Abstract | OBJECTIVE: We compared the provisional Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria for Somatic Symptom Disorders ( SSD) and an alternative classification based on the Diagnostic Criteria for Psychosomatic Research (DCPR) as to prevalence and associations with dimensional measures of psychological distress and functioning in a population of medical patients. METHOD: Seventy consecutive outpatients with congestive heart failure were administered an ad hoc structured clinical interview for the identification of DSM-5 SSD, the section concerning hypochondriasis of the Structured Clinical Interview for DSM-IV, the Structured Interview for DCPR and Paykel's Clinical Interview for Depression. Subjects also completed the Symptom Questionnaire and the Psychosocial Index. Global assessment of functioning was performed with the DSM-IV Axis V. RESULTS: A diagnosis within DSM-5 SSD was found in 13 patients (18.5%): 61.5% of them were diagnosed with the Psychological Factors Affecting Medical Condition category. Twenty-nine patients (41.4%) were classified according to the DCPR-based proposal: illness denial, demoralization and irritable mood were the most frequent specifiers. The DCPR-based classification showed a greater number of significant associations with dimensional measures of psychological distress, global functioning and stress. CONCLUSION: Compared to DSM-5 SSD, the DCPR-based proposal was more sensitive in detecting psychological factors relevant to illness course and provided a better characterization of such factors. The DCPR-based proposal was also superior in identifying patients with increased psychological distress and poor psychosocial functioning.
|
Authors | Jenny Guidi, Chiara Rafanelli, Renzo Roncuzzi, Laura Sirri, Giovanni A Fava |
Journal | General hospital psychiatry
(Gen Hosp Psychiatry)
2013 Mar-Apr
Vol. 35
Issue 2
Pg. 141-6
ISSN: 1873-7714 [Electronic] United States |
PMID | 23122485
(Publication Type: Journal Article)
|
Copyright | Copyright © 2013 Elsevier Inc. All rights reserved. |
Topics |
- Aged
- Aged, 80 and over
- Diagnostic and Statistical Manual of Mental Disorders
- Female
- Heart Failure
(psychology)
- Humans
- Italy
(epidemiology)
- Male
- Middle Aged
- Sensitivity and Specificity
- Somatoform Disorders
(classification, diagnosis, epidemiology)
- Surveys and Questionnaires
|