[Development of a novel device for adaptive testing according to ICD-10: PsyPAM--psychosomatic physician-patient module]

Psychother Psychosom Med Psychol. 2010 May;60(5):180-4. doi: 10.1055/s-0029-1241828. Epub 2009 Nov 11.
[Article in German]

Abstract

Objectives: There is a high demand for efficient and time-saving diagnostic procedures. The paper deals with the development and first clinical testing of a computerized diagnostic system, facilitating adaptive testing.

Methods: For diagnostic of the most common disorders, in accordance with Chapter F of the ICD-10, a psychosomatic physician-patient module (PsyPAM) was developed, which is a partially standardized, computerized interview procedure. In a pilot study the diagnostic results achieved with the PsyPAM-system were compared with clinical diagnoses, according with ICD-10 in n=115 patients.

Results: About 88% of clinical diagnoses used as a reference base were also established by the PsyPAM-system. The average total processing time for PsyPAM-diagnostics was 22.3 min.

Conclusions: The PsyPAM-system is a promising and user-friendly screening tool with a short processing time, and is well worth further development and testing in daily clinical practice.

Publication types

  • English Abstract

MeSH terms

  • Adult
  • Diagnosis, Computer-Assisted*
  • Female
  • Humans
  • International Classification of Diseases*
  • Interview, Psychological*
  • Male
  • Mass Screening / statistics & numerical data*
  • Mental Disorders / diagnosis*
  • Mental Disorders / psychology
  • Middle Aged
  • Patient Acceptance of Health Care
  • Personality Assessment / statistics & numerical data*
  • Pilot Projects
  • Psychometrics / statistics & numerical data
  • Psychophysiologic Disorders / diagnosis*
  • Psychophysiologic Disorders / psychology
  • Reproducibility of Results
  • Somatoform Disorders / diagnosis*
  • Somatoform Disorders / psychology