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Validity of the diagnosis of a single depressive episode in a case register

机译:病例登记表中单个抑郁发作的诊断有效性

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Objective To validate the ICD-10 diagnosis of a single depressive episode as used in daily clinical psychiatric practice and as recorded in the Danish Psychiatric Central Research Register. Methods Patients discharged with a diagnosis of a single depressive episode were consecutively sampled from the register and diagnosed according to an interview using the Schedules for Clinical Assessment in Neuropsychiatry (SCAN). Results A total of 75.4% of 399 patients with a register diagnosis of a single depressive episode also got this diagnosis according to the SCAN interview (82.8% for severe type of a single depression, 76.0% for moderate type of a single depression and 65.2% for mild type of a single depression). Conclusion The ICD-10 diagnosis of a single depressive episode can be used in daily clinical practice with sufficient precision. The validity of the diagnosis is highest for severe and moderate type of depression and decreases for mild depression.
机译:目的验证日常精神病学实践中使用的并在丹麦精神病学中央研究注册簿中记录的单个抑郁发作的ICD-10诊断。方法从登记册中连续抽取出诊断为患有单个抑郁发作的患者,并根据访谈内容使用《神经精神病学临床评估表》(SCAN)进行诊断。结果根据SCAN访谈,在399例单发抑郁发作的登记诊断中,共有75.4%的人也得到了这一诊断(重度单发抑郁症的占82.8%,中度单发抑郁症的占76.0%,中度单发抑郁的占65.2%适用于轻度类型的单身抑郁症)。结论ICD-10诊断单发性抑郁发作可在日常临床实践中以足够的精度使用。对于严重和中度抑郁症,诊断的有效性最高,对于轻度抑郁症,诊断的有效性降低。

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