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    Psychiatric misdiagnoses in patients with chronic fatigue syndrome. 
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    Psychiatric misdiagnoses in patients with chronic fatigue syndrome.

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    Published version (827.4Kb)
    Volume
    1
    Pagination
    28 - ?
    DOI
    10.1258/shorts.2010.010042
    Journal
    JRSM Short Rep
    Issue
    4
    Metadata
    Show full item record
    Abstract
    OBJECTIVES: The aim of this study was to examine the accuracy of doctors at diagnosing co-morbid psychiatric disorders in patients with chronic fatigue syndrome (CFS). DESIGN: Case series comparing clinical diagnoses with a standardized structured psychiatric interview. SETTING: Secondary care specialist chronic fatigue syndrome clinic. PARTICIPANTS: One hundred and thirty-five participants of a randomized controlled trial of non-pharmacological treatments at one centre in the PACE trial. MAIN OUTCOME MEASURES: Current psychiatric diagnoses made by CFS specialist doctors, compared with current psychiatric diagnoses made independently using a structured psychiatric interview. RESULTS: Clinicians identified 59 (44%, 95% CI 39-56%) of patients as suffering from a co-morbid psychiatric disorder compared to 76 (56%, CI 53-69%) by structured interview. Depressive and anxiety disorders were most common. Clinicians were twice as likely to miss diagnoses (30 patients, 22%) than misdiagnose them (13, 10%). Psychiatrists were less likely to miss diagnoses than other clinicians, but were as likely to misdiagnose them. CONCLUSIONS: Doctors assessing patients in a chronic fatigue syndrome clinic miss psychiatric diagnoses more often than misdiagnosing them. Missed diagnoses are common. CFS clinic doctors should be trained to diagnose psychiatric disorders.
    Authors
    Lawn, T; Kumar, P; Knight, B; Sharpe, M; White, PD
    URI
    http://qmro.qmul.ac.uk/xmlui/handle/123456789/17563
    Collections
    • Centre for Psychiatry [666]
    Language
    eng
    Licence information
    This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc/2.0/), which permits non-commercial use, distribution and reproduction in any medium, provided the original work is properly cited.
    Copyright statements
    (c) 2010 Royal Society of Medicine Press
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