The validity and reliability of the diagnosis of hyperkinetic disorders in the Danish Psychiatric Central Research Registry

European Psychiatry - Tập 35 - Trang 16-24 - 2016
C. Mohr-Jensen1, S. Vinkel Koch2, M. Briciet Lauritsen1, H.-C. Steinhausen1,3,4
1Research Unit of Child and Adolescent Psychiatry, Aalborg Psychiatric Hospital, Aalborg University Hospital, Aalborg, Denmark
2Child and Adolescent Mental Health Centre, Mental Health Services, Capital Region of Denmark and Institute of Clinical Medicine, Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark
3Clinical Psychology and Epidemiology, Department of Psychology, University of Basel, Basel, Switzerland
4Department of Child and Adolescent Psychiatry, University of Zurich, Zurich, Switzerland

Tóm tắt

AbstractObjective

To validate the diagnosis of hyperkinetic disorders (HD) in the Danish Psychiatric Central Research Registry (DPCRR) for children and adolescents aged 4 to 15 given in the years 1995 to 2005.

Method

From a total of 4568 participants, a representative random subsample of n = 387 patients were used to validate the diagnosis. Patient files were systematically scored for the presence of ICD-10 criteria for HD and oppositional defiant disorder/conduct disorder (ODD/CD; F91). Further to this, an inter-rater reliability study was also conducted, whereby two experienced child and adolescent psychiatrists who were blind to patients discharge diagnoses, rated a random subsample of n = 101 participants.

Results

Information was available for 372 out of 387 patients. Out of n = 372 available files, n = 324 (86.8%) were evaluated to fulfil diagnostic criteria for HD. Due to missing information it was not possible to reach a conclusion for 5.1% of the cases, 3.8% of the diagnoses were registration errors, and in 4.3% of the files the diagnosis had to be rejected. Inter-rater agreement was high (κ = 0.83, z = 10.9, P < .001). The validity of hyperkinetic disorders, unspecified (F90.9) was lower and comorbid CD/ODD were under-diagnosed in the sample. All participants fulfilling HD criteria also fulfilled DSM-5-criteria for ADHD.

Conclusion

The risk of misclassification of patients with HD in the DPCRR is relatively low, with the exception of the diagnosis of hyperkinetic disorders, unspecified (F90.9).


Tài liệu tham khảo

10.1097/00004583-199402000-00005 10.1001/jamapediatrics.2013.4914 10.1159/000107084 10.1542/peds.2014-1542 10.1289/ehp.1408412 1993, The ICD-10 classification of mental and behavioural disorders – diagnostic criteria for research 10.1159/000365030 Lwanga, 1991, Sample size determination in health studies 10.1007/s00787-014-0553-8 10.1097/chi.0b013e318033ff59 10.1001/archpsyc.1989.01810120015004 10.1001/archpsyc.56.12.1088 10.1016/j.envint.2014.03.002 10.1097/01.NMD.0000066158.18608.C8 [29] IBM Corp. IBM SPSS statistics for Windows, version 22.0 2013 10.1542/peds.2014-0213 10.4088/JCP.14m09094 10.1177/1403494810390728 10.1016/j.cnr.2005.09.010 10.1001/archpsyc.56.12.1073 10.1016/S0140-6736(14)61684-6 10.1176/appi.books.9780890425596 10.1016/j.euroneuro.2013.11.003 10.2307/2529310 10.1007/s007870170012 10.1089/cap.2014.0020 10.1089/cap.2013.0101 10.1037/1082-989X.1.2.150 10.2147/CLEP.S72906 10.1089/cap.2012.0050 10.1111/j.1651-2227.2008.00980.x 10.1177/001316446002000104 10.1111/j.1469-7610.2005.01590.x Uggerby, 2013, The validity of the schizophrenia diagnosis in the Danish Psychiatric Central Research Register is good, Dan Med J, 60, A4578 10.1007/s10803-009-0818-0 10.1016/S2215-0366(15)00271-0 10.1097/00004583-199609000-00017 10.1016/S0920-9964(14)70353-6 10.1097/DBP.0b013e318190b290 10.1037/a0026582 10.1016/j.psc.2004.01.003
Thông tin
Thông tin xuất bản

European Psychiatry

Tập 35

16-24

Thông tin tác giả