Clinical predictors of mental disorders among medical outpatients. Validation of the "S4" model.

Abstract:

:The authors previously reported four clinical cues that predicted a subgroup of ambulatory patients likely to have depressive and anxiety disorders. The authors' purpose in this study was to validate this model in another cohort of 185 consecutive adult referrals to a rheumatology clinic. The authors found 4 variables important in predicting mental disorders: recent stress (odds ratio [OR]: 3.3, 95% confidence interval [CI]: 1.5-7.1); > 5 somatic symptoms (OR: 4.5, 95% CI: 1.1-9.5); only fair or poor health status (OR: 3.4, 95% CI: 1.6-7.4); and symptom severity (OR: 1.6, 95% CI: 0.8-3.6). There was a stepwise increase in the likelihood of a mental disorder with an increasing number of predictors. The authors conclude that these clinical cues may allow clinicians to select patients in which formal screening for mental disorders would be particularly fruitful.

journal_name

Psychosomatics

journal_title

Psychosomatics

authors

Jackson JL,O'Malley PG,Kroenke K

doi

10.1016/S0033-3182(98)71302-7

subject

Has Abstract

pub_date

1998-09-01 00:00:00

pages

431-6

issue

5

eissn

0033-3182

issn

1545-7206

pii

S0033-3182(98)71302-7

journal_volume

39

pub_type

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