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Yıl:2019; Cilt: 56; Sayı: 1>> Özet
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Nöropsikiyatri Arşivi; 2019;56(1):47-51
Tanımlanmamış Psikotik Bozukluğun Dört Yıl Süresince Kararlılığı
Hİ Taş, M Çelik, K Altınbaş
Çanakkale Onsekiz Mart Üniversitesi, Çanakkale
Amaç: ICD-10’a göre ‘F29’ olarak kodlanan tanımlanmamış psikotik bozukluk tanısı, sıklıkla özgül bir psikotik bozukluk tanısı için yeterli bilgi olmadığında uygulanmaktadır. Bu tanının sıklığı, yaygınlığı, tanısal geçerliliği ve sürekliliği hakkında bilgiler yetersizdir. Bu nedenle polikliniğimize tanımlanmamış psikotik bozukluk ile başvuran hastalarda bu tanının yaygınlığı ve tanısal tutarlılığını değerlendirmeyi amaçladık. Yöntem: Psikiyatri Polikliniğine Ocak 2012-Ocak 2016 arasında ilk başvuruda ICD-10’a göre ‘F29’ kodlu tanımlanmamış psikotik bozukluk tanısı konulan ve en az üç ayrı başvurusu bulunan bireyler çalışmaya dahil edildi. Hastane kayıtları geriye dönük olarak incelendi ve veriler SPSS 19. sürümü ile analiz edildi. Bulgular: Çalışmaya dahil edilen hastaların ortalama takip süresi 22,8±14,7 aydır. Hastaların son başvurularındaki tanılarına bakıldığında; tanımlanmamış psikotik bozukluk tanısı (%43), bipolar bozukluk (%18), şizofreni (%11), depresif bozukluk (%7), anksiyete bozuklukları (%4) olduğu görüldü. Sonlanım tanıları arasında hasta yaşı, izlem süresi, cinsiyet, eğitim durumu ve medeni durum açısından anlamlı fark saptanmamıştır. Sonuç: Tanımlanmamış psikotik bozukluk tanısının diğer psikotik bozuklulara göre tanısal sürekliliği daha azdır. Tanımlanmamış psikotik bozukluk tanısının sürekliliğindeki düşüklüğü aydınlatmak için daha geniş örneklemli izlem çalışmalarına ihtiyaç duyulmaktadır. © All Right Res
Evaluation of Four-Year Stability of Unspecified Psychosis
Conclusion: The diagnostic stability of unspecified psychosis is low compared to other psychotic disorders. Follow-up studies with larger sample sizes are required to elucidate the the low diagnostic stability of unspecified psychosis.

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