Abstract：
BACKGROUND:Few studies assess the reliability of case register diagnoses, despite their widespread use in psychiatric research. This study investigates case register diagnostic reliability in comparison to casenote derived diagnoses in a birth cohort. METHODS:Diagnostic information from the case register and casenotes of 449 individuals was extracted. The incident and lifetime register diagnoses were compared with those derived from the casenotes. RESULTS:Inter-rater reliability was good (kappa = 0.71). Agreement between casenote and incident register diagnosis was moderate (kappa = 0.52), as was agreement between casenote and register lifetime diagnosis (kappa = 0.58). Case register diagnoses were insufficiently accurate to stand alone. Case register diagnoses for organic disorder, schizophrenia, alcoholism, learning disability, personality disorder and transient or no psychiatric disorder were reliable enough for the case register to act as a useful screening instrument. The case register was not acceptable, even as a screening instrument, for the diagnoses of neurotic or affective disorders. CONCLUSIONS:Studies relying only on case register diagnoses may be flawed if diagnoses are not independently verified. National statistics derived from case register data, especially for neurosis and affective disorder, may be unreliable.
journal_name
Soc Psychiatry Psychiatr Epidemioljournal_title
Social psychiatry and psychiatric epidemiologyauthors
McConville P,Walker NPdoi
10.1007/s001270050194subject
Has Abstractpub_date
2000-03-01 00:00:00pages
121-7issue
3eissn
0933-7954issn
1433-9285journal_volume
35pub_type
杂志文章abstract：PURPOSE:The purpose of this study was to examine the prevalence, correlates, and symptom profiles of depressive disorders in men with a history of military service. METHODS:Data were obtained from the 2006 Behavioral Risk Factor Surveillance System survey. Multivariable logistic regressions were used to identify corre...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
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更新日期：2011-07-01 00:00:00
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journal_title：Social psychiatry and psychiatric epidemiology
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更新日期：2007-03-01 00:00:00
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journal_title：Social psychiatry and psychiatric epidemiology
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更新日期：2008-10-01 00:00:00
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journal_title：Social psychiatry and psychiatric epidemiology
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journal_title：Social psychiatry and psychiatric epidemiology
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更新日期：2004-04-01 00:00:00
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journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 临床试验,杂志文章,随机对照试验
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journal_title：Social psychiatry and psychiatric epidemiology
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journal_title：Social psychiatry and psychiatric epidemiology
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更新日期：2005-07-01 00:00:00
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journal_title：Social psychiatry and psychiatric epidemiology
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更新日期：2012-08-01 00:00:00
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journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
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更新日期：2008-05-01 00:00:00
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journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
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更新日期：1989-11-01 00:00:00
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更新日期：2006-08-01 00:00:00
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journal_title：Social psychiatry and psychiatric epidemiology
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更新日期：2005-02-01 00:00:00
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journal_title：Social psychiatry and psychiatric epidemiology
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更新日期：2009-10-01 00:00:00
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更新日期：2011-08-01 00:00:00
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pub_type： 杂志文章
doi：10.1007/s00127-004-0871-0
更新日期：2004-11-01 00:00:00
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pub_type： 杂志文章
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更新日期：2009-03-01 00:00:00
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更新日期：2004-12-01 00:00:00
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journal_title：Social psychiatry and psychiatric epidemiology
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更新日期：2016-04-01 00:00:00
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更新日期：2015-10-01 00:00:00
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journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
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更新日期：2016-02-01 00:00:00
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journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s00127-004-0727-7
更新日期：2004-03-01 00:00:00
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journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
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更新日期：2006-05-01 00:00:00
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journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/BF00789007
更新日期：1992-08-01 00:00:00
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journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
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更新日期：2013-02-01 00:00:00
