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Evolution of diagnostic frequency in schizophrenia spectrum disorders in Acute Psychiatric Unit in Barcelona

Published online by Cambridge University Press:  23 March 2020

M. Grifell
Affiliation:
Parc de salut mar, Institut de neuropsiquiatria i addiccions, Barcelona, Spain
L. Galindo
Affiliation:
Parc de salut mar, Institut de neuropsiquiatria i addiccions, Barcelona, Spain
M. Campillo
Affiliation:
Parc de salut mar, Institut de neuropsiquiatria i addiccions, Barcelona, Spain
L. Gonzalez
Affiliation:
Parc de salut mar, Institut de neuropsiquiatria i addiccions, Barcelona, Spain
A. Palomo
Affiliation:
Parc de salut mar, Institut de neuropsiquiatria i addiccions, Barcelona, Spain
C. Diez-aja
Affiliation:
Parc de salut mar, Institut de neuropsiquiatria i addiccions, Barcelona, Spain
A. Grau
Affiliation:
Parc de salut mar, Institut de neuropsiquiatria i addiccions, Barcelona, Spain
L. San-Emeterio
Affiliation:
Parc de salut mar, Institut de neuropsiquiatria i addiccions, Barcelona, Spain
M. Ibarra
Affiliation:
Parc de salut mar, Institut de neuropsiquiatria i addiccions, Barcelona, Spain
R. Sanchez
Affiliation:
Parc de salut mar, Institut de neuropsiquiatria i addiccions, Barcelona, Spain
L.M. Martín
Affiliation:
Parc de salut mar, Institut de neuropsiquiatria i addiccions, Barcelona, Spain
L. García
Affiliation:
Parc de salut mar, Institut de neuropsiquiatria i addiccions, Barcelona, Spain
O. Orejas
Affiliation:
Parc de salut mar, Institut de neuropsiquiatria i addiccions, Barcelona, Spain
T. Salvador
Affiliation:
Parc de salut mar, Institut de neuropsiquiatria i addiccions, Barcelona, Spain
H. Manteca
Affiliation:
Parc de salut mar, Institut de neuropsiquiatria i addiccions, Barcelona, Spain
V. Pérez
Affiliation:
Parc de salut mar, Institut de neuropsiquiatria i addiccions, Barcelona, Spain Centro de investigación Biomédica en Red de Salud Mental CIBERSAM G21, Psychiatry, Barcelona, Spain
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Abstract

Introduction

Several studies have suggested variations in the prevalence of schizophrenia spectrum disorders diagnosis across time. This could be due to a change in diagnostic practice motivated either for changes in DSM criteria as for local culture factors. The aim of this study is to explore the evolution of the schizophrenia spectrum disorders. We hypothesize that we would observe a transference from the schizophrenia diagnosis to psychosis not otherwise specified.

Methods

A retrospective review of all psychiatric discharges in acute unit in the INAD of Parc de Salut Mar of Barcelona, between 2002 and 2014 was performed, relating each discharge to its axis I psychiatric diagnostic. An ANOVA analysis was used to calculate the differences between the months and the frequency of the diagnosis.

Conclusion

We have not been able to observe any transference between diagnoses across years. We observe a decrease of the proportion of schizophrenic spectrum disorders in its prevalence at discharge from 2012 to 2014. The proportion of not otherwise specified psychosis remains quite constant as a third of the schizophrenia diagnoses.

Disclosure of interest

The authors report no conflict of interest in this study. LG is funded by the Instituto.de.Salud.Carlos.III (CM14/00111).

Type
EV316
Copyright
Copyright © European Psychiatric Association 2016

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References

Castagnini, A., Berrios, G. E. (2009).Acute and transient psychotic disorders (ICD-10 F23): a review from a European perspective. Eur Arch Psychiatry Clin Neurosci ;259(8):433–43. http://dx.doi.org/10.1007/s00406-009-0008-2.CrossRefGoogle ScholarPubMed
Mundt, A. P., Fakhriddinov, S., Fayzirahmanova, M., Aichberger, M. C., Ivens, S., Schouler-Ocak, M., Ströhle, A. 2011. Use of psychiatric inpatient capacities and diagnostic practice in Tashkent/Uzbekistan as compared to Berlin/Germany. Soc Psychiatry Psychiat Epidemiol ;46(12):1295–302. http://dx.doi.org/10.1007/s00127-010-0299-7.CrossRefGoogle ScholarPubMed
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