Enhancing identification of nonaffective psychosis in register-based studies
Abstract The Finnish Quality of Psychosis Care Register assesses nonaffective psychosis (NAP) care, acknowledging treatment outside specialized psychiatric services. This approach, while providing a holistic view, raises concerns about diagnostic inaccuracies. Here, we studied situations where the r...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Nature Portfolio
2024-02-01
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| Series: | Schizophrenia |
| Online Access: | https://doi.org/10.1038/s41537-024-00444-6 |
| _version_ | 1827327103252561920 |
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| author | Minna Holm Kimmo Suokas Emmi Liukko Maija Lindgren Petri Näätänen Jukka Kärkkäinen Raimo K. R. Salokangas Jaana Suvisaari |
| author_facet | Minna Holm Kimmo Suokas Emmi Liukko Maija Lindgren Petri Näätänen Jukka Kärkkäinen Raimo K. R. Salokangas Jaana Suvisaari |
| author_sort | Minna Holm |
| collection | DOAJ |
| description | Abstract The Finnish Quality of Psychosis Care Register assesses nonaffective psychosis (NAP) care, acknowledging treatment outside specialized psychiatric services. This approach, while providing a holistic view, raises concerns about diagnostic inaccuracies. Here, we studied situations where the register-based diagnosis might be inaccurate, and whether the first episode can be reliably identified using a 14-year wash-out period. People with first register-based NAP (ICD-10 F20-F29) between years 2010 and 2018 and without NAP diagnoses in 1996–2009 were identified from the Care Register for Health Care. A diagnosis of NAP was deemed unreliable before age 7, when dementia preceded NAP diagnosis, and when a NAP diagnosis had been assigned at admission or during psychiatric hospitalization but was not confirmed by discharge diagnosis. Despite a 14-year follow-back the first register diagnosis may miss the first treatment episode in older patients. Register-based studies on psychotic disorders should pay attention to exclusion criteria and to the definition of treatment onset. |
| first_indexed | 2024-03-07T14:56:10Z |
| format | Article |
| id | doaj.art-25856922b6d046658523387abee41405 |
| institution | Directory Open Access Journal |
| issn | 2754-6993 |
| language | English |
| last_indexed | 2024-03-07T14:56:10Z |
| publishDate | 2024-02-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Schizophrenia |
| spelling | doaj.art-25856922b6d046658523387abee414052024-03-05T19:25:19ZengNature PortfolioSchizophrenia2754-69932024-02-011011810.1038/s41537-024-00444-6Enhancing identification of nonaffective psychosis in register-based studiesMinna Holm0Kimmo Suokas1Emmi Liukko2Maija Lindgren3Petri Näätänen4Jukka Kärkkäinen5Raimo K. R. Salokangas6Jaana Suvisaari7Finnish Institute for Health and Welfare, Equality UnitFinnish Psychiatric AssociationFinnish Institute for Health and Welfare, Data and Analytics UnitFinnish Institute for Health and Welfare, Equality UnitDepartment of Psychiatry, University of Helsinki and Helsinki University HospitalCounty of Satakunta, Psychiatry of Wellbeing servicesDepartment of Psychiatry, University of TurkuFinnish Institute for Health and Welfare, Equality UnitAbstract The Finnish Quality of Psychosis Care Register assesses nonaffective psychosis (NAP) care, acknowledging treatment outside specialized psychiatric services. This approach, while providing a holistic view, raises concerns about diagnostic inaccuracies. Here, we studied situations where the register-based diagnosis might be inaccurate, and whether the first episode can be reliably identified using a 14-year wash-out period. People with first register-based NAP (ICD-10 F20-F29) between years 2010 and 2018 and without NAP diagnoses in 1996–2009 were identified from the Care Register for Health Care. A diagnosis of NAP was deemed unreliable before age 7, when dementia preceded NAP diagnosis, and when a NAP diagnosis had been assigned at admission or during psychiatric hospitalization but was not confirmed by discharge diagnosis. Despite a 14-year follow-back the first register diagnosis may miss the first treatment episode in older patients. Register-based studies on psychotic disorders should pay attention to exclusion criteria and to the definition of treatment onset.https://doi.org/10.1038/s41537-024-00444-6 |
| spellingShingle | Minna Holm Kimmo Suokas Emmi Liukko Maija Lindgren Petri Näätänen Jukka Kärkkäinen Raimo K. R. Salokangas Jaana Suvisaari Enhancing identification of nonaffective psychosis in register-based studies Schizophrenia |
| title | Enhancing identification of nonaffective psychosis in register-based studies |
| title_full | Enhancing identification of nonaffective psychosis in register-based studies |
| title_fullStr | Enhancing identification of nonaffective psychosis in register-based studies |
| title_full_unstemmed | Enhancing identification of nonaffective psychosis in register-based studies |
| title_short | Enhancing identification of nonaffective psychosis in register-based studies |
| title_sort | enhancing identification of nonaffective psychosis in register based studies |
| url | https://doi.org/10.1038/s41537-024-00444-6 |
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