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Related Experiment Videos

A structured diagnostic interview for hypochondriasis. A proposed criterion standard.

A J Barsky1, P D Cleary, G Wyshak

  • 1Department of Psychiatry, Harvard Medical School, Massachusetts General Hospital, Boston 02114.

The Journal of Nervous and Mental Disease
|January 1, 1992
PubMed
Summary

A new structured diagnostic interview for hypochondriasis (SDIH) was developed and validated. This clinician-administered tool accurately identifies hypochondriasis in general medical outpatients.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Medical Diagnostics

Background:

  • Hypochondriasis diagnosis can be challenging in primary care settings.
  • A reliable and valid clinician-administered instrument for diagnosing hypochondriasis was lacking.

Purpose of the Study:

  • To develop and validate the Structured Diagnostic Interview for DSM-III-R Hypochondriasis (SDIH).
  • To assess the reliability and validity of the SDIH in a general medical outpatient population.

Main Methods:

  • The SDIH was administered to 88 outpatients with high hypochondriacal symptom scores and 100 controls.
  • Interrater reliability was assessed using the joint assessment method.
  • Concurrent and discriminant validity were evaluated against physician ratings and clinical characteristics.

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Main Results:

  • High interrater agreement was achieved for DSM-III-R diagnostic criteria (88%-97%) and diagnosis (96%).
  • The SDIH demonstrated concurrent validity through significant correlation with physician ratings.
  • The interview showed discriminant validity by distinguishing diagnosed hypochondriacal patients from others.

Conclusions:

  • The SDIH is a reliable and valid clinician-administered instrument for diagnosing DSM-III-R hypochondriasis.
  • The SDIH can aid in accurate hypochondriasis diagnosis in general medical settings.
  • The study supports the clinical utility of the SDIH for identifying hypochondriasis.