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- Asp, MarieLund University,Lunds universitet,Enheten för klinisk suicidforskning,Forskargrupper vid Lunds universitet,Unit for clinical suicide research,Lund University Research Groups,Lund Univ, Sweden; Psychiat Clin, Sweden (författare)
Recognition of personality disorder and anxiety disorder comorbidity in patients treated for depression in secondary psychiatric care
- Artikel/kapitelEngelska2020
Förlag, utgivningsår, omfång ...
- 2020-01-02
- PUBLIC LIBRARY SCIENCE,2020
- electronicrdacarrier
Nummerbeteckningar
- LIBRIS-ID:oai:DiVA.org:liu-166122
- https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-166122URI
- https://doi.org/10.1371/journal.pone.0227364DOI
- https://lup.lub.lu.se/record/fdf6abb2-6638-42cf-826b-8f33db0f1091URI
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- Språk:engelska
- Sammanfattning på:engelska
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- SwePubSwePub
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- Funding Agencies|Southern Health Care Region, Sweden; OM Persson Foundation; province of Skane (Sweden) state grants, ALF
- Objectives Depression is a common illness with substantial economic consequences for society and a great burden for affected individuals. About 30% of patients with depression do not respond to repeated treatments. Psychiatric comorbidity is known to affect duration, recurrence and treatment outcome of depression. However, there is a lack of knowledge on the extent to which psychiatric comorbidity is identified in the clinical setting for depressed patients in secondary psychiatric care. Therefore, the aim of this study was to compare the agreement between traditional diagnostic assessment (TDA) and a structured and comprehensive diagnostic procedure (SCDP) for identification of personality and anxiety disorder comorbidity in depressed patients in secondary psychiatric care. Methods 274 patients aged 18-77 were referred from four secondary psychiatric care clinics in Sweden during 2012-2017. ICD-10 diagnoses according to TDA (mostly unstructured by psychiatric specialist and residents in psychiatry), were retrieved from medical records and compared to diagnoses resulting from the SCDP in the study. This included the Mini International Neuropsychiatric Interview, the Structured Interview for DSM Axis II Personality Disorders and semi-structured questions on psychosocial circumstances, life-events, psychiatric symptoms, psychiatric treatments, substance use, and suicidal and self-harm behaviour. The assessment was carried out by psychiatric specialists or by residents in psychiatry with at least three years of psychiatric training. Results SCDP identified personality disorder comorbidity in 43% of the patients compared to 11% in TDA (p<0,0001). Anxiety disorder comorbidity was identified in 58% with SCDP compared to 12% with TDA (p<0,0001). Conclusions Important psychiatric comorbidity seems to be unrecognized in depressive patients when using TDA, which is routine in secondary psychiatric care. Comorbidities are better identified using the proposed model involving structured and semi-structured interviews together with clinical evaluations by clinical experts.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
- Lindqvist, DanielLund University,Lunds universitet,Enheten för klinisk suicidforskning,Forskargrupper vid Lunds universitet,Unit for clinical suicide research,Lund University Research Groups,Lund Univ, Sweden; Psychiat Clin, Sweden(Swepub:lu)med-del (författare)
- Fernström, JohanLund University,Lunds universitet,Enheten för klinisk suicidforskning,Forskargrupper vid Lunds universitet,Unit for clinical suicide research,Lund University Research Groups,Lund Univ, Sweden; Psychiat Clin, Sweden(Swepub:lu)med-jnf (författare)
- Ambrus, LiviaLund University,Lunds universitet,Enheten för klinisk suicidforskning,Forskargrupper vid Lunds universitet,Unit for clinical suicide research,Lund University Research Groups,Lund Univ, Sweden; Psychiat Clin, Sweden(Swepub:lu)med-lau (författare)
- Tuninger, EvaLund University,Lunds universitet,Psykiatri, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Psychiatry (Lund),Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine,Lund Univ, Sweden; Psychiat Clin, Sweden(Swepub:lu)psyk-etu (författare)
- Reis, MargaretaLinköping University,Linköpings universitet,Avdelningen för läkemedelsforskning,Medicinska fakulteten(Swepub:lu)klin-mre (författare)
- Westrin, ÅsaLund University,Lunds universitet,Enheten för klinisk suicidforskning,Forskargrupper vid Lunds universitet,Unit for clinical suicide research,Lund University Research Groups,Lund Univ, Sweden; Psychiat Clin, Sweden(Swepub:lu)pski-awe (författare)
- Enheten för klinisk suicidforskningForskargrupper vid Lunds universitet (creator_code:org_t)
Sammanhörande titlar
- Ingår i:PLOS ONE: PUBLIC LIBRARY SCIENCE15:11932-6203
Internetlänk
- https://liu.diva-portal.org/smash/get/diva2:1437068/FULLTEXT01.pdffulltext:print
- https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0227364&type=printable
- http://dx.doi.org/10.1371/journal.pone.0227364FULLTEXT
- https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-166122
- https://doi.org/10.1371/journal.pone.0227364
- https://lup.lub.lu.se/record/fdf6abb2-6638-42cf-826b-8f33db0f1091
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