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.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 431-436 |
| Number of pages | 6 |
| Journal | Psychosomatics |
| Volume | 39 |
| Issue number | 5 |
| State | Published - Sep 1998 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Psychiatry and Mental health
- Psychology(all)
Cite this
Clinical predictors of mental disorders among medical outpatients : Validation of the 'S4' model. / Jackson, Jeffrey L.; O'Malley, Patrick G.; Kroenke, Kurt.
In: Psychosomatics, Vol. 39, No. 5, 09.1998, p. 431-436.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Clinical predictors of mental disorders among medical outpatients
T2 - Validation of the 'S4' model
AU - Jackson, Jeffrey L.
AU - O'Malley, Patrick G.
AU - Kroenke, Kurt
PY - 1998/9
Y1 - 1998/9
N2 - 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.
AB - 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.
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UR - http://www.scopus.com/inward/citedby.url?scp=0031706495&partnerID=8YFLogxK
M3 - Article
C2 - 9775700
AN - SCOPUS:0031706495
VL - 39
SP - 431
EP - 436
JO - Psychosomatics
JF - Psychosomatics
SN - 0033-3182
IS - 5
ER -