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Health Attitude Survey. A scale for assessing somatizing patients
R Noyes1, D R Langbehn, R L Happel
1Department of Psychiatry, University of Iowa College of Medicine, Iowa City 52242-1000, USA.
A new Health Attitude Survey effectively screens for somatization in primary care patients. This validated 27-item instrument rapidly identifies patients with somatizing attitudes, aiding clinical decision-making.
Area of Science:
- Psychiatry
- General Medicine
- Psychological Assessment
Background:
- Somatization is a common presentation in general medicine clinics.
- Accurate assessment of somatization is crucial for effective patient management.
- Existing instruments may not be suitable for rapid clinical screening.
Purpose of the Study:
- To develop and validate a new instrument, the Health Attitude Survey (HAS).
- To assess the HAS's utility in identifying somatizing patients in a primary care setting.
- To evaluate the HAS's speed, acceptability, and predictive value.
Main Methods:
- Development of a 27-item Health Attitude Survey.
- Administration of the HAS to over 1,000 patients in a general medicine clinic.
- Comparison of HAS results with other somatization measures and control groups.
Main Results:
- The 27-item HAS was rapidly administered and well-accepted by patients.
- The HAS demonstrated validity in measuring attitudes of somatizing patients.
- The instrument successfully distinguished somatizing patients from control subjects.
- The HAS showed acceptable predictive value for somatization.
Conclusions:
- The Health Attitude Survey is a valid and reliable tool for assessing somatization.
- The HAS is suitable for rapid screening in clinical settings.
- This instrument can aid in the early identification and management of somatizing patients.
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