Construct validity and clinical utility of current research criteria of DSM-5 somatic symptom disorder diagnosis in patients with fibromyalgia syndrome

Haüser, Winfried; Bialas, Patric; Welsch, Katja; Wolfe, Frederick

doi:10.1016/j.jpsychores.2015.03.151

Cited by 47 publications

(39 citation statements)

References 47 publications

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“…Over and above these field trials, to our knowledge, only four studies have attempted to study DSM-5 SSD and/or IAD, but in doing so have relied exclusively on post hoc classification based on self-assessment questionnaires (Bailer et al, 2016;Häuser, Bialas, Welsch, & Wolfe, 2015;van Dessel, van der Wouden, Dekker, & van der Horst, 2016;Voigt et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

The health preoccupation diagnostic interview: inter-rater reliability of a structured interview for diagnostic assessment of DSM-5 somatic symptom disorder and illness anxiety disorder

Axelsson

Andersson

Ljótsson

et al. 2016

Cognitive Behaviour Therapy

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Somatic symptom disorder (SSD) and illness anxiety disorder (IAD) are two new diagnoses introduced in the DSM-5. There is a need for reliable instruments to facilitate the assessment of these disorders. We therefore developed a structured diagnostic interview, the Health Preoccupation Diagnostic Interview (HPDI), which we hypothesized would reliably differentiate between SSD, IAD, and no diagnosis. Persons with clinically significant health anxiety (n = 52) and healthy controls (n = 52) were interviewed using the HPDI. Diagnoses were then compared with those made by an independent assessor, who listened to audio recordings of the interviews. Ratings generally indicated moderate to almost perfect inter-rater agreement, as illustrated by an overall Cohen's κ of .85. Disagreements primarily concerned (a) the severity of somatic symptoms, (b) the differential diagnosis of panic disorder, and (c) SSD specifiers. We conclude that the HPDI can be used to reliably diagnose DSM-5 SSD and IAD.

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Section: Introductionmentioning

confidence: 99%

The health preoccupation diagnostic interview: inter-rater reliability of a structured interview for diagnostic assessment of DSM-5 somatic symptom disorder and illness anxiety disorder

Axelsson

Andersson

Ljótsson

et al. 2016

Cognitive Behaviour Therapy

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“…However, no gold standard diagnostic method has been established for SSD 9. Even the diagnostic criteria of the DSM-5 necessitate clinical experience when making assessments 10.…”

Section: Introductionmentioning

confidence: 99%

A-MUPS score to differentiate patients with somatic symptom disorder from those with medical disease for complaints of non-acute pain

Suzuki

Ohira

Noda

et al. 2017

JPR

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PurposeTo develop a clinical score to discriminate patients with somatic symptom disorder (SSD) from those with medical disease (MD) for complaints of non-acute pain.MethodsWe retrospectively examined the clinical records of consecutive patients with pain for a duration of ≥1 month in our department from April 2003 to March 2015. We divided the subjects according to the diagnoses of definite SSD (as diagnosed and tracked by psychiatrists in our hospital), probable SSD (without evaluation by psychiatrists in our hospital), matched MD (randomly matched two patients by age, sex, and pain location for each definite SSD patient), unmatched MD, other mental disease, or functional somatic syndrome (FSS). We investigated eight clinical factors for definite SSD and matched MD, and developed a diagnostic score to identify SSD. We subsequently validated the model with cases of probable SSD and unmatched MD.ResultsThe number of patients with definite SSD, probable SSD, matched MD, unmatched MD, other mental disease, and FSS was 104 (3.5%), 214 (7.3%), 197 (6.7%), 742 (25%), 708 (24%), and 978 (33%), respectively. In a conditional logistic regression analysis, the following five factors were included as independent predictors of SSD: Analgesics ineffective, Mental disorder history, Unclear provocative/palliative factors, Persistence without cessation, and Stress feelings/episodes (A-MUPS). The area under the receiver operating characteristic curve (AUC) of the model was 0.900 (95% CI: 0.864–0.937, p<0.001), and the McFadden’s pseudo-R-squared was 0.709. For internal validation, the AUC between probable SSD and unmatched MD was 0.930 (95% CI: 0.910–0.950, p<0.001). The prevalence and the likelihood ratio of SSD increased as the score increased.ConclusionThe A-MUPS score was useful for discriminating patients with SSD from those with MD for complaints of non-acute pain, although external validation and refinement should be needed.

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“…The DSM-5 criteria for somatic symptom disorder could be applied to FM patients [2], even though there is a risk of assigning a diagnosis of mental illness to a large proportion of patients with a physical chronic illness [3]. Furthermore, the DSM approach to somatization does not consider important features concerning psychological factors that affect physical conditions and abnormal illness behaviors, which might be relevant for diagnostic and therapeutic processes [3].…”

mentioning

confidence: 99%

“…Furthermore, the DSM approach to somatization does not consider important features concerning psychological factors that affect physical conditions and abnormal illness behaviors, which might be relevant for diagnostic and therapeutic processes [3]. Among psychological factors it has also to be noted that some authors consider FM a stress-related syndrome [4], and there are several studies on the role of trauma and stressful events in FM etiology [5-7].…”

mentioning

confidence: 99%

Allostatic Overload in Patients with Fibromyalgia: Preliminary Findings

Leombruni

Zizzi

Pavan

et al. 2019

Psychother Psychosom

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Construct validity and clinical utility of current research criteria of DSM-5 somatic symptom disorder diagnosis in patients with fibromyalgia syndrome

Cited by 47 publications

References 47 publications

The health preoccupation diagnostic interview: inter-rater reliability of a structured interview for diagnostic assessment of DSM-5 somatic symptom disorder and illness anxiety disorder

The health preoccupation diagnostic interview: inter-rater reliability of a structured interview for diagnostic assessment of DSM-5 somatic symptom disorder and illness anxiety disorder

A-MUPS score to differentiate patients with somatic symptom disorder from those with medical disease for complaints of non-acute pain

Allostatic Overload in Patients with Fibromyalgia: Preliminary Findings

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