[Development of a novel device for adaptive testing according to ICD-10: PsyPAM--psychosomatic physician-patient module].
OBJECTIVE
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.
Lahmann
Claas
C
Klinikum rechts der Isar, TU München, Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, München. lahmann@tum.de
Jacobs
Felix
F
Pieh
Christoph
C
Henningsen
Peter
P
Loew
Thomas
T
D000328:Adult; D003936:Diagnosis, Computer-Assisted; D005260:Female; D006801:Humans; D038801:International Classification of Diseases; D007406:Interview, Psychological; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data*; D001523:Mental Disorders / Q000175:diagnosis* / Q000523:psychology; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D010552:Personality Assessment / Q000706:statistics & numerical data*; D010865:Pilot Projects; D011594:Psychometrics / Q000706:statistics & numerical data; D011602:Psychophysiologic Disorders / Q000175:diagnosis* / Q000523:psychology; D015203:Reproducibility of Results; D013001:Somatoform Disorders / Q000175:diagnosis* / Q000523:psychology