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Open Access 01-12-2021 | Somatoform Disorder | Research article

Assessment of the structured clinical interview (SCID) for DSM-5 for somatic symptom disorder in general hospital outpatient clinics in China

Authors: Yinan Jiang, Jing Wei, Kurt Fritzsche, Anne Christin Toussaint, Tao Li, Jinya Cao, Lan Zhang, Yaoyin Zhang, Hua Chen, Heng Wu, Xiquan Ma, Wentian Li, Jie Ren, Wei Lu, Rainer Leonhart

Published in: BMC Psychiatry | Issue 1/2021

Abstract

Background

It is still unknown whether the “Somatic symptom disorders (SSD) and related disorders” module of the Structured Clinical Interview for DSM-5, research version (SCID-5-RV), is valid in China. This study aimed to assess the SCID-5-RV for SSD in general hospital outpatient clinics in China.

Methods

This multicentre cross-sectional study was conducted in the outpatient clinics of nine tertiary hospitals in Beijing, Jincheng, Shanghai, Wuhan, and Chengdu between May 2016 and March 2017. The “SSD and related disorders” module of the SCID-5-RV was translated, reversed-translated, revised, and used by trained clinical researchers to make a diagnosis of SSD. Several standardized questionnaires measuring somatic symptom severity, emotional distress, and quality of life were compared with the SCID-5-RV.

Results

A total of 699 patients were recruited, and 236 were diagnosed with SSD. Of these patients, 46 had mild SSD, 78 had moderate SSD, 100 had severe SSD, and 12 were excluded due to incomplete data. The SCID-5-RV for SSD was highly correlated with somatic symptom severity, emotional distress, and quality of life (all P < 0.001) and could distinguish nonsevere forms of SSD from severe ones.

Conclusions

This study suggests that SCID-5-RV for SSD can distinguish SSD from non-SSD patients and severe cases from nonsevere cases. It has good discriminative validity and reflects the DSM-5 diagnostic approach that emphasizes excessive emotional, thinking, and behavioural responses related to symptoms.

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Title: Assessment of the structured clinical interview (SCID) for DSM-5 for somatic symptom disorder in general hospital outpatient clinics in China
Authors: Yinan Jiang
Jing Wei
Kurt Fritzsche
Anne Christin Toussaint
Tao Li
Jinya Cao
Lan Zhang
Yaoyin Zhang
Hua Chen
Heng Wu
Xiquan Ma
Wentian Li
Jie Ren
Wei Lu
Rainer Leonhart
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Somatoform Disorder
Somatoform Disorder
Published in: BMC Psychiatry / Issue 1/2021
Electronic ISSN: 1471-244X
DOI: https://doi.org/10.1186/s12888-021-03126-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Assessment of the structured clinical interview (SCID) for DSM-5 for somatic symptom disorder in general hospital outpatient clinics in China

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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