دورية أكاديمية
أعرض في EDS

An observer-rated strategy for differentiating schizophrenic and manic states in inpatient settings.

التفاصيل البيبلوغرافية
العنوان: An observer-rated strategy for differentiating schizophrenic and manic states in inpatient settings.
المؤلفون: Parker G; Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia., Spoelma MJ; Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia.; Black Dog Institute, Sydney, NSW, Australia., Skidmore SJ; South Eastern Sydney Illawarra Psychiatry Training Network, NSW Health, NSW, Australia., Reid A; South Eastern Sydney Illawarra Psychiatry Training Network, NSW Health, NSW, Australia., Morris S; South Eastern Sydney Illawarra Psychiatry Training Network, NSW Health, NSW, Australia., Ferguson G; South Eastern Sydney Illawarra Psychiatry Training Network, NSW Health, NSW, Australia., Connors MH; Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia.; South Eastern Sydney Illawarra Psychiatry Training Network, NSW Health, NSW, Australia.
المصدر: The Australian and New Zealand journal of psychiatry [Aust N Z J Psychiatry] 2024 Jan; Vol. 58 (1), pp. 49-57. Date of Electronic Publication: 2023 Sep 28.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Sage Country of Publication: England NLM ID: 0111052 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1440-1614 (Electronic) Linking ISSN: 00048674 NLM ISO Abbreviation: Aust N Z J Psychiatry Subsets: MEDLINE
أسماء مطبوعة: Publication: 2012- : London : Sage
Original Publication: [Carlton South, Vic., Australia] : Blackwell Science
مواضيع طبية MeSH: Bipolar Disorder*/diagnosis , Psychotic Disorders*/diagnosis , Schizophrenia*/diagnosis, Humans ; Mania ; Inpatients
مستخلص: Objectives: Differentiating schizophrenia from mania in acutely psychotic patients can be difficult, but is important in determining immediate and subsequent management. Such differentiation is generally addressed by clinical interviews, but an observational approach may assist. This paper therefore describes the development of a relevant observational measure.
Methods: We developed a provisional list of 49 items (weighting features with suggested specificity to schizophrenia and mania) for independent completion by two nurses and judged its ability to predict diagnosis provided by consultant psychiatrists.
Results: Eighty-seven psychotic patients were recruited, and 173 completed data sets were analysed. We refined the item set to two sets of 10 items that best-differentiated schizophrenia from mania and vice versa. Optimal differentiation was achieved with a score of at least 7 on both the schizophrenia and mania item sets. Difference scores (i.e. schizophrenia items affirmed minus mania items affirmed) were also generated, with a difference score of +1 (i.e. one or more schizophrenia items being affirmed than mania items) showing optimal differentiation (sensitivity 0.67, specificity 0.82) between the two conditions. Evaluating all potential difference scores, we demonstrated that, as difference scores increased, diagnostic accuracy in identifying each condition was very high.
Conclusion: Analyses allow the properties of an observational measure (the 20-item Sydney Psychosis Observation Tool) to be described. While a single cut-off difference score was derived with acceptable discriminatory ability, we also established the capacity of varying difference scores to assign both schizophrenia and mania diagnoses with high accuracy.
Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship and/or publication of this article.
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فهرسة مساهمة: Keywords: bipolar disorder; diagnosis; mania; schizophrenia
تواريخ الأحداث: Date Created: 20230929 Date Completed: 20231229 Latest Revision: 20240920
رمز التحديث: 20240921
مُعرف محوري في PubMed: PMC10756020
DOI: 10.1177/00048674231201545
PMID: 37771099
قاعدة البيانات: MEDLINE
الوصف
تدمد:1440-1614
DOI:10.1177/00048674231201545