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CNS Spectr. 2006 May;11(5):383-8.

Multisomatoform disorder: agreement between patient and physician report of criterion symptom explanation.

Author information

1
Department of Family Medicine, University of Colorado at Denver and Health Sciences Center, Aurora, CO 80045-0508, USA. kathryn.rost@uchsc.edu

Abstract

OBJECTIVE:

To determine the level of agreement between patients and expert physicians in whether criterion multisomatoform (MSD) symptoms are explained.

METHODS:

We systematically collected reports from 280 primary care patients about whether they had suffered from any of 15 criterion MSD symptoms in the past month and whether they had received a medical explanation from a physician for positive criterion symptoms. The research team compared MSD symptom diagnoses derived from patient report with MSD symptom diagnoses derived from an expert physician report.

RESULTS:

MSD symptom diagnoses derived from patient report had 98.7% sensitivity, 97.9% specificity, 89.3% positive predictive value, and 99.7% negative predictive value compared with MSD symptom diagnoses derived from an expert physician report. Analysis demonstrated that 15.0% of patients met symptom criteria for MSD, according to patient and physician report; 83.0% failed to meet symptom criteria for MSD, according to patient and physician report; 1.8% of patients met symptom criteria for MSD, according to patient report but not physician report, while 0.2% met symptom criteria for MSD according to physician report but not by patient report.

CONCLUSION:

Patients demonstrated high agreement with a physician expert in somatization about whether criterion MSD symptoms are explained, suggesting revised screeners may accurately identify somatizing patients.

PMID:
16641843
DOI:
10.1017/s1092852900014516
[Indexed for MEDLINE]

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