A comparison of the capacity of DSM-IV and XXXX @entity14469 definitions to predict @entity1005 and related disorders.

@entity1 @entity14469 @entity308 @entity4697 @entity146 @entity913 @entity8396 @entity4987 @entity1005 @entity148 @entity3119 @entity130
OBJECTIVE: This study addresses the extent to which DSM-IV and @entity4987 definitions of @entity14469 ( @entity14469 ) predict subsequent @entity1005 ( @entity1005 ) and related @entity146 following @entity130 . METHOD: @entity1 with randomized admissions to 5 hospitals across Australia (N = 596) were assessed in hospital and reassessed for @entity1005 at 3 (n = 508), 12 (n = 426), 24 (n = 439), and 72 (n = 314) months using the Clinician-Administered @entity1005 Scale; DSM-IV definition of @entity1005 was used at each assessment, and @entity4987 definition was used at 72 months. The Mini-International @entity146 Interview (MINI) was used at each assessment to assess @entity148 , mood, and substance use disorders. RESULTS: Forty-five @entity1 (8%) met DSM-IV criteria, and 80 @entity1 (14%) met @entity4987 criteria for @entity14469 . @entity1005 was diagnosed in 93 @entity1 (9%) at 3, 82 @entity1 (10%) at 12, 100 @entity1 (12%) at 24, and 26 @entity1 (8%) at 72 months; 19 @entity1 (6%) met @entity4987 criteria for @entity1005 at 72 months. Comparable proportions of those diagnosed with @entity14469 developed @entity1005 using DSM-IV (3 months = 46%, 12 months = 39%, 24 months = 32%, and 72 months = 25%) and @entity4987 (43%, 42%, 33%, and 24%) @entity14469 definitions. Sensitivity was improved for @entity4987 relative to DSM-IV for @entity308 (0.18 vs 0.30), @entity4697 (0.19 vs 0.41), @entity8396 (0.14 vs 0.40), @entity913 (0.12 vs 0.44), specific @entity913 (0.24 vs 0.58), @entity3119 (0.17 vs 0.47), and generalized @entity148 (0.20 vs 0.47). More than half of @entity1 with @entity4987 -defined @entity14469 had a subsequent disorder. CONCLUSIONS: The @entity4987 criteria for @entity14469 results in better identification of @entity1 who will subsequently develop @entity1005 or another @entity146 relative to the DSM-IV criteria. Although prediction is modest, it suggests that the new @entity14469 diagnosis can serve a useful function in acute @entity130 settings for triaging those who can benefit from either early intervention or subsequent monitoring.
