Document Detail

Diagnosis, screening, and 'demoralization': epidemiologic implications.
MedLine Citation:
PMID:  3532098     Owner:  NLM     Status:  MEDLINE    
The Dohrenwends have associated psychiatric screening instruments with Frank's concept of 'demoralization' through negative evidence of the criterion validity of the instruments for identifying 'diagnosable mental disorders'. New evidence from the Stirling County Study is given to suggest that absence of validity stems from symptom-enumerative scoring procedures and that concordance with clinical judgment is improved by employing diagnostic algorithms. The concepts of diagnosis and 'demoralization' are discussed, and the history of screening instruments is reviewed. It is suggested that, while 'demoralization' may be a useful concept for clinicians, it poses serious drawbacks for epidemiological research because of the assumptions it involves about etiology and outcome.
J M Murphy
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.; Review    
Journal Detail:
Title:  Psychiatric developments     Volume:  4     ISSN:  0262-9283     ISO Abbreviation:  Psychiatr Dev     Publication Date:  1986  
Date Detail:
Created Date:  1986-11-18     Completed Date:  1986-11-18     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8305469     Medline TA:  Psychiatr Dev     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  101-33     Citation Subset:  IM    
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MeSH Terms
Affective Symptoms / diagnosis*,  epidemiology
Mass Screening
Mental Disorders / diagnosis*,  epidemiology
Personality Assessment
Psychological Theory
United States
Grant Support
80M014280101D//PHS HHS; MH39576/MH/NIMH NIH HHS

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