Predictive validity and clinical utility of DSM-5 Somatic Symptom Disorder: prospective 1-year follow-up study
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Predictive validity and clinical utility of DSM-5 Somatic Symptom Disorder: prospective 1-year follow-up study. / Voigt, Katharina; Wollburg, Eileen; Weinmann, Nina; Herzog, Annabel; Meyer, Björn; Langs, Gernot; Löwe, Bernd.
in: J PSYCHOSOM RES, Jahrgang 75, Nr. 4, 01.10.2013, S. 358-61.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Predictive validity and clinical utility of DSM-5 Somatic Symptom Disorder: prospective 1-year follow-up study
AU - Voigt, Katharina
AU - Wollburg, Eileen
AU - Weinmann, Nina
AU - Herzog, Annabel
AU - Meyer, Björn
AU - Langs, Gernot
AU - Löwe, Bernd
N1 - © 2013.
PY - 2013/10/1
Y1 - 2013/10/1
N2 - OBJECTIVE: To compare the predictive validity and clinical utility of DSM-IV somatoform disorders and DSM-5 Somatic Symptom Disorder (SSD) at 12-month follow-up.METHODS: In a sample of psychosomatic inpatients (n=322, mean age=45.6 years (SD 10.0), 60.6% females) we prospectively investigated DSM-IV somatoform disorders and the DSM-5 diagnosis of SSD plus a variety of psychological characteristics, somatic symptom severity, and health-related quality of life at admission, discharge, and follow-up.RESULTS: DSM-IV diagnoses and DSM-5 SSD similarly predicted physical functioning at follow-up; SSD also predicted mental functioning at follow-up. Bodily weakness, intolerance of bodily complaints, health habits, and somatic attribution at admission were significant predictors of physical functioning at follow-up. The change in physical functioning during inpatient therapy was a significant predictor for the course of physical functioning until follow-up.CONCLUSIONS: Psychological symptoms appear to be predictively valid diagnostic criteria for the 12-month functional outcome in patients with SSD. Mental functioning can be better predicted by the DSM-5 diagnosis than by DSM-IV diagnoses. Not the change in single psychological features but in physical functioning during the treatment interval predicted the change in physical functioning until follow-up.
AB - OBJECTIVE: To compare the predictive validity and clinical utility of DSM-IV somatoform disorders and DSM-5 Somatic Symptom Disorder (SSD) at 12-month follow-up.METHODS: In a sample of psychosomatic inpatients (n=322, mean age=45.6 years (SD 10.0), 60.6% females) we prospectively investigated DSM-IV somatoform disorders and the DSM-5 diagnosis of SSD plus a variety of psychological characteristics, somatic symptom severity, and health-related quality of life at admission, discharge, and follow-up.RESULTS: DSM-IV diagnoses and DSM-5 SSD similarly predicted physical functioning at follow-up; SSD also predicted mental functioning at follow-up. Bodily weakness, intolerance of bodily complaints, health habits, and somatic attribution at admission were significant predictors of physical functioning at follow-up. The change in physical functioning during inpatient therapy was a significant predictor for the course of physical functioning until follow-up.CONCLUSIONS: Psychological symptoms appear to be predictively valid diagnostic criteria for the 12-month functional outcome in patients with SSD. Mental functioning can be better predicted by the DSM-5 diagnosis than by DSM-IV diagnoses. Not the change in single psychological features but in physical functioning during the treatment interval predicted the change in physical functioning until follow-up.
U2 - 10.1016/j.jpsychores.2013.08.017
DO - 10.1016/j.jpsychores.2013.08.017
M3 - SCORING: Journal article
C2 - 24119943
VL - 75
SP - 358
EP - 361
JO - J PSYCHOSOM RES
JF - J PSYCHOSOM RES
SN - 0022-3999
IS - 4
ER -
