Key result
The Diagnostic Criteria for Psychosomatic Research (DCPR) identified at least one psychological diagnosis in 100% of first-episode MI patients, compared to 46% using DSM-IV criteria.
Why the study?
Does the use of DCPR criteria compared to DSM-IV criteria improve the identification of psychological factors in the prodromal phase of patients with a first myocardial infarction?
Population
92 consecutive patients with a first episode myocardial infarction (MI) diagnosis
Comparison
Psychological evaluation using Diagnostic… vs Psychological evaluation using DSM-IV criteria
Design
Cross-sectional
Authors
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DCPR may enhance prodromal MI symptom detection over DSM-IV; extends psychosomatic criteria in cardiac settings pending replication.
Cross-Sectional (n=92)
Does the use of DCPR criteria compared to DSM-IV criteria improve the identification of psychological factors in the prodromal phase of patients with a first myocardial infarction?
Absolute Event Rate: 100% vs 46%
Patients with a first MI frequently experience affective prodromal symptoms, and DCPR criteria are more sensitive than DSM-IV in identifying these psychological factors.
Ottolini et al. (2005) conducted a cross-sectional in First episode myocardial infarction (n=92). Diagnostic Criteria for Psychosomatic Research (DCPR) vs. DSM-IV criteria was evaluated on Presence of at least one psychological diagnosis. The Diagnostic Criteria for Psychosomatic Research (DCPR) identified at least one psychological diagnosis in 100% of first-episode MI patients, compared to 46% using DSM-IV criteria.
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