Prevalence and overlap of somatic symptom disorder, bodily distress syndrome and fibromyalgia syndrome in the German general population: A cross sectional study
To study the prevalence and clinical characteristics of Somatic Symptom Disorder (SSD), Bodily Distress Syndrome (BDS) and fibromyalgia syndrome (FMS) and their overlap in the general German population. A cross-sectional nationally representative population survey was performed. 2531 participants (m...
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creator | Häuser, Winfried Hausteiner-Wiehle, Constanze Henningsen, Peter Brähler, Elmar Schmalbach, Bjarne Wolfe, Frederick |
description | To study the prevalence and clinical characteristics of Somatic Symptom Disorder (SSD), Bodily Distress Syndrome (BDS) and fibromyalgia syndrome (FMS) and their overlap in the general German population.
A cross-sectional nationally representative population survey was performed. 2531 participants (mean age 48.8 ± 17.85 years, 53.3% women) completed the Somatic Symptom Scale SSS-8, the Bodily Distress Syndrome (BDS) 25 checklist, the Whiteley Index 7 (WI-7), the self-administered comorbidity questionnaire and the Michigan Body Map. Case definitions of SSD, BDS and FMS were assigned using established criteria.
4.5% of participants met the criteria of SSD (SSS – 8 at least one item “bothered very much” and WI- 7 total score ≥ 1). 9.6% met the criteria of single-organ BDS and 1.3% of multi-organ BDS. Prevalence of FMS according to 2016 criteria was 3.4%. 82.3% of FMS cases met any BDS criteria.28.1% of FMS cases satisfied SSD criteria. 28.8% of any BDS cases met the criteria of SSD. 75.1% of SSD cases met the criteria of any BDS. FMS cases reported the highest amount of somatic and psychological symptom burden and health anxieties. There were no differences in age and gender between any BDS and SSD cases. SSD cases reported worse general health and more fibromyalgia-related variables than any BDS cases.
In the general population, there is a substantial overlap between FMS and BDS, but not of FMS and SSD, and not of SSD and any BDS. Case definitions of the three disorders partially captured different groups in the general population.
•The prevalence of single-organ Bodily Distress Syndrome (BDS) was 9.6%.•The prevalence of multi-organ BDS was 1.3%.•5.4% of participants met the criteria of a Somatic Symptom Disorder (SSD).•The prevalence of Fibromyalgia Syndrom (FMS) according to 2016 criteria was 3.4%.•The overlaps were as follows: FMS / SSD 28%, FMS / any BDS 82% and any BDS / SSD 29%. |
doi_str_mv | 10.1016/j.jpsychores.2020.110111 |
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A cross-sectional nationally representative population survey was performed. 2531 participants (mean age 48.8 ± 17.85 years, 53.3% women) completed the Somatic Symptom Scale SSS-8, the Bodily Distress Syndrome (BDS) 25 checklist, the Whiteley Index 7 (WI-7), the self-administered comorbidity questionnaire and the Michigan Body Map. Case definitions of SSD, BDS and FMS were assigned using established criteria.
4.5% of participants met the criteria of SSD (SSS – 8 at least one item “bothered very much” and WI- 7 total score ≥ 1). 9.6% met the criteria of single-organ BDS and 1.3% of multi-organ BDS. Prevalence of FMS according to 2016 criteria was 3.4%. 82.3% of FMS cases met any BDS criteria.28.1% of FMS cases satisfied SSD criteria. 28.8% of any BDS cases met the criteria of SSD. 75.1% of SSD cases met the criteria of any BDS. FMS cases reported the highest amount of somatic and psychological symptom burden and health anxieties. There were no differences in age and gender between any BDS and SSD cases. SSD cases reported worse general health and more fibromyalgia-related variables than any BDS cases.
In the general population, there is a substantial overlap between FMS and BDS, but not of FMS and SSD, and not of SSD and any BDS. Case definitions of the three disorders partially captured different groups in the general population.
•The prevalence of single-organ Bodily Distress Syndrome (BDS) was 9.6%.•The prevalence of multi-organ BDS was 1.3%.•5.4% of participants met the criteria of a Somatic Symptom Disorder (SSD).•The prevalence of Fibromyalgia Syndrom (FMS) according to 2016 criteria was 3.4%.•The overlaps were as follows: FMS / SSD 28%, FMS / any BDS 82% and any BDS / SSD 29%.</description><identifier>ISSN: 0022-3999</identifier><identifier>EISSN: 1879-1360</identifier><identifier>DOI: 10.1016/j.jpsychores.2020.110111</identifier><identifier>PMID: 32305723</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Age differences ; Bodily distress syndrome ; Comorbidity ; Cross-sectional studies ; Fibromyalgia ; Fibromyalgia syndrome ; Gender differences ; General population ; Mental health ; Population ; Population studies ; Prevalence ; Psychological distress ; Somatic symptom disorder ; Somatoform disorders ; Survey ; Women</subject><ispartof>Journal of psychosomatic research, 2020-06, Vol.133, p.110111-110111, Article 110111</ispartof><rights>2020 Elsevier Inc.</rights><rights>Copyright © 2020 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. Jun 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c402t-a8e1d491c42e2fea54257e7355153c5beeca98de10c27a5ab1b88b2537644d33</citedby><cites>FETCH-LOGICAL-c402t-a8e1d491c42e2fea54257e7355153c5beeca98de10c27a5ab1b88b2537644d33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpsychores.2020.110111$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,30999,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32305723$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Häuser, Winfried</creatorcontrib><creatorcontrib>Hausteiner-Wiehle, Constanze</creatorcontrib><creatorcontrib>Henningsen, Peter</creatorcontrib><creatorcontrib>Brähler, Elmar</creatorcontrib><creatorcontrib>Schmalbach, Bjarne</creatorcontrib><creatorcontrib>Wolfe, Frederick</creatorcontrib><title>Prevalence and overlap of somatic symptom disorder, bodily distress syndrome and fibromyalgia syndrome in the German general population: A cross sectional study</title><title>Journal of psychosomatic research</title><addtitle>J Psychosom Res</addtitle><description>To study the prevalence and clinical characteristics of Somatic Symptom Disorder (SSD), Bodily Distress Syndrome (BDS) and fibromyalgia syndrome (FMS) and their overlap in the general German population.
A cross-sectional nationally representative population survey was performed. 2531 participants (mean age 48.8 ± 17.85 years, 53.3% women) completed the Somatic Symptom Scale SSS-8, the Bodily Distress Syndrome (BDS) 25 checklist, the Whiteley Index 7 (WI-7), the self-administered comorbidity questionnaire and the Michigan Body Map. Case definitions of SSD, BDS and FMS were assigned using established criteria.
4.5% of participants met the criteria of SSD (SSS – 8 at least one item “bothered very much” and WI- 7 total score ≥ 1). 9.6% met the criteria of single-organ BDS and 1.3% of multi-organ BDS. Prevalence of FMS according to 2016 criteria was 3.4%. 82.3% of FMS cases met any BDS criteria.28.1% of FMS cases satisfied SSD criteria. 28.8% of any BDS cases met the criteria of SSD. 75.1% of SSD cases met the criteria of any BDS. FMS cases reported the highest amount of somatic and psychological symptom burden and health anxieties. There were no differences in age and gender between any BDS and SSD cases. SSD cases reported worse general health and more fibromyalgia-related variables than any BDS cases.
In the general population, there is a substantial overlap between FMS and BDS, but not of FMS and SSD, and not of SSD and any BDS. Case definitions of the three disorders partially captured different groups in the general population.
•The prevalence of single-organ Bodily Distress Syndrome (BDS) was 9.6%.•The prevalence of multi-organ BDS was 1.3%.•5.4% of participants met the criteria of a Somatic Symptom Disorder (SSD).•The prevalence of Fibromyalgia Syndrom (FMS) according to 2016 criteria was 3.4%.•The overlaps were as follows: FMS / SSD 28%, FMS / any BDS 82% and any BDS / SSD 29%.</description><subject>Age differences</subject><subject>Bodily distress syndrome</subject><subject>Comorbidity</subject><subject>Cross-sectional studies</subject><subject>Fibromyalgia</subject><subject>Fibromyalgia syndrome</subject><subject>Gender differences</subject><subject>General population</subject><subject>Mental health</subject><subject>Population</subject><subject>Population studies</subject><subject>Prevalence</subject><subject>Psychological distress</subject><subject>Somatic symptom disorder</subject><subject>Somatoform disorders</subject><subject>Survey</subject><subject>Women</subject><issn>0022-3999</issn><issn>1879-1360</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNqFkctu1TAURS0EoreFX0CWmDAgFz_zYFYqWpAqwaBzy7FPWkdOHOzkSvkbPhWHFCoxYWRrn3WeGyFMyZESWn7oj_2UVvMQIqQjIyzLWaf0GTrQumoKykvyHB0IYazgTdOcofOUekJI2TD5Ep1xxomsGD-gn98jnLSH0QDWo8XhBNHrCYcOpzDo2Rmc1mGaw4CtSyFaiO9xG6zz6ybMeYCUidHGMOwVOtfm_6r9vdNPETfi-QHwDcRBj_geRoja4ylMi89NwvgRX2ITw1YMzCbkaJoXu75CLzrtE7x-fC_Q3fXnu6svxe23m69Xl7eFEYTNha6BWtFQIxiwDrQUTFZQcSmp5Ea2AEY3tQVKDKu01C1t67plklelEJbzC_RuLzvF8GOBNKvBJQPe6xHCkhTjDRM1K4nM6Nt_0D4sMQ-cKSFIWYtKVJmqd-r3VhE6NUU36LgqStRmourVk4lqM1HtJubUN48NlnYA-zfxj2sZ-LQDkA9ychBVMm6z0LqYr6dscP_v8gs9N7ZT</recordid><startdate>20200601</startdate><enddate>20200601</enddate><creator>Häuser, Winfried</creator><creator>Hausteiner-Wiehle, Constanze</creator><creator>Henningsen, Peter</creator><creator>Brähler, Elmar</creator><creator>Schmalbach, Bjarne</creator><creator>Wolfe, Frederick</creator><general>Elsevier Inc</general><general>Elsevier Science Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>20200601</creationdate><title>Prevalence and overlap of somatic symptom disorder, bodily distress syndrome and fibromyalgia syndrome in the German general population: A cross sectional study</title><author>Häuser, Winfried ; Hausteiner-Wiehle, Constanze ; Henningsen, Peter ; Brähler, Elmar ; Schmalbach, Bjarne ; Wolfe, Frederick</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c402t-a8e1d491c42e2fea54257e7355153c5beeca98de10c27a5ab1b88b2537644d33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Age differences</topic><topic>Bodily distress syndrome</topic><topic>Comorbidity</topic><topic>Cross-sectional studies</topic><topic>Fibromyalgia</topic><topic>Fibromyalgia syndrome</topic><topic>Gender differences</topic><topic>General population</topic><topic>Mental health</topic><topic>Population</topic><topic>Population studies</topic><topic>Prevalence</topic><topic>Psychological distress</topic><topic>Somatic symptom disorder</topic><topic>Somatoform disorders</topic><topic>Survey</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Häuser, Winfried</creatorcontrib><creatorcontrib>Hausteiner-Wiehle, Constanze</creatorcontrib><creatorcontrib>Henningsen, Peter</creatorcontrib><creatorcontrib>Brähler, Elmar</creatorcontrib><creatorcontrib>Schmalbach, Bjarne</creatorcontrib><creatorcontrib>Wolfe, Frederick</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of psychosomatic research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Häuser, Winfried</au><au>Hausteiner-Wiehle, Constanze</au><au>Henningsen, Peter</au><au>Brähler, Elmar</au><au>Schmalbach, Bjarne</au><au>Wolfe, Frederick</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence and overlap of somatic symptom disorder, bodily distress syndrome and fibromyalgia syndrome in the German general population: A cross sectional study</atitle><jtitle>Journal of psychosomatic research</jtitle><addtitle>J Psychosom Res</addtitle><date>2020-06-01</date><risdate>2020</risdate><volume>133</volume><spage>110111</spage><epage>110111</epage><pages>110111-110111</pages><artnum>110111</artnum><issn>0022-3999</issn><eissn>1879-1360</eissn><abstract>To study the prevalence and clinical characteristics of Somatic Symptom Disorder (SSD), Bodily Distress Syndrome (BDS) and fibromyalgia syndrome (FMS) and their overlap in the general German population.
A cross-sectional nationally representative population survey was performed. 2531 participants (mean age 48.8 ± 17.85 years, 53.3% women) completed the Somatic Symptom Scale SSS-8, the Bodily Distress Syndrome (BDS) 25 checklist, the Whiteley Index 7 (WI-7), the self-administered comorbidity questionnaire and the Michigan Body Map. Case definitions of SSD, BDS and FMS were assigned using established criteria.
4.5% of participants met the criteria of SSD (SSS – 8 at least one item “bothered very much” and WI- 7 total score ≥ 1). 9.6% met the criteria of single-organ BDS and 1.3% of multi-organ BDS. Prevalence of FMS according to 2016 criteria was 3.4%. 82.3% of FMS cases met any BDS criteria.28.1% of FMS cases satisfied SSD criteria. 28.8% of any BDS cases met the criteria of SSD. 75.1% of SSD cases met the criteria of any BDS. FMS cases reported the highest amount of somatic and psychological symptom burden and health anxieties. There were no differences in age and gender between any BDS and SSD cases. SSD cases reported worse general health and more fibromyalgia-related variables than any BDS cases.
In the general population, there is a substantial overlap between FMS and BDS, but not of FMS and SSD, and not of SSD and any BDS. Case definitions of the three disorders partially captured different groups in the general population.
•The prevalence of single-organ Bodily Distress Syndrome (BDS) was 9.6%.•The prevalence of multi-organ BDS was 1.3%.•5.4% of participants met the criteria of a Somatic Symptom Disorder (SSD).•The prevalence of Fibromyalgia Syndrom (FMS) according to 2016 criteria was 3.4%.•The overlaps were as follows: FMS / SSD 28%, FMS / any BDS 82% and any BDS / SSD 29%.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>32305723</pmid><doi>10.1016/j.jpsychores.2020.110111</doi><tpages>1</tpages></addata></record> |
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subjects | Age differences Bodily distress syndrome Comorbidity Cross-sectional studies Fibromyalgia Fibromyalgia syndrome Gender differences General population Mental health Population Population studies Prevalence Psychological distress Somatic symptom disorder Somatoform disorders Survey Women |
title | Prevalence and overlap of somatic symptom disorder, bodily distress syndrome and fibromyalgia syndrome in the German general population: A cross sectional study |
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