FALSE POSITIVE DIAGNOSIS OF MOOD DISORDERS IN AN OBJECTIVE STRUCTURED CLINICAL EXAMINATION SETTING

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SHABANI A.; HASANZADEH MAHDI; DANESHAMOUZ B.; AKBARI MAHDI; TABAN M.

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Journal Paper

Paper Information

Journal: Iranian Journal of Psychiatry and Behavioral Sciences Year:2009 | Volume:3 | Issue:1 Page(s): 15-18

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Title

FALSE POSITIVE DIAGNOSIS OF MOOD DISORDERS IN AN OBJECTIVE STRUCTURED CLINICAL EXAMINATION SETTING

Author(s)

Keywords

BIPOLAR DISORDER

BIPOLAR SPECTRUM

OVERDIAGNOSIS

PSYCHIATRIC RESIDENTS

PSYCHIATRIC EDUCATION

OBJECTIVE STRUCTURED CLINICAL EXAMINATION (OSCE)

Abstract

Objective: Given that the topic of BIPOLAR DISORDER over diagnosis has been relatively neglected in the literature and considering its significance in psychiatric training. The present study was conducted through an Objective Structured Clinical Examination (OSCE) on PSYCHIATRIC RESIDENTS to assess the validity of their clinical diagnosis.Methods: Twenty forth residents participated in the examination. The first station (the mood disorder station) was designed to explore clinical skill of PSYCHIATRIC RESIDENTS in diagnosing major depressive disorder through a clinical interview with a simulated patient. The rating checklist to evaluate the residents included 11 items. Each item was scored on a Likert scale. Two raters completed the checklists independently.Results: Out of 24 residents, 15 individuals (62.5%) diagnosed major depressive disorder accurately and 9 individuals (37.5%) diagnosed BIPOLAR DISORDER instead of major depressive disorder. The score of the last psychiatric written exam (p<0.05), the mean score of OSCE on the mood disorder station (p<0.001), and the total score of the OSCE (six stations) (p=0.09) were significantly higher in the group who correctly diagnosed major depressive disorder than the group who did not.Conclusion: Current study provides evidence for BIPOLAR DISORDER over diagnosis and opens up new scopes for improvement in psychiatric training.

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APA: Copy

SHABANI, A., HASANZADEH, MAHDI, DANESHAMOUZ, B., AKBARI, MAHDI, & TABAN, M.. (2009). FALSE POSITIVE DIAGNOSIS OF MOOD DISORDERS IN AN OBJECTIVE STRUCTURED CLINICAL EXAMINATION SETTING. IRANIAN JOURNAL OF PSYCHIATRY AND BEHAVIORAL SCIENCES (IJPBS), 3(1), 15-18. SID. https://sid.ir/paper/311896/en

Vancouver: Copy

SHABANI A., HASANZADEH MAHDI, DANESHAMOUZ B., AKBARI MAHDI, TABAN M.. FALSE POSITIVE DIAGNOSIS OF MOOD DISORDERS IN AN OBJECTIVE STRUCTURED CLINICAL EXAMINATION SETTING. IRANIAN JOURNAL OF PSYCHIATRY AND BEHAVIORAL SCIENCES (IJPBS)[Internet]. 2009;3(1):15-18. Available from: https://sid.ir/paper/311896/en

IEEE: Copy

A. SHABANI, MAHDI HASANZADEH, B. DANESHAMOUZ, MAHDI AKBARI, and M. TABAN, “FALSE POSITIVE DIAGNOSIS OF MOOD DISORDERS IN AN OBJECTIVE STRUCTURED CLINICAL EXAMINATION SETTING,” IRANIAN JOURNAL OF PSYCHIATRY AND BEHAVIORAL SCIENCES (IJPBS), vol. 3, no. 1, pp. 15–18, 2009, [Online]. Available: https://sid.ir/paper/311896/en

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