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Related Experiment Videos

Somatisation disorder in primary care

J I Escobar1, M Gara, R C Silver

  • 1Department of Psychiatry, UMDNJ-Robert Wood Johnson Medical School, Piscataway 08854-5635, USA.

The British Journal of Psychiatry : the Journal of Mental Science
|February 2, 1999
PubMed
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Standard somatisation disorder diagnoses are less effective than an abridged construct for identifying patients with somatisation in primary care. The abridged diagnosis captures more cases and predicts psychopathology and disability better.

Area of Science:

  • Psychiatry
  • General Practice

Background:

  • Somatisation is a frequent and challenging issue in primary care settings.
  • Understanding its prevalence and associated features is crucial for effective patient management.

Purpose of the Study:

  • To examine the prevalence and associated features of somatisation disorder.
  • To compare diagnostic criteria, including standard nosologies and an abridged construct, in primary care patients.

Main Methods:

  • Utilized structural diagnoses and functional measures.
  • Assessed primary care service users against three current nosologies and an abridged construct for somatisation disorder.

Main Results:

  • Standard somatisation disorder criteria yielded very low prevalence (0.06-0.5%).

Related Experiment Videos

  • An abridged diagnosis identified a significantly higher prevalence (22%).
  • Poor agreement was observed between DSM versions, leading to disparate patient sets and variable psychopathology/disability levels.

    • Conclusions:

    • Standard somatisation disorder diagnoses offer limited predictive value for disability and psychopathology.
    • An abridged construct of somatisation appears more effective in identifying relevant patient groups in primary care.