DSM-IV field trial: Testing a new proposal for somatization disorder

Sean H. Yutzy, C. Robert Cloninger, Samuel B. Guze, Elizabeth F. Pribor, Ronald L. Martin, Roger G. Kathol, G. Richard Smith, James J. Strain

Research output: Contribution to journalArticlepeer-review

39 Scopus citations


Objective: The purpose of this study was to evaluate for APA a proposed strategy to diagnose somatization disorder for possible inclusion in DSM-IV. Method: Five sites-Washington University, University of Kansas, University of Iowa, University of Arkansas, and Mount Sinai Medical Center in New York- participated in a collaborative field trial. Female subjects (N=353) were recruited from several different services (psychiatry, internal medicine, and family practice) and were evaluated for the presence or absence of the disorder. This assessment was performed with a new instrument constructed by combining all the criteria for somatization disorder from the proposed criteria for DSM-IV, DSM-III, DSM-III-R, Perley-Guze, and proposed criteria for ICD-10. Results: A high level of concordance was found between the proposed diagnostic strategy for DSM-IV and the current criteria (DSM-III- R), as well as the earlier criteria (Perley-Guze and DSM-III). The ICD-10 criteria agreed poorly with all other criteria sets. The level of experience of the rater (expert versus novice) with the earlier (Perley-Guze, DSM-III) and current (DSM-III-R) criteria did not influence the identification of cases by use of DSM-IV criteria. No racial effect was introduced by any of the criteria sets. Conclusions: The strategy for DSM-IV is an accurate and simpler method of diagnosing somatization disorder that does not require special expertise for proper use.

Original languageEnglish
Pages (from-to)97-101
Number of pages5
JournalAmerican Journal of Psychiatry
Issue number1
StatePublished - Jan 1995


Dive into the research topics of 'DSM-IV field trial: Testing a new proposal for somatization disorder'. Together they form a unique fingerprint.

Cite this