Galeazzi Gian Maria, Ferrari Silvia, Mackinnon Andrew, Rigatelli Marco
Consultation/Liaison Psychiatry Service, Department of Neuroscience TCR, Section of Psychiatry, University of Modena and Reggio Emilia, Modena, Italy.
Psychosomatics. 2004 Sep-Oct;45(5):386-93. doi: 10.1176/appi.psy.45.5.386.
The Diagnostic Criteria for Psychosomatic Research (DCPR) have been proposed by an international group of psychosomatic investigators as an operationalized tool for the assessment of psychological distress in medical patients. The aims of the present study were to evaluate interrater reliability, the distribution of DCPR syndromes, and their relationship with ICD-10 diagnostic categories. One hundred consecutive patients who were referred for psychiatric consultation in a university general hospital consented to assessment for DCPR syndromes as elicited in a joint interview conducted by two researchers. The results showed excellent interrater agreement, with kappa values for the 11 DCPR syndromes ranging from 0.69 to 0.97. More patients met criteria for one or more of the DCPR (87%) than for an ICD-10 diagnosis (75%). Four DCPR syndromes were particularly prevalent: demoralization, alexithymia, illness denial, and type A behavior. DCPR criteria appear to be a useful, reliable, and promising approach in the assessment and description of psychological distress in medical patients. They may serve as a focus of intervention studies in this population.
国际心身医学研究小组提出了心身医学研究诊断标准（DCPR），作为评估内科患者心理困扰的一种可操作工具。本研究的目的是评估评分者间信度、DCPR综合征的分布及其与国际疾病分类第10版（ICD - 10）诊断类别的关系。在一所大学综合医院，100名连续接受精神科会诊的患者同意在两名研究人员进行的联合访谈中评估DCPR综合征。结果显示评分者间一致性极佳，11种DCPR综合征的kappa值在0.69至0.97之间。符合一种或多种DCPR标准的患者（87%）比符合ICD - 10诊断标准的患者（75%）更多。四种DCPR综合征尤为常见：士气低落、述情障碍、疾病否认和A型行为。DCPR标准在评估和描述内科患者心理困扰方面似乎是一种有用、可靠且有前景的方法。它们可作为该人群干预研究的重点。
