Tómasson K, Kent D, Coryell W
Department of Psychiatry, National University Hospital, Reykjavík, Iceland.
Acta Psychiatr Scand. 1993 Nov;88(5):311-5. doi: 10.1111/j.1600-0447.1993.tb03465.x.
This article compares the Feighner criteria, the DSM-III criteria for somatization disorder and a modified version of the proposed ICD-10 criteria. Working with a data set collected from the charts of 250 patients considered likely to have unexplained somatic symptoms, the kappa statistic and percentage agreement was calculated. The kappa between the DSM-III and DSM-III-R criteria is 0.93. Between the modified ICD-10 and DSM-III it was 0.71, but between Feighner and the modified ICD-10 it was 0.44. However, the different criteria identify the same patient population based on mental co-morbidity and demographics. The authors suggest that the modified version of the proposed ICD-10 should be investigated further, as it can use data sets previously collected for assessments of somatization disorder.
本文比较了费伊纳标准、躯体化障碍的《精神疾病诊断与统计手册》第三版（DSM-III）标准以及拟议的《国际疾病分类》第十版（ICD-10）标准的修订版。利用从250名被认为可能有无法解释的躯体症状的患者病历中收集的数据集，计算了kappa统计量和百分比一致性。DSM-III与DSM-III-R标准之间的kappa值为0.93。修订后的ICD-10与DSM-III之间为0.71，但费伊纳标准与修订后的ICD-10之间为0.44。然而，不同的标准基于精神共病和人口统计学特征识别出相同的患者群体。作者建议，应进一步研究拟议的ICD-10修订版，因为它可以使用先前收集的用于评估躯体化障碍的数据集。
