[Validation of diagnoses according to psychiatric diagnostic manuals in follow-up studies, exemplified by affective and schizophrenic diseases].
The new international classification schedules ICD-10 and DSM-III-R were developed by committees of experts. These schedules need to be validated. One strategy is to conduct prospective long-term follow-up studies recruiting patients with a broad variety of syndromes diagnosed initially by previous and more recent classification schedules. Studies following this strategy are discussed and a new two-year follow-up study is presented. Several modifying psychosocial and treatment factors and methodological problems impose limitations on the interpretation of those studies with regard to the validity of applied classification schedules. Alternative validation strategies are discussed.
Maier
W
W
Psychiatrische Klinik, Universität Mainz.
Sandmann
J
J
D000341:Affective Disorders, Psychotic / Q000145:classification / Q000175:diagnosis* / Q000523:psychology; D015982:Bias; D001714:Bipolar Disorder / Q000145:classification / Q000175:diagnosis / Q000523:psychology; D003866:Depressive Disorder / Q000145:classification / Q000175:diagnosis / Q000523:psychology; D005500:Follow-Up Studies; D006760:Hospitalization; D006801:Humans; D011569:Psychiatric Status Rating Scales / Q000706:statistics & numerical data*; D011594:Psychometrics; D011618:Psychotic Disorders / Q000145:classification / Q000175:diagnosis / Q000523:psychology; D015203:Reproducibility of Results; D012559:Schizophrenia / Q000145:classification / Q000175:diagnosis*; D012565:Schizophrenic Psychology
Die Validierung von Diagnosen psychiatrischer Diagnosenmanuale an Verlaufsstudien, dargestellt anhand affektiver und schizophrener Erkrankungen.