In:
Journal of Clinical and Basic Psychosomatics, AccScience Publishing, Vol. 2, No. 1 ( 2024-01-17), p. 1813-
Abstract:
According to the diagnostic criteria for somatic symptom disorder (SSD) outlined in the Diagnostic and Statistical Manual of Mental Disorders-5th (DSM-5), there is a necessity for a rapid, simple, and effective diagnostic tool in the outpatient setting to predict the SSD & ndash;B criteria. This study aims to evaluate the screening diagnostic value of combining the duration of concern about physical discomfort per day with the Whiteley Index-8 (WI-8) scale. In a previous multicenter cross-sectional study, patients were recruited from outpatient clinics in general hospitals (n = 699). In this comparative study, we recruited an additional 100 patients from a psychosomatic outpatient unit. Receiver operating curve (ROC) analysis was applied to obtain the optimal cutoff value for the time spent worrying about physical discomfort per day and the WI-8 scale. The analysis of both datasets reveals significant differences in the amount of time spent on symptoms per day between the groups. In the previous multicenter study, patients in the high-score group expressed more concern about physical discomfort than those in the low-score group (4.5 & plusmn; 4.8 h/day [h/d] vs. 0.9 & plusmn; 1.9 h/d; t = 13.943; P 〈 0.01). In the current comparative study (n = 100), the high-score group spent 5.3 & plusmn; 4.2 h/d worrying about physical symptoms, while the low-score group spent 2.3 & plusmn; 3.7 h/d. ROC curve analysis indicated that the cutoff value for time in the previous multicenter study was 1.25 h (area under the ROC curve [AUC] = 0.839), and the WI-8 scale score was 19 (AUC = 0.907). Combining the two increased the AUC & ndash;0.921 (P 〈 0.001). The cutoff value for time in the comparative study was 1.9 h (AUC = 0.801), and the WI-8 scale score was 11 (AUC = 0.925). Combining the two increased the AUC to 0.935 (P 〈 0.001). The combination of time and the WI-8 scale offers a simple, cost-effective, rapid, and direct method for clinical doctors to screen for somatic symptom disorders & ndash;B criteria.
Type of Medium:
Online Resource
ISSN:
2972-4414
Language:
Unknown
Publisher:
AccScience Publishing
Publication Date:
2024
