Personality traits such as neuroticism and disability predict psychological distress in medically unexplained symptoms: A three‐year experience from a single centre
Background People with medically unexplained symptoms (MUS) may have psychological co‐morbidities. Aims Our objectives were to assess the rates and identify correlates of psychological distress in MUS. Methods A total of 171 subjects with MUS seeking treatment at a tertiary care facility were assess...
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| Veröffentlicht in: | Personality and mental health 2018-05, Vol.12 (2), p.145-154 |
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| creator | Menon, Vikas Shanmuganathan, Balasubramanian Thamizh, Jaiganesh Selvapandian Arun, Anand Babu Kuppili, Pooja Patnaik Sarkar, Siddharth |
| description | Background
People with medically unexplained symptoms (MUS) may have psychological co‐morbidities.
Aims
Our objectives were to assess the rates and identify correlates of psychological distress in MUS.
Methods
A total of 171 subjects with MUS seeking treatment at a tertiary care facility were assessed over a 3‐year period. Psychological distress was assessed using the Tamil version of General Health Questionnaire‐12. Apart from socio‐demographic factors, personality, coping, perceived social support and subjective disability were assessed using standard instruments.
Results
Ninety subjects (52.6%) endorsed symptoms of psychological distress. MUS subjects with psychological distress reported higher levels of neuroticism (p |
| doi_str_mv | 10.1002/pmh.1405 |
| format | Article |
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People with medically unexplained symptoms (MUS) may have psychological co‐morbidities.
Aims
Our objectives were to assess the rates and identify correlates of psychological distress in MUS.
Methods
A total of 171 subjects with MUS seeking treatment at a tertiary care facility were assessed over a 3‐year period. Psychological distress was assessed using the Tamil version of General Health Questionnaire‐12. Apart from socio‐demographic factors, personality, coping, perceived social support and subjective disability were assessed using standard instruments.
Results
Ninety subjects (52.6%) endorsed symptoms of psychological distress. MUS subjects with psychological distress reported higher levels of neuroticism (p < 0.001), lower extraversion (p < 0.001), lower perceived social support (p = 0.002), higher disability (p < 0.001), lower problem focused engagement (p = 0.378) and higher emotion focused engagement (p = 0.009). In multivariate analysis, high neuroticism scores (odds ratio 1.579, 95% CI 1.108 to 2.251) and high disability (odds ratio 1.302, 95% CI 1.147 to 1.478) emerged as independent predictors of psychological distress in MUS.
Conclusion
More than half of subjects with MUS have associated psychological distress. High levels of neuroticism and disability are potential markers of psychological distress in MUS. Copyright © 2017 John Wiley & Sons, Ltd.</description><identifier>ISSN: 1932-8621</identifier><identifier>EISSN: 1932-863X</identifier><identifier>DOI: 10.1002/pmh.1405</identifier><identifier>PMID: 29148230</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adaptation, Psychological - physiology ; Adult ; Coping ; Cross-Sectional Studies ; Demography ; Disability ; Disability Evaluation ; Emotions ; Extraversion ; Extraversion (Psychology) ; Female ; Health services utilization ; Help seeking behavior ; Humans ; Idiopathic ; India ; Male ; Medically Unexplained Symptoms ; Mental Health ; Middle Aged ; Multivariate analysis ; Neuroticism ; Perceived social support ; Personality ; Personality traits ; Psychological distress ; Questionnaires ; Social Support ; Stress, Psychological - psychology ; Surveys and Questionnaires ; Symptoms</subject><ispartof>Personality and mental health, 2018-05, Vol.12 (2), p.145-154</ispartof><rights>Copyright © 2017 John Wiley & Sons, Ltd.</rights><rights>Copyright © 2018 John Wiley & Sons, Ltd.</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3495-c7e412bd1162119bb02344e453e783613b9d2a3db9e98598f6c42c09669416a63</citedby><cites>FETCH-LOGICAL-c3495-c7e412bd1162119bb02344e453e783613b9d2a3db9e98598f6c42c09669416a63</cites><orcidid>0000-0001-8035-4658</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpmh.1405$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpmh.1405$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,30999,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29148230$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Menon, Vikas</creatorcontrib><creatorcontrib>Shanmuganathan, Balasubramanian</creatorcontrib><creatorcontrib>Thamizh, Jaiganesh Selvapandian</creatorcontrib><creatorcontrib>Arun, Anand Babu</creatorcontrib><creatorcontrib>Kuppili, Pooja Patnaik</creatorcontrib><creatorcontrib>Sarkar, Siddharth</creatorcontrib><title>Personality traits such as neuroticism and disability predict psychological distress in medically unexplained symptoms: A three‐year experience from a single centre</title><title>Personality and mental health</title><addtitle>Personal Ment Health</addtitle><description>Background
People with medically unexplained symptoms (MUS) may have psychological co‐morbidities.
Aims
Our objectives were to assess the rates and identify correlates of psychological distress in MUS.
Methods
A total of 171 subjects with MUS seeking treatment at a tertiary care facility were assessed over a 3‐year period. Psychological distress was assessed using the Tamil version of General Health Questionnaire‐12. Apart from socio‐demographic factors, personality, coping, perceived social support and subjective disability were assessed using standard instruments.
Results
Ninety subjects (52.6%) endorsed symptoms of psychological distress. MUS subjects with psychological distress reported higher levels of neuroticism (p < 0.001), lower extraversion (p < 0.001), lower perceived social support (p = 0.002), higher disability (p < 0.001), lower problem focused engagement (p = 0.378) and higher emotion focused engagement (p = 0.009). In multivariate analysis, high neuroticism scores (odds ratio 1.579, 95% CI 1.108 to 2.251) and high disability (odds ratio 1.302, 95% CI 1.147 to 1.478) emerged as independent predictors of psychological distress in MUS.
Conclusion
More than half of subjects with MUS have associated psychological distress. High levels of neuroticism and disability are potential markers of psychological distress in MUS. Copyright © 2017 John Wiley & Sons, Ltd.</description><subject>Adaptation, Psychological - physiology</subject><subject>Adult</subject><subject>Coping</subject><subject>Cross-Sectional Studies</subject><subject>Demography</subject><subject>Disability</subject><subject>Disability Evaluation</subject><subject>Emotions</subject><subject>Extraversion</subject><subject>Extraversion (Psychology)</subject><subject>Female</subject><subject>Health services utilization</subject><subject>Help seeking behavior</subject><subject>Humans</subject><subject>Idiopathic</subject><subject>India</subject><subject>Male</subject><subject>Medically Unexplained Symptoms</subject><subject>Mental Health</subject><subject>Middle Aged</subject><subject>Multivariate analysis</subject><subject>Neuroticism</subject><subject>Perceived social support</subject><subject>Personality</subject><subject>Personality traits</subject><subject>Psychological distress</subject><subject>Questionnaires</subject><subject>Social Support</subject><subject>Stress, Psychological - psychology</subject><subject>Surveys and Questionnaires</subject><subject>Symptoms</subject><issn>1932-8621</issn><issn>1932-863X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp10c1qFTEUwPEgiq1V8Akk4MbN1HzN3Im7UtQKFbtQcBcymXN7UzLJmJNBZ-cj-BQ-mE9iblsrCK6SxY9_yDmEPOXsmDMmXs7T7pgr1t4jh1xL0fSd_Hz_7i74AXmEeMVY2wvOH5IDobnqhWSH5OcFZEzRBl9WWrL1BSkubkct0ghLTsU7jxO1caSjRzv4azlnGL0rdMbV7VJIl97ZsAclAyL1kU57YENY6RLh2xysjzBSXKe5pAlf0RNadhng1_cfK9hMK4HsITqg25zqexR9vAxAHcTafEwebG1AeHJ7HpFPb15_PD1rzj-8fXd6ct44qXTbuA0oLoaR8_pproeBCakUqFbCppcdl4MehZXjoEH3re63nVPCMd11WvHOdvKIvLjpzjl9WQCLmTw6CMFGSAsaXmlN9l1b6fN_6FVacp0kGiEl3-hWt-xv0OWEmGFr5uwnm1fDmdnvztTdmf3uKn12G1yGOr07-GdZFTQ34KsPsP43ZC7en10HfwNE1aZt</recordid><startdate>201805</startdate><enddate>201805</enddate><creator>Menon, Vikas</creator><creator>Shanmuganathan, Balasubramanian</creator><creator>Thamizh, Jaiganesh Selvapandian</creator><creator>Arun, Anand Babu</creator><creator>Kuppili, Pooja Patnaik</creator><creator>Sarkar, Siddharth</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8035-4658</orcidid></search><sort><creationdate>201805</creationdate><title>Personality traits such as neuroticism and disability predict psychological distress in medically unexplained symptoms: A three‐year experience from a single centre</title><author>Menon, Vikas ; Shanmuganathan, Balasubramanian ; Thamizh, Jaiganesh Selvapandian ; Arun, Anand Babu ; Kuppili, Pooja Patnaik ; Sarkar, Siddharth</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3495-c7e412bd1162119bb02344e453e783613b9d2a3db9e98598f6c42c09669416a63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adaptation, Psychological - physiology</topic><topic>Adult</topic><topic>Coping</topic><topic>Cross-Sectional Studies</topic><topic>Demography</topic><topic>Disability</topic><topic>Disability Evaluation</topic><topic>Emotions</topic><topic>Extraversion</topic><topic>Extraversion (Psychology)</topic><topic>Female</topic><topic>Health services utilization</topic><topic>Help seeking behavior</topic><topic>Humans</topic><topic>Idiopathic</topic><topic>India</topic><topic>Male</topic><topic>Medically Unexplained Symptoms</topic><topic>Mental Health</topic><topic>Middle Aged</topic><topic>Multivariate analysis</topic><topic>Neuroticism</topic><topic>Perceived social support</topic><topic>Personality</topic><topic>Personality traits</topic><topic>Psychological distress</topic><topic>Questionnaires</topic><topic>Social Support</topic><topic>Stress, Psychological - psychology</topic><topic>Surveys and Questionnaires</topic><topic>Symptoms</topic><toplevel>online_resources</toplevel><creatorcontrib>Menon, Vikas</creatorcontrib><creatorcontrib>Shanmuganathan, Balasubramanian</creatorcontrib><creatorcontrib>Thamizh, Jaiganesh Selvapandian</creatorcontrib><creatorcontrib>Arun, Anand Babu</creatorcontrib><creatorcontrib>Kuppili, Pooja Patnaik</creatorcontrib><creatorcontrib>Sarkar, Siddharth</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Personality and mental health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Menon, Vikas</au><au>Shanmuganathan, Balasubramanian</au><au>Thamizh, Jaiganesh Selvapandian</au><au>Arun, Anand Babu</au><au>Kuppili, Pooja Patnaik</au><au>Sarkar, Siddharth</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Personality traits such as neuroticism and disability predict psychological distress in medically unexplained symptoms: A three‐year experience from a single centre</atitle><jtitle>Personality and mental health</jtitle><addtitle>Personal Ment Health</addtitle><date>2018-05</date><risdate>2018</risdate><volume>12</volume><issue>2</issue><spage>145</spage><epage>154</epage><pages>145-154</pages><issn>1932-8621</issn><eissn>1932-863X</eissn><abstract>Background
People with medically unexplained symptoms (MUS) may have psychological co‐morbidities.
Aims
Our objectives were to assess the rates and identify correlates of psychological distress in MUS.
Methods
A total of 171 subjects with MUS seeking treatment at a tertiary care facility were assessed over a 3‐year period. Psychological distress was assessed using the Tamil version of General Health Questionnaire‐12. Apart from socio‐demographic factors, personality, coping, perceived social support and subjective disability were assessed using standard instruments.
Results
Ninety subjects (52.6%) endorsed symptoms of psychological distress. MUS subjects with psychological distress reported higher levels of neuroticism (p < 0.001), lower extraversion (p < 0.001), lower perceived social support (p = 0.002), higher disability (p < 0.001), lower problem focused engagement (p = 0.378) and higher emotion focused engagement (p = 0.009). In multivariate analysis, high neuroticism scores (odds ratio 1.579, 95% CI 1.108 to 2.251) and high disability (odds ratio 1.302, 95% CI 1.147 to 1.478) emerged as independent predictors of psychological distress in MUS.
Conclusion
More than half of subjects with MUS have associated psychological distress. High levels of neuroticism and disability are potential markers of psychological distress in MUS. Copyright © 2017 John Wiley & Sons, Ltd.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>29148230</pmid><doi>10.1002/pmh.1405</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-8035-4658</orcidid></addata></record> |
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| ispartof | Personality and mental health, 2018-05, Vol.12 (2), p.145-154 |
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| source | MEDLINE; Access via Wiley Online Library; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Adaptation, Psychological - physiology Adult Coping Cross-Sectional Studies Demography Disability Disability Evaluation Emotions Extraversion Extraversion (Psychology) Female Health services utilization Help seeking behavior Humans Idiopathic India Male Medically Unexplained Symptoms Mental Health Middle Aged Multivariate analysis Neuroticism Perceived social support Personality Personality traits Psychological distress Questionnaires Social Support Stress, Psychological - psychology Surveys and Questionnaires Symptoms |
| title | Personality traits such as neuroticism and disability predict psychological distress in medically unexplained symptoms: A three‐year experience from a single centre |
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