Clinical predictors of mental disorders among medical outpatients: Validation of the 'S4' model

Jeffrey L. Jackson, Patrick G. O'Malley, Kurt Kroenke

Research output: Contribution to journalArticle

22 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)431-436
Number of pages6
JournalPsychosomatics
Volume39
Issue number5
StatePublished - Sep 1998
Externally publishedYes

Fingerprint

Mental Disorders
Outpatients
Odds Ratio
Confidence Intervals
Cues
Rheumatology
Depressive Disorder
Anxiety Disorders
Health Status
Referral and Consultation
Confidence Interval
Predictors

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 journalArticle

Jackson, Jeffrey L. ; O'Malley, Patrick G. ; Kroenke, Kurt. / Clinical predictors of mental disorders among medical outpatients : Validation of the 'S4' model. In: Psychosomatics. 1998 ; Vol. 39, No. 5. pp. 431-436.
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