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Specific somatoform disorder in the general population.

Hans Joergen Grabe1, Christian Meyer, Ulfert Hapke

  • 1Department of Psychiatry, Ernst-Mortiz-Arndt-University of Greifswald, Greifswald, Germany. grabeh@mail.uni-greifswald.de

Psychosomatics
|July 2, 2003
PubMed
Summary

The new specific somatoform disorder diagnosis is valid in the general population. Individuals meeting criteria showed greater impairment and healthcare use than those with undifferentiated somatization disorder.

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Area of Science:

  • Psychiatry
  • Epidemiology
  • Mental Health

Background:

  • Somatoform disorders are common in the general population.
  • The specific somatoform disorder diagnosis is a recent proposal requiring validation.
  • Understanding the prevalence and impact of these disorders is crucial for public health.

Purpose of the Study:

  • To assess the validity of the specific somatoform disorder diagnosis.
  • To compare the characteristics of individuals with specific somatoform disorder versus undifferentiated somatization disorder.
  • To determine the diagnostic validity independent of comorbid conditions.

Main Methods:

  • A representative sample of 4075 individuals was surveyed.
  • German versions of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) adapted Composite International Diagnostic Interview were used.

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  • Multivariate analyses compared impairment, life satisfaction, and healthcare utilization.

    • Main Results:

    • 19.7% of subjects had undifferentiated somatization disorder (n=803).
    • 1.3% of subjects met criteria for specific somatoform disorder (n=51).
    • Specific somatoform disorder was associated with greater impairment, lower life satisfaction, and higher healthcare use.

    Conclusions:

    • The proposed specific somatoform disorder diagnosis demonstrates high validity.
    • This validity is independent of co-occurring depressive and anxiety disorders.
    • Findings support the clinical utility of the specific somatoform disorder diagnosis.