Concepts of Psychosomatic Disorders in ICD-10: Results of the Research Criteria Study

Jantschek, Günter; Rodewig, K; Wietersheim, J von; Muhs, A.

doi:10.1159/000288947

Cited by 5 publications

(4 citation statements)

References 5 publications

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“…There are indications that presently a substantial number of dissociative disorder cases remains undiagnosed, and this may partly be due to a lack of recognition of somatoform dissociation. For example, Jantschek et al [37] found that only 50% of 129 diagnosticians at 13 psychiatric centers correctly assigned dissociative disorder. One can assume that in medical care many more cases will be missed.…”

Section: Discussionmentioning

confidence: 99%

Psychometric Characteristics of the Somatoform Dissociation Questionnaire: A Replication Study<footref rid="foot01"><sup>1</sup></footref>

Nijenhuis

Spinhoven

Dyck

et al. 1998

Psychother Psychosom

101

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Background: The present study aimed to replicate the results of previous studies concerning the development of two versions of the Somatoform Dissociation Questionnaire. The SDQ-20 evaluates the severity of somatoform dissociative phenomena, and the SDQ-5 is a dissociative disorders screening instrument. Methods: Thirty-one patients with dissociative disorders and 45 consecutive psychiatric outpatients with other DSM-IV diagnoses completed the SDQ-20 and SDQ-5 as well as the Dissociation Questionnaire which measures psychological dissociation. Results: Mokken scale analysis showed that the items of the SDQ-20 are strongly scalable on a latent unidimensional scale. Internal consistency was high. The SDQ-20 convergent validity was supported by high intercorrelations with the DIS-Q. Dissociative patients obtained significantly higher scores than comparison patients. Patients with dissociative identity disorder scored significantly higher compared to patients with dissociative disorder nos. Sensitivity (94%) and specificity (98%) of the SDQ-5 were very satisfactory, as were, at an estimated prevalence rate of dissociative disorders of 10% among psychiatric patients, positive predictive value (84%) and negative predictive value (99%). Conclusions: All results replicated the first findings, and therefore corroborate the conclusion that the SDQ-20 and SDQ-5 are instruments of sound psychometric quality, and that somatoform dissociative phenomena are core symptoms of complex dissociative disorders.

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Section: Discussionmentioning

confidence: 99%

Psychometric Characteristics of the Somatoform Dissociation Questionnaire: A Replication Study<footref rid="foot01"><sup>1</sup></footref>

Nijenhuis

Spinhoven

Dyck

et al. 1998

Psychother Psychosom

101

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“…The ICD-10 research criteria study [3, 35] found rater agreement of 54% for the diagnosis ‘factitious disorder’. No data on interrater reliability have yet been published for direct, or overtly acted-out, autodestructive behaviour.…”

Section: Autodestructive Syndromes In the Established Classification mentioning

confidence: 99%

Autodestructive Syndromes

Kocalevent

Fliege

Rose

et al. 2005

Psychother Psychosom

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Background: The phenomenon ‘autodestructive behaviour’ is becoming an increasingly serious disease and cost factor in a wide range of medical fields. The present paper presents a survey of the literature on autodestructive behaviour, excluding psychotic, substance-induced or organic brain disorders. Starting out with a conceptual overview, the paper goes on to look into the epidemiology of autodestructive behaviour and the forms in which it manifests itself. Method: A literature search was conducted in Medline, Psycinfo and Psyndex using the search terms ‘artifact’, ‘artificially induced’, ‘autodestructive’, ‘self-mutilation’, ‘factitious’, ‘self-harm’, ‘self-induced’, ‘self-inflicted’, ‘self-injuring’ and ‘self-mutilation’ for the period from 1977 to 2003. Results: Five of a total of 18 empirical studies describe the simultaneous occurrence of direct and indirect forms of autodestructive behaviour. Reported prevalence rates range from 0.032% to 9.36%. The ratio of females to males was found to be 2:1 (average age: 31.5 years; SD: 9.3 years); in contrast, the gender ratio was reversed for Munchausen’s syndrome. The case history data presented are patchy and differ in terms of their priorities. We found a large number of codiagnoses, which seems to indicate that personality and dependence disorders, or substance misuse, are characteristic of both direct and indirect forms of autodestructive behaviour. Conclusions: The task at hand is to use a yet-to-be-developed nomenclature and adequately operational diagnostic criteria to work out standardised survey instruments that do justice to the heterogeneity of this disorder complex.

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“…These psychological influences are perceived as mostly long-standing (worries, emotional conflicts, anticipation) and would not justify classification in another diagnostic category within ICD-10. chapter V [11).…”

Section: Discussionmentioning

confidence: 99%

Results of the ICD-10 Research Criteria Study in German-Speaking Countries in the Field of Psychosomatics and Psychotherapy

Schneider

Freyberger

Muhs³

et al. 1996

Psychopathology

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Selected results from the section psychotherapy/psychosomatics of the ICD-10 research criteria study are discussed. One hundred thirty diagnosticians from 11 psychosomatics centers took part in this section, assessing 16 video-documented patients in case conferences. The results of the study, which were based on 633 diagnostical assessments, demonstrated sufficient chance-corrected interrater reliability coefficients for the majority of the disorders (kappa ranged from 0.22 to 0.99). System-related problems of the ICD-10 approach were identified concerning depressive and psychosomatic disorders. The results are discussed, following some problematical aspects of the concept of comorbidity and multiaxial approaches. Special reference is given to the work group Operational Psychodynamic Diagnoses’ which has produced a multiaxial system covering important psychodynamic variables.

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Concepts of Psychosomatic Disorders in ICD-10: Results of the Research Criteria Study

Cited by 5 publications

References 5 publications

Psychometric Characteristics of the Somatoform Dissociation Questionnaire: A Replication Study<footref rid="foot01"><sup>1</sup></footref>

Psychometric Characteristics of the Somatoform Dissociation Questionnaire: A Replication Study<footref rid="foot01"><sup>1</sup></footref>

Autodestructive Syndromes

Results of the ICD-10 Research Criteria Study in German-Speaking Countries in the Field of Psychosomatics and Psychotherapy

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