Faculty Collaboration Database

Clinical predictors of mental disorders among medical outpatients. Validation of the "S4" model. Psychosomatics 1998;39(5):431-6

Date

10/17/1998

Pubmed ID

9775700

DOI

10.1016/S0033-3182(98)71302-7

Scopus ID

2-s2.0-0031706495 (requires institutional sign-in at Scopus site)   26 Citations

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.

Author List

Jackson JL, O'Malley PG, Kroenke K

Author

Jeffrey L. Jackson MD Professor in the Medicine department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Adolescent
Adult
Aged
Aged, 80 and over
Ambulatory Care
Anxiety
Chi-Square Distribution
Cohort Studies
Depression
Female
Humans
Logistic Models
Male
Mass Screening
Middle Aged
Predictive Value of Tests
Psychiatric Status Rating Scales
Rheumatic Diseases
Severity of Illness Index
Statistics, Nonparametric