BACKGROUND: Somatization is a widespread clinical phenomenon that cuts across diagnostic categories, both psychiatric and medical. OBJECTIVE: This study investigates whether somatization can be assessed with a comprehensive diagnostic system, the Diagnostic Criteria for Psychosomatic Research (DCPR) in gastroenterology and cardiology (myocardial infarction) patients. METHOD: Authors assessed a group of 343 outpatients, 190 gastroenterology and 153 cardiology outpatients, with functional gastrointestinal disorders and recent first myocardial infarction. RESULTS: A total of 146 patients were diagnosed by the DCPR Somatization cluster and 106 by the DCPR Abnormal Illness Behavior cluster; 27 patients who met DSM-IV criteria for somatoform disorders were not classified with any DCPR somatization syndromes, whereas 120 with DCPR Somatization cluster did not satisfy the criteria for DSM-IV somatoform disorders. CONCLUSION: Findings suggest that the DCPR is able to identify clinical and subthreshold psychosomatic syndromes and that it can used jointly with the DSM-IV.
Assessing somatization with various diagnostic criteria / Lara, Mangelli; Alessandra, Bravi; Giovanni A., Fava; Ottolini, Fedra; Piero, Porcelli; Chiara, Rafanelli; Rigatelli, Marco; Nicoletta, Sonino. - In: PSYCHOSOMATICS. - ISSN 0033-3182. - STAMPA. - 50:1(2009), pp. 38-41. [10.1176/appi.psy.50.1.38]
Assessing somatization with various diagnostic criteria.
OTTOLINI, Fedra;RIGATELLI, Marco;
2009
Abstract
BACKGROUND: Somatization is a widespread clinical phenomenon that cuts across diagnostic categories, both psychiatric and medical. OBJECTIVE: This study investigates whether somatization can be assessed with a comprehensive diagnostic system, the Diagnostic Criteria for Psychosomatic Research (DCPR) in gastroenterology and cardiology (myocardial infarction) patients. METHOD: Authors assessed a group of 343 outpatients, 190 gastroenterology and 153 cardiology outpatients, with functional gastrointestinal disorders and recent first myocardial infarction. RESULTS: A total of 146 patients were diagnosed by the DCPR Somatization cluster and 106 by the DCPR Abnormal Illness Behavior cluster; 27 patients who met DSM-IV criteria for somatoform disorders were not classified with any DCPR somatization syndromes, whereas 120 with DCPR Somatization cluster did not satisfy the criteria for DSM-IV somatoform disorders. CONCLUSION: Findings suggest that the DCPR is able to identify clinical and subthreshold psychosomatic syndromes and that it can used jointly with the DSM-IV.
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