| ,Misdiagnosis rate of mental disorders in China:a Meta - analysis[J].SICHUAN MENTAL HEALTH,2019,32(2):149-154 |
| Misdiagnosis rate of mental disorders in China:a Meta - analysis |
DOI：10.11886/j.issn.1007-3256.2019.02.012 |
| English keywords:Mental Disorders Misdiagnosis Incidence Meta - analysis |
| Fund projects:苏州市精神疾病临床医学中心青年科技项目(gjyy201702) |
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| Objective To evaluate the incidence of misdiagnosis among mental disorders through Meta - analysis, so as to provide references for improving the diagnostic level of mental diseases. Methods Published literatures on misdiagnosis rate of mental diseases in China were retrieved from CNKI, Wanfang, Vip, Chinese biomedical literature database, Embase, Cochrane Library,PsycINFO and PubMed. Literature screening, data extraction and methodological quality evaluation were performed by the two researchers independently. Meta - analysis was performed using R 3. 3. 3. Results A total of 10 studies were enrolled ( n = 11 053) .Meta - analysis results showed that the misdiagnosis rate of mental disorders in China was 10. 29% ( 95% CI: 6. 48% ~ 15. 95% ,P < 0. 01 ) . Subgroup analysis showed that, ①there was statistically significant difference in misdiagnosis rates among patients from different source ( P < 0. 05 ) ; ②the difference in misdiagnosis rates among patients from different regions was statistically significant( P < 0. 05 ) ; ③ the difference in misdiagnosis rates among the studies with different publication years was statistically significant( P < 0. 05) ; ④ there was no significant difference in misdiagnosis rate between different diagnostic criteria ( P > 0. 05) ; ⑤the rate of misdiagnosis showed no difference among patients with different course of disease ( P > 0. 05 ) ; ⑥there was a statistically significantdifference in the misdiagnosis rate between cooperative and non - cooperative patients ( P < 0. 05 ) . No obvious publication bias was observed in Egger's linear regression. Conclusion Incidence of misdiagnosis among mental disorders in China is high. The source of patients, location, date of publication and attitude to treatment may affect the misdiagnosis of mental disorders. |
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