Minimum required information for Psychiatric History Taking: a scoping textbook review

Autor: Helio G. Rocha Neto, Eduarda Conte Boutros, Fellipe Miranda Leal, Diogo Telles Correia, Maria Tavares Cavalcanti
Jazyk: English<br />Portuguese
Rok vydání: 2024
Předmět:
Zdroj: Jornal Brasileiro de Psiquiatria, Vol 73, Iss 2 (2024)
Druh dokumentu: article
ISSN: 1982-0208
0047-2085
DOI: 10.1590/0047-2085-2023-0034
Popis: ABSTRACT Objective In psychiatry, History Taking(HT) and Mental Status Examination are the only information source for diagnosis, resulting in reliability and validity issues. Standard Diagnostic Interviews(SDI) were prescribed as a solution for diagnostic unreliability but not used in clinical practice. Our objective is to describe and consolidate the “must be collected data” in psychiatric HT, and reasons why some information must be collected for an adequate diagnostic hypothesis generation. Methods Researchers and lecturers from different countries were consulted about Textbooks of Clinical Psychiatry, as a privileged source of consolidated HT information in psychiatric training, using a snowball methodology, complemented by references review and most sold textbooks. Data were systematically extracted by two authors, and then comprehensively synthesized. Results Twenty-five textbooks, from sixteen different countries, were accessed. We did not find a standard model, nor clear reasons for why HT components were chosen, but the manual’s information grossly overlaps, suggesting a “validated by tradition” model in psychiatry. Conclusion The “must be collected data” are both risk factors and prototype building blocks for mental disorders, with different anti-bias strategies. HT content suggested by textbooks is different from what is addressed by SDI, and a consensual “minimum information” for diagnostic reasoning was described.
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