Volume 11, Number 2 (Scientific Journal of Hamadan University of Medical Sciences-Summer 2004)                   Sci J Hamadan Univ Med Sci 2004, 11(2): 20-25 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Shahrokhi H, Pourafkari N, Safaian A. A Study on Agreement Rate Between Psychiatric Residents in Diagnosing Axis IV. In DSM-IV Classficatic System. Sci J Hamadan Univ Med Sci . 2004; 11 (2) :20-25
URL: http://sjh.umsha.ac.ir/article-1-616-en.html

Abstract:   (570 Views)

Diagnosis of environmental and psychosocial problems in psychiatric patients is essential because of their significant role in causing or exacerbating psychiatric disorders. This study was carried out to assess the consensus rate in diagnosing axis IV (environmental and psychosocial problems) in DSM-IV system of classification among psychiatric residents.

In this study one hundred and seventeen psychiatric patients were examined in daily morning in Razi Mental Hospital in Tabriz. The patients were evaluated individually by residents in regard to mental status and axis IV problems. The obtained datas were analysed by descriptive and inferential statistical methods.

            Results of the study revealed that consensus rate among residents in assessment of environmental and psychosocial problem(s) was low (ICC : 0.22). Demographic characteristics of the patients did not explain difference between residents. Sex and familiarity of residents with Azari Language were significantly important regarding diagnostic difference, so that consensus
   rate in female residents was more than male ones and in Azari speaking residents was more than non-Azari speaking ones. No part of mental status examination was remarkable in explaining diagnostic differences. Diagnoses in axis I and III were recognized as important elements in explaining the differences.

Based on result of this study diagnosis of environmental and
   psychosocial problems in psychiatric patients by residents generally is not reliable and the issue warrant further attention.

Full-Text [PDF 198 kb]   (268 Downloads)    
Type of Study: Original | Subject: Special

Add your comments about this article : Your username or email:
Write the security code in the box

© 2015 All Rights Reserved | Scientific Journal of Hamadan University of Medical Sciences

Designed & Developed by : Yektaweb