Comparison of screening proposals for somatization disorder empirical analyses

Kathleen K. Bucholz, Stephen H. Dinwiddie, Theodore Reich, Joseph J. Shayka, C. Robert Cloninger

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11 Scopus citations

Abstract

We report a comparison of three sets of screening criteria, plus a post hoc modification of one, for the diagnosis of somatization disorder. Included in the comparison are the DSM-III-R seven-symptom screen, 11 symptoms identified by Swartz et al., and the hierarchical screen using symptom clusters that has been proposed for DSM-IV, along with a modification to the latter. Data sets used in this test were from the St Louis Epidemiologic Catchment Area (ECA) study and a family study of alcoholism. Findings of sensitivity, specificity, and positive predictive value indicate advantages and disadvantages of each screening set. No one set was clearly superior; selection of screening criteria should be dependent on the intended application.

Original languageEnglish
Pages (from-to)59-64
Number of pages6
JournalComprehensive Psychiatry
Volume34
Issue number1
DOIs
StatePublished - 1993

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