dc.creatorPalomar-Ciria, Nora
dc.creatorCegla-Schvartzman, Fanny
dc.creatorLópez-Morinigo, Javier D.
dc.creatorBello, Hugo J.
dc.creatorOvejero, Santiago
dc.creatorBaca-Garcia, Enrique
dc.date2020-10-16T18:17:02Z
dc.date2020-10-16T18:17:02Z
dc.date2019
dc.date.accessioned2022-10-18T12:12:57Z
dc.date.available2022-10-18T12:12:57Z
dc.identifierhttp://repositorio.ucm.cl/handle/ucm/3098
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/4443345
dc.descriptionThe objective is to systematically review previous literature on the diagnostic stability of schizophrenia, particularly to investigate prospective and retrospective consistency. We carried out a systematic literature search in PubMed and other minor sources from 1980 to July 2017. Specifically, prospective and retrospective consistency were examined. Thirty-nine studies were included, 5 focused on schizophrenia, 23 on psychotic episodes and 11 on psychiatric disorders in general. Samples sizes range from 60 to 10 058 subjects (total N = 39 965). The majority of studies (n = 26, 66.67%) were performed in Europe and North America and they had a prospective design (n = 27, 69.23%), with a median follow-up of 3 years. Prospective and retrospective consistency means were 84.29% and 67.15% respectively. Diagnostic change was also frequently measured (n = 12, mean 31.28%). The factors more commonly associated with diagnostic stability were: male sex, older age at the study inception, older age at onset, late stages of illness, family history of mental illness, poorer functioning and longer length of stay. Schizophrenia was found to have high diagnostic stability over time, although research on this topic is mainly focused in first psychotic episodes. More standardized methods are needed to further research diagnostic stability of schizophrenia over time and its determinants.
dc.languageen
dc.rightsAtribución-NoComercial-SinDerivadas 3.0 Chile
dc.rightshttp://creativecommons.org/licenses/by-nc-nd/3.0/cl/
dc.sourcePsychiatry Research, 279, 306-314
dc.subjectPsychotic disorders
dc.subjectDiagnostic consistency
dc.subjectDiagnostic shift
dc.subjectProspective consistency
dc.titleDiagnostic stability of schizophrenia: a systematic review
dc.typeArtículos de revistas


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