ArticleBMC psychiatry2018
Diagnosis of somatoform disorders in primary care: diagnostic agreement, predictors, and comaprisons with depression and anxiety.
Article in BMC psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 24 citations in OpenAlex.
- The randomized clinical trial results of the anxiety treatment in patients with somatoform dysfunction and neurotic disorders.Scientific reports · 2021Trial
- [Estimations of incidences of mental disorders in statutory health insurance routine data: methodology and trends from 2006 to 2022].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2025Article
- The association between childhood sexual abuse and somatic symptoms at midlife: The roles of depression and intimate partner relationship quality.Journal of family violence · 2024Article
- Article
- Trends in the Diagnostic Prevalence of Mental Disorders, 2012-2022—Using Nationwide Outpatient Claims Data for Mental Health Surveillance.Deutsches Arzteblatt international · 2024Observational
- The Agreement Between Diagnoses as Stated by Patients and Those Contained in Routine Health Insurance Data—Results of a Data Linkage Study.Deutsches Arzteblatt international · 2024Observational
- Clinical impact and misdiagnosis of functional ophthalmological symptoms: a case report.Journal of medical case reports · 2023Article
- Assessing validity of the Klenico diagnostic software system in a large psychotherapeutic inpatient sample.Frontiers in digital health · 2023Article
- ICD-10-Coding of Medically Unexplained Physical Symptoms and Somatoform Disorders-A Survey With German GPs.Frontiers in medicine · 2021Article
- Framing the process in the implementation of care for people with generalized anxiety disorder in primary care: a qualitative evidence synthesis.BMC family practice · 2020Article
- Identifying the Internalizing Disorder Clusters Among Recently Hospitalized Cardiovascular Disease Patients: A Receiver Operating Characteristics Study.Frontiers in psychology · 2019Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo investigate (a) the diagnostic agreement between diagnoses of somatoform disorders, depressive and anxiety disorders obtained from a structured clinical interview and diagnoses reported from primary care physicians (PCPs) and (b) to identify patient and PCP-related predictors for the diagnostic agreement regarding the presence of a somatoform disorder.
methodsData from a cross-sectional study comprising 112 primary care patients at high risk for somatoform disorders were analyzed. Diagnoses according to International Classification of Diseases, 10th revision (ICD-10) for somatoform, depressive and anxiety disorders were obtained from the Composite International Diagnostic Interview (CIDI) and compared with the diagnoses of the patients' PCPs documented in their medical records. Using multiple regression analyses, predictors for the PCPs' diagnosis of a somatoform disorder were analyzed.
resultsThe agreement between PCP diagnoses and CIDI diagnoses was 32.3% for somatoform disorders, 48.0% for depressive disorders and 25.0% for anxiety disorders. Multiple regression analyses revealed the likelihood of being diagnosed with a somatoform disorder by PCP increased with somatic symptom severity (OR = 1.22, 95% CI 1.03-1.44). Regarding PCP-related characteristics, a specialization in internal medicine (OR = 5.95, 95% CI 1.70-20.80) and working in a solo practice (OR = 2.92, 95% CI 1.02-8.38) increased the likelihood that patients were diagnosed with a somatoform disorder.
conclusionsThe present results indicate that the process of diagnosing somatoform disorders in primary care needs to be improved. Findings further underline the necessity to implement appropriate strategies to improve early detection of patients.
trial registrationISRCTN ISRCTN55870770 . Registered 22 October 2014. Retrospectively registered.
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