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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Veröffentlicht in:Journal of psychosomatic research 2020-06, Vol.133, p.110111-110111, Article 110111
Hauptverfasser: Häuser, Winfried, Hausteiner-Wiehle, Constanze, Henningsen, Peter, Brähler, Elmar, Schmalbach, Bjarne, Wolfe, Frederick
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container_title Journal of psychosomatic research
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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%.
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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. 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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><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 ; 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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%.</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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source Applied Social Sciences Index & Abstracts (ASSIA); Access via ScienceDirect (Elsevier)
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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