
Contents
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Problems in Current Routine Diagnostic Practice Problems in Current Routine Diagnostic Practice
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Use of Research Instruments to Improve Diagnostic Practice: Structured Interviews as the Diagnostic “Gold Standard” Use of Research Instruments to Improve Diagnostic Practice: Structured Interviews as the Diagnostic “Gold Standard”
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Underrecognition of Bipolar Disorder Underrecognition of Bipolar Disorder
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The Use of Screening Scales to Diagnose Bipolar Disorder The Use of Screening Scales to Diagnose Bipolar Disorder
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Underrecognition of Diagnostic Comorbidity in Depressed Patients Underrecognition of Diagnostic Comorbidity in Depressed Patients
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Psychiatric Diagnostic Screening Questionnaire Psychiatric Diagnostic Screening Questionnaire
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Outcome Assessment in Current Routine Practice Outcome Assessment in Current Routine Practice
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What Should Be Measured in Treatment Outcome Assessment What Should Be Measured in Treatment Outcome Assessment
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Clinician-Rated Treatment Outcome Measures for Depression Clinician-Rated Treatment Outcome Measures for Depression
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Self-Report Scales Self-Report Scales
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Future Directions: Web-Based Assessment Future Directions: Web-Based Assessment
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Summary and Conclusions Summary and Conclusions
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References References
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9 The Diagnosis and Assessment of Mood Disorders
Get accessDepartment of Psychiatry and Human Behavior, Brown Medical School, Providence, RI
Department of Psychiatry and Human Behavior, Brown Medical School, Providence, RI
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Published:19 January 2016
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Abstract
In routine clinical practice, diagnosis and assessment are conducted predominantly using nonstandardized interviews and clinical judgment. This chapter presents an overview of numerous diagnostic errors that result from underuse of structured interviews and other standardized tools. The prevalence of both underdetection and overdetection of mood disorders, as well as the underrecognition of diagnostic comorbidity, is reviewed. Next, problems in the routine assessment of treatment outcome are described. The clinical implications of each of these errors are discussed. A range of standardized self-report and clinician-administered tools to improve diagnostic accuracy are reviewed, and recommendations for integrating measurement-based care into routine clinical settings are given. Finally, the chapter outlines recent advances to utilize feasible and cost-effective Internet-based screening measures to enhance routine standardized outcome assessment.
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