Assessing somatization with various diagnostic criteria

Lara Mangelli, Alessandra Bravi, Giovanni A. Fava, Fedra Ottolini, Piero Porcelli, Chiara Rafanelli, Marco Rigatelli, Nicoletta Sonino

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish
Pages (from-to)38-41
Number of pages4
JournalPsychosomatics
Volume50
Issue number1
DOIs
Publication statusPublished - Jan 2009

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Applied Psychology

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