TABLE 2.
DSM-IV Diagnoses in High-Utilizing Patients With Medically Unexplained Symptoms
| Diagnosis | No. (Percent) |
|---|---|
| Nonsomatoform (“Psychiatric”) | |
| Major depression | 60 (29.1) |
| Minor depression | 34 (16.5) |
| Bipolar disorder | 7 (3.4) |
| Dysthymia | 7 (3.4) |
| Generalized anxiety disorder | 46 (22.3) |
| Agoraphobia | 8 (3.9) |
| Social phobia | 10 (4.9) |
| Specific phobia | 47 (22.8) |
| Posttraumatic stress disorder | 17 (8.3) |
| Obsessive compulsive disorder | 14 (6.8) |
| Panic disorder | 11 (5.3) |
| Somatoform | |
| Somatization disorder | 3 (1.5) |
| Hypochondriasis | 4 (1.9) |
| Chronic pain* | 2 (1.0) |
| Conversion disorder | 1 (0.5) |
| Abridged somatization disorder | 39 (18.9) |
| DSM somatoform-positive | 48 (23.3) |
*
One patient was positive for both chronic pain and conversion disorder.
DSM-IV = Diagnostic and Statistical Manual of Mental Disorders, 4th edition.