ISSN 1812-7231 Klin.inform.telemed. Volume 3, Issue 4, 2006, Pages 86-90
B. C. Roy Technology Hospital Indian Institute of Technology, Kharagpur, India
A Computerized Tool for Screening of Adult Psychiatric Illnesses: A Third-world Perspective
Screening of psychiatric diseases is always a difficult task due to the variable presentations of the illnesses. Moreover, the screening is often biased due to the prevailing differences in medical logic of the doctors, who hardly have time to incorporate everything depicted in a ready diagnostic tool, e.g., Diagnostic and Statistical Manual (DSM) or ICD. Therefore, to reduce such complexities, computerization of psychiatric screening is a unique approach under clinical informatics. The reason behind such a trend could be due to the fact that computerized tools are faster, accurate and reliable. Western-world remains the pathfinder to design such tools, while in the third-world countries, especially in India, no such attempt had been made till date. The present work is thus a pioneering approach to design and develop such a tool to screen adult psychiatric disorders with a third-world perspective. The developed tool is consisted of a list of questions covering eleven broad disease-domains and their subdomains. The questionnaire is set with the help of a group of qualified psychiatrists to incorporate their clinical expertise, which is usually based on DSM-IV. The questionnaire-tree is designed using nested 'if-else' logical operators with their answers essentially boolean. The performance of the developed tool has been tested on a large set of diagnosed patients (say, 550). The overall accuracy is found to be quite appreciable.
psychiatry, diagnostic tool, DSM-IV, computer, patients, logical flow chart
1. Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19–22 June 1946, signed on 22 July 1946 by the re presentatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100) and entered into force on 7 April 1948.
2. R. Warner, G. de Girolamo, G. Belelli et al., The Quality of Life of People With Schizophrenia in Boulder, Colorado, and Bologna, Italy, Schizophrenia Bulletin, 24 (1998) 559–68.
3. S. Chattopadhyay, Aetiopatho logy, diagnosis and management of Premenstrual Changes (PMCs): current views. The Internet Journal of Gynecology and Obstetrics [Serial On line] 2004, March, vol. 3, Number 1: [13screens]. Available from:http://www.ispub.com/ostia/index.php?xmlFilePath=journals/ijgo/vol3n1/pmc.xml. Last Accessed June 3, 2006.
4. R. Dantzer, [Recenttrends in psychophysiology of anxiety (author's transl)]. Encephale, 8(1982) 107–18.
5. S. Chattopadhyay, Tracking Genetic And Biological basis Of Schizophrenia. The Internet Journal of Mental Health [serial On line] 2004 May, vol. 2, Number 1: [11screens]. Accessedfrom: http://www.ispub.com/ostia/index.php?xmlFile Path=journals/ijmh/vol2n1/genetic.xml. Last Accessed June 1, 2006.
6. Diagnostic and Statistical Manual of Mental Disorders, edition 4, American Psychiatric Association, Washington, 1994.
8. J. K. Wing, R. G. J. Giddens, Industrial rehabilitation of male chronic schizophrenics, Lancet, 2 (1959) 505–507.
9. J. K. Wing, J. E. Cooper, Sartorius the descriptions and classification of psychiatric symptoms: An instruction manual for the PSE and CATEGO system, Cambridge University Press, London, (1974).
10. W. G. Harless, B. Templeton, The potential of computer-aided simulation of the clinical encounter (CASE) for evaluating undergraduate psychiatric education. In: Evaluative methods in psychiatric education, H. L. Muslin et al. (Eds.). American Psychiatric Association, Washington, (1974) 65–76.
11. B. Keinmuntz, The computer as clinician American Psychology, 75 (1967) 1269–1274.
12. R. L. Spitzer, Psychiatric diagnosis: Are clinicians still necessary?, Comprehensive Psychiatry, 24 (1983) 399-411.
13. R. L. Spitzer, J. Endicott, DIAGNO II: Further developments in a computer program for psychiatric diagnosis, American Journal of Psychiatry, 125 (1969) 12–21.
14. W. Schmid, T. Bronisch, D. Von Zerssen, A comparative study of PSE/CATEGO and DiaSiKa, British Journal of Psychiatry, 141 (1982) 292–295.
Полнотекстовая версия http://kit-journal.com.ua/ru/viewer_ru.html?doc/2006_4/11.pdf