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A new approach to the assessment of the treatment effects of somatoform disorders.

机译:一种评估躯体形式疾病治疗效果的新方法。

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摘要

A new 53-item instrument for the evaluation of treatment effects in somatoform disorders, the Screening for Somatoform Symptoms-7 (SOMS-7), is presented. It covers all somatic symptoms mentioned as occurring in somatization disorder, according to DSM-IV and ICD-10. A group of 325 patients was assessed at the beginning and end of treatment to compute scores of reliability and validity. The new scale showed high internal consistency (alpha=0.92) and revealed two composite indices: somatization symptom count and somatization severity index. These indices discriminated patients fulfilling complete criteria for somatoform disorders, patients with somatization syndrome, and patients with other mental and psychosomatic disorders. The instrument confirmed symptom reductions between admission and discharge, while in another group composed of wait-listed patients, no significant decrease in symptoms was observed. In sum, the SOMS-7 seems to be a comprehensive, reliable, and valid instrument for the evaluation oftreatment effects in patients with somatoform disorders.
机译:介绍了一种用于评估躯体形式疾病治疗效果的新的53个项目的仪器,即“躯体形式症状的筛查7(SOMS-7)”。根据DSM-IV和ICD-10,它涵盖了所有提到的发生在躯体化障碍中的躯体症状。在治疗开始和结束时对一组325名患者进行了评估,以计算信度和效度得分。新的量表显示出较高的内部一致性(alpha = 0.92),并显示了两个综合指标:躯体化症状数和躯体严重性指数。这些指数区分了满足躯体形式疾病,躯体化综合征的患者以及其他精神和心身疾病的患者的完整标准。该仪器证实了入院和出院之间的症状减轻,而在另一组由等待入组患者组成的组中,没有观察到症状明显减轻。总之,SOMS-7似乎是评估躯体形式障碍患者治疗效果的全面,可靠和有效的工具。

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