The development of the somatoform dissociation questionnaire (SDQ-5) as a screening instrument for dissociative disorders

Using cases of dissociative disorder (n=50) and other DSM‐IV diagnoses (n=50), a somatoform dissociation self‐report questionnaire was developed and its capacity to function as a screening device for dissociative disorders was analysed. A list of 75 items was constructed which, according to clinical...

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Bibliographic Details
Published in:Acta psychiatrica Scandinavica 1997-11, Vol.96 (5), p.311-318
Main Authors: Nijenhuis, E. R. S., Spinhoven, Ph, van Dyck, R., van der Hart, O., Vanderlinden, J.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Biological and medical sciences
Diagnosis, Differential
dissociative disorder
Dissociative Disorders - classification
Dissociative Disorders - diagnosis
Dissociative Disorders - psychology
Female
Humans
Male
Medical sciences
Middle Aged
Personality Inventory - statistics & numerical data
Psychiatric Status Rating Scales - statistics & numerical data
Psychology. Psychoanalysis. Psychiatry
Psychometrics
Psychometrics. Diagnostic aid systems
Psychopathology. Psychiatry
Reproducibility of Results
screening
Somatoform Disorders - classification
Somatoform Disorders - diagnosis
Somatoform Disorders - psychology
Techniques and methods
uestionnaire
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Summary:Using cases of dissociative disorder (n=50) and other DSM‐IV diagnoses (n=50), a somatoform dissociation self‐report questionnaire was developed and its capacity to function as a screening device for dissociative disorders was analysed. A list of 75 items was constructed which, according to clinical experience and expert judgement, could reflect instances of somatoform dissociation. Statistical analyses revealed the 20 best discriminating items. Stepwise forward logistic analysis detected five items which, as a group, provided optimal discrimination between the two groups. At an estimated prevalence rate of dissociative disorders of 10% among psychiatric patients the sensitivity would be 94%, the specificity would be 96%, the positive predictive value would be 72%, and the negative predictive value would be 99%. Cross‐validation in an independent sample (n=33/42) largely corroborated the initial findings. The SDQ‐5 can be used as a brief screening device for dissociative disorders.
ISSN:0001-690X
1600-0447
DOI:10.1111/j.1600-0447.1997.tb09922.x