Cargando…

Diagnostic change 2 years after a first episode of psychosis

INTRODUCTION: Psychiatric diagnoses are derived from expert opinion (1). Since no objective tests or markers are on the horizon, clinical psychiatry is anchored to “the patient’s altered experience, expression and existence, associated with suffering in self and/or others”(2). Many studies have exam...

Descripción completa

Detalles Bibliográficos
Autores principales: Aranguren, L., Martinez, M., De Jalón, E. García, Fernández, A., Ariz, M.C., Otero, M., Pereda, N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9475703/
http://dx.doi.org/10.1192/j.eurpsy.2021.1416
_version_ 1784789970028855296
author Aranguren, L.
Martinez, M.
De Jalón, E. García
Fernández, A.
Ariz, M.C.
Otero, M.
Pereda, N.
author_facet Aranguren, L.
Martinez, M.
De Jalón, E. García
Fernández, A.
Ariz, M.C.
Otero, M.
Pereda, N.
author_sort Aranguren, L.
collection PubMed
description INTRODUCTION: Psychiatric diagnoses are derived from expert opinion (1). Since no objective tests or markers are on the horizon, clinical psychiatry is anchored to “the patient’s altered experience, expression and existence, associated with suffering in self and/or others”(2). Many studies have examined diagnostic stability over time. In the last years investigators have been reporting prospective and retrospective consistencies of diagnoses between two time points, specially in first episodes of psychosis (3). OBJECTIVES: To examine the prospective and retrospective stability of diagnostic categories 2 years after the first episode of psychosis METHODS: Data were examined from the First Episode Psychosis Program of Navarra (PEPsNA), a prospective observational study of a cohort of patients with first-episode psychosis in Navarra (Spain). Diagnosis was assigned using DSM-IV-TR at baseline and 24 months later. Diagnoses were divided into 5 categories: Affective psychosis, Schizophrenia spectrum psychosis, Schizoaffective disorder, acute psychosis and other diagnoses. Diagnostic change was examined using prospective and retrospective consistency RESULTS: A total of 78 first-episode psychosis cases with baseline and 24 months follow-up were identified. Table 1 shows the diagnosis movement matrix, and Figure 1 its graphical representation. Of cases, 71.8% (56/78) had the same baseline and 24 months follow-up diagnosis. Prospective and retrospective consistencies are shown in Table 2 CONCLUSIONS: The prospective and retrospective consistencies of Schizophrenia spectrum psychosis and acute psychosis were higher than others. Affective psychosis and Schizoaffective disorder show very variable consistencies
format Online
Article
Text
id pubmed-9475703
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Cambridge University Press
record_format MEDLINE/PubMed
spelling pubmed-94757032022-09-29 Diagnostic change 2 years after a first episode of psychosis Aranguren, L. Martinez, M. De Jalón, E. García Fernández, A. Ariz, M.C. Otero, M. Pereda, N. Eur Psychiatry Abstract INTRODUCTION: Psychiatric diagnoses are derived from expert opinion (1). Since no objective tests or markers are on the horizon, clinical psychiatry is anchored to “the patient’s altered experience, expression and existence, associated with suffering in self and/or others”(2). Many studies have examined diagnostic stability over time. In the last years investigators have been reporting prospective and retrospective consistencies of diagnoses between two time points, specially in first episodes of psychosis (3). OBJECTIVES: To examine the prospective and retrospective stability of diagnostic categories 2 years after the first episode of psychosis METHODS: Data were examined from the First Episode Psychosis Program of Navarra (PEPsNA), a prospective observational study of a cohort of patients with first-episode psychosis in Navarra (Spain). Diagnosis was assigned using DSM-IV-TR at baseline and 24 months later. Diagnoses were divided into 5 categories: Affective psychosis, Schizophrenia spectrum psychosis, Schizoaffective disorder, acute psychosis and other diagnoses. Diagnostic change was examined using prospective and retrospective consistency RESULTS: A total of 78 first-episode psychosis cases with baseline and 24 months follow-up were identified. Table 1 shows the diagnosis movement matrix, and Figure 1 its graphical representation. Of cases, 71.8% (56/78) had the same baseline and 24 months follow-up diagnosis. Prospective and retrospective consistencies are shown in Table 2 CONCLUSIONS: The prospective and retrospective consistencies of Schizophrenia spectrum psychosis and acute psychosis were higher than others. Affective psychosis and Schizoaffective disorder show very variable consistencies Cambridge University Press 2021-08-13 /pmc/articles/PMC9475703/ http://dx.doi.org/10.1192/j.eurpsy.2021.1416 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstract
Aranguren, L.
Martinez, M.
De Jalón, E. García
Fernández, A.
Ariz, M.C.
Otero, M.
Pereda, N.
Diagnostic change 2 years after a first episode of psychosis
title Diagnostic change 2 years after a first episode of psychosis
title_full Diagnostic change 2 years after a first episode of psychosis
title_fullStr Diagnostic change 2 years after a first episode of psychosis
title_full_unstemmed Diagnostic change 2 years after a first episode of psychosis
title_short Diagnostic change 2 years after a first episode of psychosis
title_sort diagnostic change 2 years after a first episode of psychosis
topic Abstract
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9475703/
http://dx.doi.org/10.1192/j.eurpsy.2021.1416
work_keys_str_mv AT arangurenl diagnosticchange2yearsafterafirstepisodeofpsychosis
AT martinezm diagnosticchange2yearsafterafirstepisodeofpsychosis
AT dejalonegarcia diagnosticchange2yearsafterafirstepisodeofpsychosis
AT fernandeza diagnosticchange2yearsafterafirstepisodeofpsychosis
AT arizmc diagnosticchange2yearsafterafirstepisodeofpsychosis
AT oterom diagnosticchange2yearsafterafirstepisodeofpsychosis
AT peredan diagnosticchange2yearsafterafirstepisodeofpsychosis