Assessment of documentation of DSM - IV - TR criteria a for diagnosis of schizophrenia in psychiatric unit, tertiary hospital, Malaysia

Maung, Khin Maung and Ohnmar, Htwe and Than, W. and Musa, Ramli and Md Rosli, Najwa Hanim and Al-Ani, Ali Sabri Radeef and Abu Bakar, Ahmad Zafri (2015) Assessment of documentation of DSM - IV - TR criteria a for diagnosis of schizophrenia in psychiatric unit, tertiary hospital, Malaysia. Clinica Terapeutica, 166 (2). pp. 87-90. ISSN 0009-9074 E-ISSN 1972-6007

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Abstract

Objective. The purposes of this study were to investigate the documentation of the DSM - IV - TR - Criteria A in diagnoses of schizo - phrenia and to identify the symptoms associated with over diagnosis of schizophrenia Method. This study involved a retrospective review and analysis of data from case notes. Results. Data of 107 newly diagnosed patients with schizophrenia were keyed in a nd analyzed using SPSS v 19. The cases were then evaluated for the use of the DSM - IV - TR - Criteria A. Over diagnosis was noted in 37.39% of the patients. Disorganised behaviour (12.5%), affective flattening (12.5%), hallucination (16%) and non - bizarre delus ion (18.3%) significantly contributed to the over - diagnosis of schizophrenia. Symptoms such as non - bizarre delusion and hallucina - tion were the most commonly used in over - diagnosing schizophrenia and were statistically significant with p ≤ 0.05. Conclusion. There was a significant lack of DSM - IV - TR Criteria A among the data documented to diagnose schizophrenia and non - bizarre delusion and hallucination were the most commonly used in over - diagnosing schizophrenia. This key problem needs to be addres sed. The reliability of a diagnosis is indispensable and achievable with the proper clinical application of DSM - IV - TR Criteria A. The DSM - IV - TR Criteria have been perceived to be useful and reliable and is most widely used throughout the world

Item Type:	Article (Journal)
Additional Information:	5818/44747
Uncontrolled Keywords:	DSM-IV-TR; Delusion; Hallucination; Over-diagnosis; Psychopathology; Schizophrenia
Subjects:	R Medicine > RC Internal medicine > RC321 Neuroscience. Biological psychiatry. Neuropsychiatry
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Psychiatry
Depositing User:	Professor Ramli Musa
Date Deposited:	17 Sep 2015 10:13
Last Modified:	20 Jun 2018 10:37
URI:	http://irep.iium.edu.my/id/eprint/44747

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