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Assessing somatization with various diagnostic criteria
Lara Mangelli1, Alessandra Bravi, Giovanni A Fava
1Department of Psychology, University of Bologna, Bologna, Italy.
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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