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Some determinants of diagnosis and neuroleptic administration among schizophrenic and mood disordered VA patients
Bernstein, Ira H. Kolodner, Robert M. Kashner, T. Michael
Bernstein, Ira H.
Kolodner, Robert M.
Kashner, T. Michael
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Original Date
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Issue Date
2000
Type
Article
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Keywords
Psychology,Schizophrenia,Mood disorder
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Citation
Bernstein, I. H., Kolodner, R. M., Kashner, T. M. (2000). Some Determinants of Diagnosis and Neuroleptic Administration Among Schizophrenic and Mood Disordered VA Patients. Multivariate Experimental Clinical Research, 12(1), 57-69. https://doi.org/10.62704/10057/18887
Abstract
This study examined diagnostic practices and neuroleptic use at four general medical and surgical VA medical centers. Most effects were as expected, e.g., patients administered neuroleptics during a prior hospitalization and who exhibited more psychotic symptoms were more likely to be diagnosed with schizophrenia than with a mood disorder. However, the centers differed in their diagnostic practices after adjusting for such differences in symptomatology. As a result, patients were more likely to receive neuroleptic medication when treated at certain hospitals relative to others even though these differences followed directly from differences in diagnostic practices. Further research is needed to determine the extent to which these different diagnosis practices reflect variation in training, theoretical orientation, documentation, or justification for particular psychiatric practices. Regardless, they have significant legal and professional ramifications.
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Description
Publisher
Wichita State University, Department of Psychology
Journal
Book Title
Series
Multivariate Experimental Clinical Research
v.12 no.1
v.12 no.1
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Archival Collection
PubMed ID
ISSN
0147-3964