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DSM-IV field trial: testing a new proposal for somatization disorder
S H Yutzy1, C R Cloninger, S B Guze
1Department of Psychiatry, Washington University School of Medicine, St. Louis, MO 63110.
The American Journal of Psychiatry
|January 1, 1995
Summary
The proposed DSM-IV strategy accurately diagnoses somatization disorder, showing high concordance with existing criteria. This simpler method does not require specialized rater expertise for effective use.
Area of Science:
- Psychiatry
- Mental Health Diagnostics
Background:
- Somatization disorder diagnosis has evolved through multiple criteria sets.
- Evaluating new diagnostic strategies is crucial for clinical utility and consistency.
Purpose of the Study:
- To assess a proposed diagnostic strategy for somatization disorder for potential inclusion in the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV).
Main Methods:
- A collaborative field trial involving 353 female subjects across five sites.
- Utilized a novel instrument combining criteria from DSM-IV, DSM-III, DSM-III-R, Perley-Guze, and ICD-10.
- Subjects were recruited from psychiatry, internal medicine, and family practice services.
Main Results:
- High concordance observed between the proposed DSM-IV strategy and DSM-III-R, Perley-Guze, and DSM-III criteria.
- The ICD-10 criteria demonstrated poor agreement with other evaluated sets.
- Rater experience and race did not significantly impact case identification using the DSM-IV criteria.
Conclusions:
- The DSM-IV diagnostic strategy offers an accurate and simplified approach to identifying somatization disorder.
- The proposed method is user-friendly and does not necessitate specialized expertise for accurate application.