Exploring maladaptive cognitions and behaviors as perpetuating factors in patients with persistent somatic symptoms: a longitudinal study
Maladaptive cognitions and behaviors may influence symptoms and impairment in patients with persistent somatic symptoms (PSS). Aims of this study were to examine: (i) whether maladaptive cognitions and behaviors are associated with symptom severity and functional health over time; (ii) if these asso...
Gespeichert in:
| Veröffentlicht in: | Journal of psychosomatic research 2023-07, Vol.170, p.111343-111343, Article 111343 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 111343 |
|---|---|
| container_issue | |
| container_start_page | 111343 |
| container_title | Journal of psychosomatic research |
| container_volume | 170 |
| creator | Barends, Hieke Dekker, Joost van Dessel, Nikki Claassen Twisk, Jos W.R. van der Horst, Henriëtte E. van der Wouden, Johannes C. |
| description | Maladaptive cognitions and behaviors may influence symptoms and impairment in patients with persistent somatic symptoms (PSS). Aims of this study were to examine: (i) whether maladaptive cognitions and behaviors are associated with symptom severity and functional health over time; (ii) if these associations are the result of changes within individuals over time or of differences between individuals; (iii) directions of changes within individuals over time.
Longitudinal data of a heterogeneous sample of patients with PSS were analyzed (n = 322 patients enrolled in the PROSPECTS cohort study). Cognitive and behavioral responses to symptoms (CBRQ), symptom severity (PHQ-15) and physical and mental functioning (RAND-36 PCS and MCS) were assessed seven times over a five-year period (0, 6 months, 1, 2, 3, 4, 5 year). Longitudinal mixed model and hybrid model analysis with and without time-lag were applied.
Maladaptive cognitions and behaviors were associated with more severe symptoms and reduced physical and mental functioning over time. Both changes within individuals over time and differences between individuals were associated with higher symptom severity and reduced physical and mental functioning. The between-subject component was about twice the effect size of the within-subject component. Changes in several specific maladaptive cognitions and behaviors were associated with more severe symptoms and reduced physical and mental functioning later in time and vice versa.
This study shows that maladaptive cognitions and behaviors are associated with symptom severity and reduced physical and mental functioning over time in patients with PSS.
•Maladaptive cognitions and behaviors were associated with somatic symptom severity over five-year time.•Associations were also found for maladaptive cognitions and behaviors and reduced physical and mental functioning.•Also, within subjects cognitions and behavior may play a role as perpetuating factors. |
| doi_str_mv | 10.1016/j.jpsychores.2023.111343 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2816763550</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0022399923002003</els_id><sourcerecordid>2816763550</sourcerecordid><originalsourceid>FETCH-LOGICAL-c424t-22bf3e446db9a9e408ad77ea8492e72d7d8096ffc818b9af765b67b8798bb29a3</originalsourceid><addsrcrecordid>eNqFkc2OFCEUhYnROD2jr2BYuqkeoKqLwp1Oxp9kEje6JhTc6qZTVSCXaqcfwbeWSo-6dAUcvsMN5xBCOdtyxtvb4_YY8WwPIQFuBRP1lnNeN_UzsuGdVBWvW_acbBgToqqVUlfkGvHIGGuV2L0kV7UUjAvVbMiv-8c4huTnPZ3MaJyJ2Z-A2rCfffZhRmpmR3s4mJMPqZyQRkgR8mLyahqMzavuZxqLAnNG-tPnw0qhx1wEimEqV5bieYo5TPiOGjqGee_z4vxsRoplc35FXgxmRHj9tN6Q7x_vv919rh6-fvpy9_6hso1ociVEP9TQNK3rlVHQsM44KcF0jRIghZOuY6odBtvxrhCDbHd9K_uSStf3Qpn6hry9vBtT-LEAZj15tDCOZoawoBYdb2Vb73asoN0FtSkgJhh0TH4y6aw502sR-qj_FaHXIvSliGJ98zRl6Sdwf41_ki_AhwsA5a8nD0mjLfFZcD6BzdoF__8pvwHWm6PX</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2816763550</pqid></control><display><type>article</type><title>Exploring maladaptive cognitions and behaviors as perpetuating factors in patients with persistent somatic symptoms: a longitudinal study</title><source>MEDLINE</source><source>Access via ScienceDirect (Elsevier)</source><creator>Barends, Hieke ; Dekker, Joost ; van Dessel, Nikki Claassen ; Twisk, Jos W.R. ; van der Horst, Henriëtte E. ; van der Wouden, Johannes C.</creator><creatorcontrib>Barends, Hieke ; Dekker, Joost ; van Dessel, Nikki Claassen ; Twisk, Jos W.R. ; van der Horst, Henriëtte E. ; van der Wouden, Johannes C.</creatorcontrib><description>Maladaptive cognitions and behaviors may influence symptoms and impairment in patients with persistent somatic symptoms (PSS). Aims of this study were to examine: (i) whether maladaptive cognitions and behaviors are associated with symptom severity and functional health over time; (ii) if these associations are the result of changes within individuals over time or of differences between individuals; (iii) directions of changes within individuals over time.
Longitudinal data of a heterogeneous sample of patients with PSS were analyzed (n = 322 patients enrolled in the PROSPECTS cohort study). Cognitive and behavioral responses to symptoms (CBRQ), symptom severity (PHQ-15) and physical and mental functioning (RAND-36 PCS and MCS) were assessed seven times over a five-year period (0, 6 months, 1, 2, 3, 4, 5 year). Longitudinal mixed model and hybrid model analysis with and without time-lag were applied.
Maladaptive cognitions and behaviors were associated with more severe symptoms and reduced physical and mental functioning over time. Both changes within individuals over time and differences between individuals were associated with higher symptom severity and reduced physical and mental functioning. The between-subject component was about twice the effect size of the within-subject component. Changes in several specific maladaptive cognitions and behaviors were associated with more severe symptoms and reduced physical and mental functioning later in time and vice versa.
This study shows that maladaptive cognitions and behaviors are associated with symptom severity and reduced physical and mental functioning over time in patients with PSS.
•Maladaptive cognitions and behaviors were associated with somatic symptom severity over five-year time.•Associations were also found for maladaptive cognitions and behaviors and reduced physical and mental functioning.•Also, within subjects cognitions and behavior may play a role as perpetuating factors.</description><identifier>ISSN: 0022-3999</identifier><identifier>EISSN: 1879-1360</identifier><identifier>DOI: 10.1016/j.jpsychores.2023.111343</identifier><identifier>PMID: 37201294</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Cognition ; Cognitions and behavior ; Cohort Studies ; Course ; Functional health ; Humans ; Longitudinal Studies ; Medically Unexplained Symptoms ; Persistent somatic symptoms ; Physical Examination</subject><ispartof>Journal of psychosomatic research, 2023-07, Vol.170, p.111343-111343, Article 111343</ispartof><rights>2023 The Authors</rights><rights>Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c424t-22bf3e446db9a9e408ad77ea8492e72d7d8096ffc818b9af765b67b8798bb29a3</citedby><cites>FETCH-LOGICAL-c424t-22bf3e446db9a9e408ad77ea8492e72d7d8096ffc818b9af765b67b8798bb29a3</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.2023.111343$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37201294$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Barends, Hieke</creatorcontrib><creatorcontrib>Dekker, Joost</creatorcontrib><creatorcontrib>van Dessel, Nikki Claassen</creatorcontrib><creatorcontrib>Twisk, Jos W.R.</creatorcontrib><creatorcontrib>van der Horst, Henriëtte E.</creatorcontrib><creatorcontrib>van der Wouden, Johannes C.</creatorcontrib><title>Exploring maladaptive cognitions and behaviors as perpetuating factors in patients with persistent somatic symptoms: a longitudinal study</title><title>Journal of psychosomatic research</title><addtitle>J Psychosom Res</addtitle><description>Maladaptive cognitions and behaviors may influence symptoms and impairment in patients with persistent somatic symptoms (PSS). Aims of this study were to examine: (i) whether maladaptive cognitions and behaviors are associated with symptom severity and functional health over time; (ii) if these associations are the result of changes within individuals over time or of differences between individuals; (iii) directions of changes within individuals over time.
Longitudinal data of a heterogeneous sample of patients with PSS were analyzed (n = 322 patients enrolled in the PROSPECTS cohort study). Cognitive and behavioral responses to symptoms (CBRQ), symptom severity (PHQ-15) and physical and mental functioning (RAND-36 PCS and MCS) were assessed seven times over a five-year period (0, 6 months, 1, 2, 3, 4, 5 year). Longitudinal mixed model and hybrid model analysis with and without time-lag were applied.
Maladaptive cognitions and behaviors were associated with more severe symptoms and reduced physical and mental functioning over time. Both changes within individuals over time and differences between individuals were associated with higher symptom severity and reduced physical and mental functioning. The between-subject component was about twice the effect size of the within-subject component. Changes in several specific maladaptive cognitions and behaviors were associated with more severe symptoms and reduced physical and mental functioning later in time and vice versa.
This study shows that maladaptive cognitions and behaviors are associated with symptom severity and reduced physical and mental functioning over time in patients with PSS.
•Maladaptive cognitions and behaviors were associated with somatic symptom severity over five-year time.•Associations were also found for maladaptive cognitions and behaviors and reduced physical and mental functioning.•Also, within subjects cognitions and behavior may play a role as perpetuating factors.</description><subject>Cognition</subject><subject>Cognitions and behavior</subject><subject>Cohort Studies</subject><subject>Course</subject><subject>Functional health</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Medically Unexplained Symptoms</subject><subject>Persistent somatic symptoms</subject><subject>Physical Examination</subject><issn>0022-3999</issn><issn>1879-1360</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc2OFCEUhYnROD2jr2BYuqkeoKqLwp1Oxp9kEje6JhTc6qZTVSCXaqcfwbeWSo-6dAUcvsMN5xBCOdtyxtvb4_YY8WwPIQFuBRP1lnNeN_UzsuGdVBWvW_acbBgToqqVUlfkGvHIGGuV2L0kV7UUjAvVbMiv-8c4huTnPZ3MaJyJ2Z-A2rCfffZhRmpmR3s4mJMPqZyQRkgR8mLyahqMzavuZxqLAnNG-tPnw0qhx1wEimEqV5bieYo5TPiOGjqGee_z4vxsRoplc35FXgxmRHj9tN6Q7x_vv919rh6-fvpy9_6hso1ociVEP9TQNK3rlVHQsM44KcF0jRIghZOuY6odBtvxrhCDbHd9K_uSStf3Qpn6hry9vBtT-LEAZj15tDCOZoawoBYdb2Vb73asoN0FtSkgJhh0TH4y6aw502sR-qj_FaHXIvSliGJ98zRl6Sdwf41_ki_AhwsA5a8nD0mjLfFZcD6BzdoF__8pvwHWm6PX</recordid><startdate>202307</startdate><enddate>202307</enddate><creator>Barends, Hieke</creator><creator>Dekker, Joost</creator><creator>van Dessel, Nikki Claassen</creator><creator>Twisk, Jos W.R.</creator><creator>van der Horst, Henriëtte E.</creator><creator>van der Wouden, Johannes C.</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</scope><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>7X8</scope></search><sort><creationdate>202307</creationdate><title>Exploring maladaptive cognitions and behaviors as perpetuating factors in patients with persistent somatic symptoms: a longitudinal study</title><author>Barends, Hieke ; Dekker, Joost ; van Dessel, Nikki Claassen ; Twisk, Jos W.R. ; van der Horst, Henriëtte E. ; van der Wouden, Johannes C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c424t-22bf3e446db9a9e408ad77ea8492e72d7d8096ffc818b9af765b67b8798bb29a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Cognition</topic><topic>Cognitions and behavior</topic><topic>Cohort Studies</topic><topic>Course</topic><topic>Functional health</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Medically Unexplained Symptoms</topic><topic>Persistent somatic symptoms</topic><topic>Physical Examination</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Barends, Hieke</creatorcontrib><creatorcontrib>Dekker, Joost</creatorcontrib><creatorcontrib>van Dessel, Nikki Claassen</creatorcontrib><creatorcontrib>Twisk, Jos W.R.</creatorcontrib><creatorcontrib>van der Horst, Henriëtte E.</creatorcontrib><creatorcontrib>van der Wouden, Johannes C.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of psychosomatic research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Barends, Hieke</au><au>Dekker, Joost</au><au>van Dessel, Nikki Claassen</au><au>Twisk, Jos W.R.</au><au>van der Horst, Henriëtte E.</au><au>van der Wouden, Johannes C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Exploring maladaptive cognitions and behaviors as perpetuating factors in patients with persistent somatic symptoms: a longitudinal study</atitle><jtitle>Journal of psychosomatic research</jtitle><addtitle>J Psychosom Res</addtitle><date>2023-07</date><risdate>2023</risdate><volume>170</volume><spage>111343</spage><epage>111343</epage><pages>111343-111343</pages><artnum>111343</artnum><issn>0022-3999</issn><eissn>1879-1360</eissn><abstract>Maladaptive cognitions and behaviors may influence symptoms and impairment in patients with persistent somatic symptoms (PSS). Aims of this study were to examine: (i) whether maladaptive cognitions and behaviors are associated with symptom severity and functional health over time; (ii) if these associations are the result of changes within individuals over time or of differences between individuals; (iii) directions of changes within individuals over time.
Longitudinal data of a heterogeneous sample of patients with PSS were analyzed (n = 322 patients enrolled in the PROSPECTS cohort study). Cognitive and behavioral responses to symptoms (CBRQ), symptom severity (PHQ-15) and physical and mental functioning (RAND-36 PCS and MCS) were assessed seven times over a five-year period (0, 6 months, 1, 2, 3, 4, 5 year). Longitudinal mixed model and hybrid model analysis with and without time-lag were applied.
Maladaptive cognitions and behaviors were associated with more severe symptoms and reduced physical and mental functioning over time. Both changes within individuals over time and differences between individuals were associated with higher symptom severity and reduced physical and mental functioning. The between-subject component was about twice the effect size of the within-subject component. Changes in several specific maladaptive cognitions and behaviors were associated with more severe symptoms and reduced physical and mental functioning later in time and vice versa.
This study shows that maladaptive cognitions and behaviors are associated with symptom severity and reduced physical and mental functioning over time in patients with PSS.
•Maladaptive cognitions and behaviors were associated with somatic symptom severity over five-year time.•Associations were also found for maladaptive cognitions and behaviors and reduced physical and mental functioning.•Also, within subjects cognitions and behavior may play a role as perpetuating factors.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>37201294</pmid><doi>10.1016/j.jpsychores.2023.111343</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0022-3999 |
| ispartof | Journal of psychosomatic research, 2023-07, Vol.170, p.111343-111343, Article 111343 |
| issn | 0022-3999 1879-1360 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2816763550 |
| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Cognition Cognitions and behavior Cohort Studies Course Functional health Humans Longitudinal Studies Medically Unexplained Symptoms Persistent somatic symptoms Physical Examination |
| title | Exploring maladaptive cognitions and behaviors as perpetuating factors in patients with persistent somatic symptoms: a longitudinal study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-29T15%3A46%3A50IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Exploring%20maladaptive%20cognitions%20and%20behaviors%20as%20perpetuating%20factors%20in%20patients%20with%20persistent%20somatic%20symptoms:%20a%20longitudinal%20study&rft.jtitle=Journal%20of%20psychosomatic%20research&rft.au=Barends,%20Hieke&rft.date=2023-07&rft.volume=170&rft.spage=111343&rft.epage=111343&rft.pages=111343-111343&rft.artnum=111343&rft.issn=0022-3999&rft.eissn=1879-1360&rft_id=info:doi/10.1016/j.jpsychores.2023.111343&rft_dat=%3Cproquest_cross%3E2816763550%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2816763550&rft_id=info:pmid/37201294&rft_els_id=S0022399923002003&rfr_iscdi=true |