Dagens mest hårreisende konklusjon!

Til tider dukker det opp, nei ofte dukker det opp publikasjoner som er og konkluderer noe så helt på viddene. Dette er ett ganske godt eksempel på det. Nå må det sies her at PACE studiet har deltakere langt utover de Canadiske kriteriene som ligger til grunn hos utredere og behandlere av neuroimmunologisk sykdom, som ME/CFS.

Psychiatric misdiagnoses in patients with chronic fatigue syndrome

Published online 6 september 2010

Hele kan leses her

Tara Lawn,1 Praveen Kumar,1 Bernice Knight,2 Michael Sharpe,3 and Peter D White4, on behalf of the PACE trial management group (listed in protocol reference)

 

1East London Foundation Trust, St Bartholomew’s Hospital, London EC1A 7BE, UK

2Camden and Islington Foundation Trust, St Pancras Hospital, London NW1 0PE, UK

3Psychological Medicine Research, School of Molecular and Clinical Medicine, University of Edinburgh, UK

4Queen Mary University of London, Wolfson Institute of Preventive Medicine, Barts and the London School of Medicine and Dentistry, London, UK

Klag til: Peter D White. E-mail: p.d.white@qmul.ac.uk

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.

Bare en liten kommentar her: Hvor er prosentandelen til Psykiaterne?

 

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.

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