Comprehensive Psychiatry
Volume 45, Issue 3 , Pages 213-218 , May 2004

Patient characteristics and diagnostic discrepancy in first-episode psychosis

  • Olli Kampman

      Affiliations

    • University of Tampere, Medical School, Tampere, Finland
    • Tampere Community Mental Health Care Center, Tampere, Finland
    • Corresponding Author InformationAddress reprint requests to Olli Kampman, M.D., University of Tampere, Medical School, FIN-33014 University of Tampere, Finland
  • ,
  • Päivi Kiviniemi

      Affiliations

    • Department of Psychiatry, Tampere University Hospital, Tampere, Finland
  • ,
  • Elina Koivisto

      Affiliations

    • Department of Psychiatry, Tampere University Hospital, Tampere, Finland
  • ,
  • Juha Väänänen

      Affiliations

    • Ylöjärvi Community Mental Health Care Center, Ylöjärvi, Finland
  • ,
  • Nina Kilkku

      Affiliations

    • Department of Psychiatry, Tampere University Hospital, Tampere, Finland
  • ,
  • Esa Leinonen

      Affiliations

    • University of Tampere, Medical School, Tampere, Finland
    • Department of Psychiatry, Tampere University Hospital, Tampere, Finland
  • ,
  • Klaus Lehtinen

      Affiliations

    • Department of Psychiatry, Tampere University Hospital, Tampere, Finland

References 

  1. American Psychiatric Association . Diagnostic and Statistical Manual of Mental Disorders. DSM-III. Washington, DC: American Psychiatric Association; 1980;
  2. World Health Organization . The ICD-10 Classification of Mental and Behavioural Disorders. Clinical Descriptions and Diagnostic Guidelines. Geneva, Switzerland: WHO; 1992;
  3. Andreasen NC. Symptoms, signs, and diagnosis of schizophrenia. Lancet. 1995;346:477–481
  4. Mason P, Harrison G, Croudace T, Glazebrook C, Medley I. The predictive validity of a diagnosis of schizophrenia. A report from the International Study of Schizophrenia (ISoS) coordinated by the World Health Organization and the Department of Psychiatry, University of Nottingham. Br J Psychiatry. 1997;170:321–327
  5. Chen YR, Swann AC, Burt DB. Stability of diagnosis in schizophrenia. Am J Psychiatry. 1996;153:682–686
  6. Fennig S, Craig TJ, Tanenberg-Karant M, Bromet EJ. Comparison of facility and research diagnoses in first-admission psychotic patients. Am J Psychiatry. 1994;151:1423–1429
  7. Loffler W, Hafner H, Fatkenheuer B, Maurer K, Riecher-Rossler A, Lutzhoft J, et al.  Validation of Danish case register diagnosis for schizophrenia. Acta Psychiatr Scand. 1994;90:196–203
  8. Isohanni M, Makikyro T, Moring J, Rasanen P, Hakko H, Partanen U, et al.  A comparison of clinical and research DSM-III-R diagnoses of schizophrenia in a Finnish national birth cohort. Clinical and research diagnoses of schizophrenia. Soc Psychiatry Psychiatr Epidemiol. 1997;32:303–308
  9. Taiminen T, Ranta K, Karlsson H, Lauerma H, Leinonen K-M, Wallenius E, et al.  Comparison of clinical and best-estimate research DSM-IV diagnoses in a Finnish sample of first-admission psychosis and severe affective disorder. Nord J Psychiatry. 2001;55:107–111
  10. Strakowski SM, Flaum M, Amador X, Bracha HS, Pandurangi AK, Robinson D, et al.  Racial differences in the diagnosis of psychosis. Schizophr Res. 1996;21:117–124
  11. Schwartz JE, Fennig S, Tanenberg-Karant M, Carlson G, Craig T, Galambos N, et al.  Congruence of diagnoses 2 years after a first-admission diagnosis of psychosis. Arch Gen Psychiatry. 2000;57:593–600
  12. David AS. Insight and psychosis. Br J Psychiatry. 1990;156:798–808
  13. Amador XF, Strauss DH, Yale SA, Flaum MM, Endicott J, Gorman JM. Assessment of insight in psychosis. Am J Psychiatry. 1993;150:873–879
  14. World Health Organization . Schedules for Clinical Assessment in Neuropsychiatry. Version 2.0 (SCAN-2). Geneva, Switzerland: World Health Organization; 1994;
  15. Janca A, Ustun TB, Sartorius N. New Versions of World-Health-Organization Instruments for the Assessment of Mental Disorders. Acta Psychiatr Scand. 1994;90:73–83
  16. Kay SR, Fiszbein A, Opler LA. The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophr Bull. 1987;13:261–276
  17. Hamilton M. A rating scale for depression. J Neurol Neurosurg Psychiatry. 1960;23:56–61
  18. American Psychiatric Association . Global Assessment of Functioning Scale. (GAF). Diagnostic and Statistical Manual of Mental Disorders. Ed. 4. Washington, DC: American Psychiatric Association; 1994;
  19. Strauss J, Carpenter W. The prediction of outcome in schizophrenia (II. Relationships between predictor and outcome variables). Arch Gen Psychiatry. 1974;31:37–42
  20. Kampman O, Laippala P, Väänänen J, Koivisto E, Kiviniemi P, Kilkku N, et al.  Indicators of medication compliance in first-episode psychosis. Psychiatry Res. 2002;110:39–48
  21. Skodol AE, Bender DS. Diagnostic interviews for adults. In: Handbook of Psychiatric Measures. Ed. 1. Washington, DC: American Psychiatric Association; 2000;p. 45–70

PII: S0010-440X(04)00017-3

doi: 10.1016/j.comppsych.2004.02.002

Comprehensive Psychiatry
Volume 45, Issue 3 , Pages 213-218 , May 2004