Prognostic assessment of “psychiatrist-avoidant behavior” in patients with somatization disorders who applied to primary health care institutions
Bibliographic record
Abstract
The purpose of this study is to develop a predictive model of the relationship between the duration of “psychiatrist-avoidant behavior” and clinical and psychological parameters in patients with somatization disorders. The objectives were to designate the clinical characteristics of somatization disorders, study the level of alexithymia, personal anxiety and self-stigmatization in patients with somatization disorders with different durations of the period before contacting a psychiatrist, and develop a predictive equation that allows, based on the relationship of the studied parameters, to predict the duration of “psychiatrist-avoidant behavior.” Materials and methods. In 2019-2022, on the basis of the Kursk Clinical Psychiatric Hospital named after. Holy Great Martyr and Healer Panteleimon» (day psychiatric hospital of the dispensary department), 274 patients with somatization disorders (F 45.0) who applied for psychiatric help for the first time were examined. The main research group included 176 patients with somatization disorders who had not consulted a psychiatrist for a long time (from 2 to 6 years). The control group consisted of 108 patients with somatization disorders who came for an appointment in a relatively short period (within 1 year). Methods: clinicalpsychopathological, clinical-dynamic, psychological (D. Taylor’s personal anxiety questionnaire, alexithymia scale, I.O. Mikhailova’s method for studying self-stigma), statistical method (Fisher’s angular transformation test, Mann-Whitney U test, Pearson’s χ2 test, multiple linear regression, Forward Stepwise method). As a result of the discovered relationships, taking into account the level of personal anxiety, alexithymia and selfstigmatization, as well as the clinical variety and type of somatization disorder, a prognostic equation was developed to determine the duration of non-core visits to psychiatric help. Conclusion. The introduction of this forecasting method in primary health care institutions will contribute to early diagnosis and timely routing of patients with somatization disorders.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".