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
Psychosomaticsjournal_title
Psychosomaticsauthors
Jackson JL,O'Malley PG,Kroenke Kdoi
10.1016/S0033-3182(98)71302-7subject
Has Abstractpub_date
1998-09-01 00:00:00pages
431-6issue
5eissn
0033-3182issn
1545-7206pii
S0033-3182(98)71302-7journal_volume
39pub_type
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