online by Cambridge University Press:  15 April 2020

H.K. Carlsen ,
S. Steingrimsson ,
M.I. Sigurdsson  and
A. Magnusson
H.K. Carlsen
Affiliation:
Faculty of Medicine, University of Iceland, Reykjavik, Iceland
S. Steingrimsson
Affiliation:
Centre of Ethics Law and Mental Health (CELAM), Sahlgrenska Academy, Gothenburg, Sweden
M.I. Sigurdsson
Affiliation:
Faculty of Medicine, University of Iceland, Reykjavik, Iceland
A. Magnusson
Affiliation:
Mental Health Services, Landspitali – The National University Hospital, Reykjavik, Iceland

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Background

Diagnosis at first admission is an important variable in epidemiological studies but concerns regarding stability need to be adressed.

Aims

To investigate the persistence of diagnosis at first admission within 10 years in a nationwide cohort of psychiatric inpatients with 25 year follow-up.

Methods

A cohort was established from a database of all persons admitted to psychiatric wards in Iceland from 1983 to 2008. Those who became 18 during the study period 1983-2007 were selected for this analysis. The outcomes were the diagnosis at first diagnosis, and within 1, 2, 5 or 10 years, after first admission for the following diagnostic groups; substance use disorders, mood disorders, personality disorders, schizophrenia and related disorders were studied using descriptive methods.

Results

Some 4959 were included in the study, 50.4% were men (n=2504). Mean (sd) age at first admission was 27 (± 6.1) years. Most or 51% (2542/4959) were admitted more than once during the study period. Of those who were ever diagnosed with an SUD 87% (2214/2535) received an SUD diagnosis at first admission. In mood disorders, 80% (1771/2203) and anxiety disorders 76% were diagnosed at first admission. Only 67% (372/559) of those ever diagnosed with schizophrenia or similar and 60% (663/1098) of those ever diagnosed with personality disorders received the diagnosis at first admission.

Conclusion

In register-based research diagnosis at first admission is a good indicator for SUD and mood disorders, but less so for personality disorders and schizophrenia or related disorders.

Type
Article: 1385
Information
European Psychiatry , Volume 30 , Issue S1: Abstracts of the 23rd European Congress of Psychiatry , March 2015 , pp. 1
Copyright
Copyright © European Psychiatric Association 2015
Submit a response

Comments

No Comments have been published for this article.