The relationship between symptoms and diagnoses of minor psychiatric disorder in general practice

1987 ◽  
Vol 17 (4) ◽  
pp. 933-942 ◽  
Author(s):  
D. A. Grayson ◽  
K. Bridges ◽  
P. Duncan-Jones ◽  
D. P. Goldberg
Keyword(s):  
General Practice ◽  
General Practitioner ◽  
Psychiatric Disorder ◽  
Psychiatric Illness ◽  
Latent Trait ◽  
Diagnostic System ◽  
Two Dimensions ◽  
Anxiety And Depression ◽  
Diagnostic Systems ◽  
The Relationship

SynopsisIn an earlier paper (Goldberg et al. 1987) 36 common symptoms of minor psychiatric disorder in general practice were analysed using the technique of latent trait analysis. From this analysis two dimensions of illness emerged, corresponding to anxiety and depression. In the present paper, this symptom-based representation of minor psychiatric illness is used as a framework for comparing four diagnostic systems: General Practitioner (GP) diagnoses, the ID-CATEGO diagnostic system, the DSM-III system and the Bedford College diagnostic system. This analysis clarifies the reasons for disagreement among systems of diagnostic criteria and examines the practical effects of alternative diagnostic algorithms.

The validity of diagnostic systems for common mental disorders: a comparison between the ID-CATEGO and the DSM-III systems

1990 ◽  
Vol 20 (1) ◽  
pp. 209-218 ◽  
Author(s):  
David Grayson ◽  
Keith Bridges ◽  
Diane Cook ◽  
David Goldberg
Keyword(s):  
Discriminant Analysis ◽  
Depressive Disorders ◽  
Common Mental Disorders ◽  
Latent Trait ◽  
Mental Illnesses ◽  
Anxiety And Depression ◽  
Multiple Discriminant Analysis ◽  
Diagnostic Systems ◽  
Scale Scores ◽  
Initial Scale

SYNOPSISIt is argued that latent trait analysis provides a way of examining the construct validity of diagnostic concepts which are used to categorize common mental illnesses. The present study adds two additional aspects of validity using multiple discriminant analysis applied to two widely used taxonomic systems. Scales of anxiety and depression derived from previous latent trait analyses are applied to individuals reaching criteria for ‘caseness’ on the ID-CATEGO system and the DSM-III system, both at initial diagnosis and six months later. The first multiple discriminant analysis is carried out on the initial scale scores, and the results are interpreted in terms of concurrent validity. The second analysis uses improvement scores on the two scales and relates to predictive validity. It is argued that the ID-CATEGO system provides a better classification for common mental illnesses than the DSM-III system, since it allows a better discrimination to be made between anxiety and depressive disorders.

scholarly journals On Designing an Expert Diagnostic System of the Aircraft Turbine Engine Functional Units

2020 ◽  
Vol 50 (1) ◽  
pp. 171-192
Author(s):  
Henryk Borowczyk ◽  
Jarosław Spychała
Keyword(s):  
Dynamic Models ◽  
Diagnostic System ◽  
Compact Representation ◽  
Diagnostic Model ◽  
Diagnostic Systems ◽  
Turbine Engine ◽  
Flight Data ◽  
Diagnostic Parameters ◽  
Functional Units ◽  
The Relationship

AbstractThe paper presents issues related to the design of an expert diagnostic system of turbine engine functional units. Dedicated diagnostic stations and on-board flight data recorders are the sources of diagnostic signals. The signals were parameterized or identified dynamic models to get a compact representation in the form of a set of parameters. The set of diagnostic parameters was subjected to integer encoding. On this basis, a multi-valued diagnostic model describing the relationship between the set of faults and the set of symptoms (code values of diagnostic parameters) was determined. The proposed approach can be used in the design of expert diagnostic systems for propulsion units of any aircraft.

A Psychometric Study of Academic Difficulty and Psychiatric Illness in Students

1968 ◽  
Vol 114 (506) ◽  
pp. 57-62 ◽  
Author(s):  
Anthony Ryle ◽  
Martin Lunghi
Keyword(s):  
Psychiatric Disorder ◽  
Psychiatric Illness ◽  
Early Stage ◽  
High Achievement ◽  
Psychometric Study ◽  
Academic Difficulty ◽  
Emotional Factors ◽  
High Prevalence ◽  
Growing Body ◽  
The Relationship

There is a growing body of evidence which points to a high prevalence of psychiatric disorder in students and to the contribution of such disturbance to wastage and under-achievement. The relationship between psychiatric illness and academic difficulty is, however, a complex one, for severely ill individuals may be capable of high achievement while apparently mildly disturbed students may fail academically through the operation of emotional factors. The ability to predict or detect at an early stage the psychiatrically or academically vulnerable student would clearly be of great value.

The relationship between “chronic hallucinatory psychosis” (CHP) and schizophrenia

1992 ◽  
Vol 7 (6) ◽  
pp. 271-276
Author(s):  
S Dollfus ◽  
M Petit ◽  
JF Menard
Keyword(s):  
Diagnostic Criteria ◽  
Schizoaffective Disorder ◽  
German Literature ◽  
Diagnostic System ◽  
New Haven ◽  
Disease Entity ◽  
Diagnostic Systems ◽  
Schizoaffective Disorders ◽  
Item Checklist ◽  
The Relationship

SummaryChronic Hallucinatory Psychosis (CHP) is typically a French disease entity initially described by G Ballet (1911) and whose diagnostic criteria were established by Pull (1987). This diagnosis is not used in English and German literature. The aim of this study was to investigate the relationship between Pull's criteria for CHP and the criteria for schizophrenia defined by 14 different diagnostic systems and schizoaffective disorders. Seventy-two non-affective psychotic patients (34 men, 38 women), aged 20 to 84, in exacerbated or stabilized phase, were interviewed by the same investigator (SD). The patient distribution between the diagnoses in the different diagnostic systems was carried out using a computerized 208-item checklist. The main results indicated that the definite CHP diagnosis was significantly related to the Catego S + (C = 0.52; P < 0.01), New-Haven, (C = 0.40; P < 0.05) and Schneider (C = 0.54; P < 0.001) systems for schizophrenia and with the depressive-schizoaffective disorder (C =0.39; P < 0.05) in the RDC system. The probable CHP diagnosis was significantly linked with the same systems and with the probable RDC (C = 0.39; P < 0.05) for schizophrenia. These results emphasize that in 13 out of the 14 diagnostic systems, schizophrenic and schizoaffective disorders overlapped with CHP in the French diagnostic system. Among these systems, four schizophrenic diagnoses were significantly linked to CHP. In contrast, the Bleuler system for schizophrenia was not related to CHP at all.

Life Events and Psychiatric Disorder: the Role of a Natural Disaster

1987 ◽  
Vol 151 (3) ◽  
pp. 362-367 ◽  
Author(s):  
Alexander C. McFarlane
Keyword(s):  
Psychiatric Disorder ◽  
Life Events ◽  
Psychological Health ◽  
Psychiatric Illness ◽  
General Health Questionnaire ◽  
Health Questionnaire ◽  
Fire Fighters ◽  
The Impact ◽  
The Relationship

Examining the impact of natural disasters on psychological health provides an opportunity to study the role played by extreme adversity in the onset of psychiatric disorder. Four hundred and sixty-nine fire-fighters who had been intensely exposed to an Australian bushfire disaster completed a detailed inventory of their experiences four months later. They also completed a brief life events schedule and the 12-item General Health Questionnaire. Only 9% of the GHQ score variance could be accounted for by the disaster and other life events; the effects of the disaster appeared to be separate and additive. This is similar to the relationship between life events and psychiatric illness found in other settings. It is suggested that vulnerability is a more important factor in breakdown than the degree of stress experienced.

Screening for psychiatric disorder in general practice

1984 ◽  
Vol 14 (2) ◽  
pp. 365-377 ◽  
Author(s):  
David Skuse ◽  
Paul Williams
Keyword(s):  
General Practice ◽  
General Practitioner ◽  
Psychiatric Disorder ◽  
Psychiatric Morbidity ◽  
Consecutive Series ◽  
Theoretical Discussion ◽  
True Prevalence ◽  
Screening Strategies

SynopsisThe extent of psychiatric morbidity was investigated in a consecutive series of patients attending a south London general practitioner. The GP identified a psychiatric component in the reason for consultation in 40% of the sample, and he regarded 24% as ‘psychiatric cases’. The estimated true prevalence of psychiatric morbidity in the sample was 34%. These data are used as the basis for a theoretical discussion of prescriptive screening strategies for psychiatric disorder in general practice.

The Two Town Study: A Comparison of Psychiatric Illness in Two Contrasting Western Australian Mining Towns

1975 ◽  
Vol 9 (2) ◽  
pp. 85-92 ◽  
Author(s):  
P. W. Burvill ◽  
Cecil B. Kidd
Keyword(s):  
General Practice ◽  
General Practitioner ◽  
Psychiatric Illness ◽  
Psychiatric Morbidity ◽  
The Other ◽  
Attendance Rate ◽  
Practice Survey ◽  
South West ◽  
General Practice Consultation ◽  
Western Australian

The results are presented of a survey of patients identified by their general practitioner as having conspicuous psychiatric morbidity, according to Kessel's (1960) Classification, during a three months general practice survey in two Western Australian towns, one, Gynalla, a new expanding town in the Pilbara area and the other, Jaburoo, an established economically stagnant town in the South West. The findings show a higher general practice consultation attendance rate for both sexes, and a higher rate of psychiatric illness among females, in Jaburoo than in Gynalla. In Gynalla psychiatric cases among women formed a disproportionately high percentage of all general practice attendances. The implications of these findings are discussed.

scholarly journals Childhood IQ in relation to later psychiatric disorder

2005 ◽  
Vol 187 (2) ◽  
pp. 180-181 ◽  
Author(s):  
G. David Batty ◽  
Erik L. Mortensen ◽  
Merete Osler
Keyword(s):  
Birth Weight ◽  
Social Class ◽  
Psychiatric Disorder ◽  
Hospital Discharge ◽  
Early Life ◽  
Psychiatric Illness ◽  
Hospital Discharge Records ◽  
Occupational Social Class ◽  
Iq Scores ◽  
The Relationship

SummaryStudies examining the relationship between early-life IQ and the risk of subsequent psychiatric disorder in adulthood are scarce. In the present investigation, the childhood IQ scores of 7022 singleton-born Danish males were linked to psychiatric hospital discharge records in adulthood. IQ scores were inversely related to the risk of total psychiatric illness, with the highest levels apparent in the lowest scoring IQ group (HRlowest quintile v. highest = 1.70, 95% Cl 1.34–2.14). Adjusting for paternal occupational social class and birth weight had only a small attenuating effect. Low childhood IQ may have an aetiological role in the development of adult total psychiatric disorder.

scholarly journals The view of a general practitioner on immediate access for patients to their laboratory test results

2018 ◽  
Vol 57 (3) ◽  
pp. 375-382
Author(s):  
Syed Ghulam Sarwar Shah ◽  
Amir Hannan ◽  
Bruce Elliott ◽  
Ingrid Brindle ◽  
Richard Fitton
Keyword(s):  
General Practice ◽  
General Practitioner ◽  
Laboratory Test ◽  
Text Messages ◽  
Test Results ◽  
Traditional Practice ◽  
Online Tools ◽  
Laboratory Test Results ◽  
The Relationship

Abstract This position paper presents the role of laboratory test results in traditional general practice and provides a recommendation for responsible sharing of results with patients for improved safety, efficiency and outcomes. This paper looks at the relationship between the laboratory, the general practitioner consultation, the patient, safety and general practice capacity. We suggest changes in the traditional practice of communicating laboratory test results whereby normal or abnormal results are made available to patients as soon as they become available. We also endorse the opinion that using online tools such as email or text messages could enhance the provision of rapid access to laboratory test results for patients.

scholarly journals Problems of general practice in the materials of the XXVIII National congress on respiratory diseases(October 16-19, 2018, Moscow)

2018 ◽  
Vol 22 (4) ◽  
pp. 49-52
Author(s):  
Nurlan N. Brimkulov ◽  
Andrey S. Belevsky
Keyword(s):  
General Practice ◽  
General Practitioner ◽  
General Practitioners ◽  
Respiratory Diseases ◽  
Respiratory Medicine ◽  
School Problems ◽  
National Congress ◽  
The Relationship

The article highlights the problems of the relationship between the general practitioners and specialists-pulmonologists, which were discussed in the framework of the XXVIII National Congress on Respiratory Diseases, held in Moscow on October 16–19, 2018. Outlines the main provisions of the reports of the School “Problems of pulmonology in the work of the general practitioner”, highlights the activities of the Association of Russian-speaking specialists in respiratory medicine (ARSRM), focused on the development of pulmonology in general practice.

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