The distribution of somatic symptom disorder and bodily distress syndrome in general hospital outpatients in China: A multicenter cross-sectional study
To investigate the distribution of somatic symptom disorder (SSD) and bodily distress syndrome (BDS) and analyze the differences in psychosocial characteristics of patients with the two diagnoses. A total of 694 general hospital outpatients completed the diagnostic interviews for SSD and BDS, and a...
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| Veröffentlicht in: | General hospital psychiatry 2023-11, Vol.85, p.171-176 |
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| container_title | General hospital psychiatry |
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| creator | Ma, Dandan Cao, Jinya Wei, Jing Fritzsche, Kurt Toussaint, Anne Christin Li, Tao Zhang, Lan Zhang, Yaoyin Chen, Hua Wu, Heng Ma, Xiquan Li, Wentian Ren, Jie Lu, Wei Leonhart, Rainer |
| description | To investigate the distribution of somatic symptom disorder (SSD) and bodily distress syndrome (BDS) and analyze the differences in psychosocial characteristics of patients with the two diagnoses.
A total of 694 general hospital outpatients completed the diagnostic interviews for SSD and BDS, and a set of questionnaires evaluating their psychosocial characteristics. A secondary analysis of these data is done.
SSD and BDS had a moderate overlap (kappa value = 0.43). Patients who fulfilled both SSD and BDS diagnosis showed significantly higher levels of symptom-related psychological distress (SSD-12), somatic symptom severity (PHQ-15), depression (PHQ-9), and general anxiety (GAD-7), as well as lower mental and physical quality of life (SF-12) compared to patients with neither diagnosis and patients with only one diagnosis. Patients with either diagnosis were associated with significantly higher psychosocial impairments as compared to those with neither diagnosis. Patients who only met SSD had higher SSD-12 scores, whereas those with only BDS had higher PHQ-15 scores (p |
| doi_str_mv | 10.1016/j.genhosppsych.2023.10.017 |
| format | Article |
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A total of 694 general hospital outpatients completed the diagnostic interviews for SSD and BDS, and a set of questionnaires evaluating their psychosocial characteristics. A secondary analysis of these data is done.
SSD and BDS had a moderate overlap (kappa value = 0.43). Patients who fulfilled both SSD and BDS diagnosis showed significantly higher levels of symptom-related psychological distress (SSD-12), somatic symptom severity (PHQ-15), depression (PHQ-9), and general anxiety (GAD-7), as well as lower mental and physical quality of life (SF-12) compared to patients with neither diagnosis and patients with only one diagnosis. Patients with either diagnosis were associated with significantly higher psychosocial impairments as compared to those with neither diagnosis. Patients who only met SSD had higher SSD-12 scores, whereas those with only BDS had higher PHQ-15 scores (p<0.001).
SSD and BDS appear to represent somewhat different psychopathologies, with SSD more associated with psychological distress and BDS associated with greater experience of somatic symptoms. Patients fulfilling both diagnosis show higher symptom severity in various psychosocial aspects.</description><identifier>ISSN: 0163-8343</identifier><identifier>ISSN: 1873-7714</identifier><identifier>EISSN: 1873-7714</identifier><identifier>DOI: 10.1016/j.genhosppsych.2023.10.017</identifier><identifier>PMID: 37948794</identifier><language>eng</language><publisher>United States</publisher><subject>China - epidemiology ; Cross-Sectional Studies ; Hospitals, General ; Humans ; Medically Unexplained Symptoms ; Outpatients ; Quality of Life - psychology ; Somatoform Disorders - diagnosis ; Surveys and Questionnaires</subject><ispartof>General hospital psychiatry, 2023-11, Vol.85, p.171-176</ispartof><rights>Copyright © 2023. Published by Elsevier Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c314t-ec015d79b8476d2103956a601056eef06408e4ce99d4f5cac4609f6225bad48d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37948794$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ma, Dandan</creatorcontrib><creatorcontrib>Cao, Jinya</creatorcontrib><creatorcontrib>Wei, Jing</creatorcontrib><creatorcontrib>Fritzsche, Kurt</creatorcontrib><creatorcontrib>Toussaint, Anne Christin</creatorcontrib><creatorcontrib>Li, Tao</creatorcontrib><creatorcontrib>Zhang, Lan</creatorcontrib><creatorcontrib>Zhang, Yaoyin</creatorcontrib><creatorcontrib>Chen, Hua</creatorcontrib><creatorcontrib>Wu, Heng</creatorcontrib><creatorcontrib>Ma, Xiquan</creatorcontrib><creatorcontrib>Li, Wentian</creatorcontrib><creatorcontrib>Ren, Jie</creatorcontrib><creatorcontrib>Lu, Wei</creatorcontrib><creatorcontrib>Leonhart, Rainer</creatorcontrib><title>The distribution of somatic symptom disorder and bodily distress syndrome in general hospital outpatients in China: A multicenter cross-sectional study</title><title>General hospital psychiatry</title><addtitle>Gen Hosp Psychiatry</addtitle><description>To investigate the distribution of somatic symptom disorder (SSD) and bodily distress syndrome (BDS) and analyze the differences in psychosocial characteristics of patients with the two diagnoses.
A total of 694 general hospital outpatients completed the diagnostic interviews for SSD and BDS, and a set of questionnaires evaluating their psychosocial characteristics. A secondary analysis of these data is done.
SSD and BDS had a moderate overlap (kappa value = 0.43). Patients who fulfilled both SSD and BDS diagnosis showed significantly higher levels of symptom-related psychological distress (SSD-12), somatic symptom severity (PHQ-15), depression (PHQ-9), and general anxiety (GAD-7), as well as lower mental and physical quality of life (SF-12) compared to patients with neither diagnosis and patients with only one diagnosis. Patients with either diagnosis were associated with significantly higher psychosocial impairments as compared to those with neither diagnosis. Patients who only met SSD had higher SSD-12 scores, whereas those with only BDS had higher PHQ-15 scores (p<0.001).
SSD and BDS appear to represent somewhat different psychopathologies, with SSD more associated with psychological distress and BDS associated with greater experience of somatic symptoms. Patients fulfilling both diagnosis show higher symptom severity in various psychosocial aspects.</description><subject>China - epidemiology</subject><subject>Cross-Sectional Studies</subject><subject>Hospitals, General</subject><subject>Humans</subject><subject>Medically Unexplained Symptoms</subject><subject>Outpatients</subject><subject>Quality of Life - psychology</subject><subject>Somatoform Disorders - diagnosis</subject><subject>Surveys and Questionnaires</subject><issn>0163-8343</issn><issn>1873-7714</issn><issn>1873-7714</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNUctu1DAUtRCITgu_UFmsusngVxKnu2oEtFIlNmUdOfYN41ESp77OIl_S38VhSsXCsuXzlA4hXzjbc8arr6f9b5iOAecZV3vcCyZkBvaM1-_IjutaFnXN1Xuyy2RZaKnkBblEPDHGSlHKj-RC1o3S-ezIy9MRqPOYou-W5MNEQ08xjCZ5S3Ed5xTGDQ_RQaRmcrQLzg_rWQOImTS5GEagfqK5F0Qz0K2cT_kRljRnK5gSbvjh6CdzS-_ouAw5IH9nUxsDYoFgt_iswbS49RP50JsB4fPrfUV-ff_2dLgvHn_-eDjcPRZWcpUKsIyXrm46rerKCc5kU1amYpyVFUDPKsU0KAtN41RfWmNVxZq-EqLsjFPayStyc_adY3heAFM7erQwDGaCsGArtG6EErpRmXp7pv4tHKFv5-hHE9eWs3Ybpj21_w_TbsNsWB4mi69fc5ZuBPcm_beE_AP24pLe</recordid><startdate>202311</startdate><enddate>202311</enddate><creator>Ma, Dandan</creator><creator>Cao, Jinya</creator><creator>Wei, Jing</creator><creator>Fritzsche, Kurt</creator><creator>Toussaint, Anne Christin</creator><creator>Li, Tao</creator><creator>Zhang, Lan</creator><creator>Zhang, Yaoyin</creator><creator>Chen, Hua</creator><creator>Wu, Heng</creator><creator>Ma, Xiquan</creator><creator>Li, Wentian</creator><creator>Ren, Jie</creator><creator>Lu, Wei</creator><creator>Leonhart, Rainer</creator><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>202311</creationdate><title>The distribution of somatic symptom disorder and bodily distress syndrome in general hospital outpatients in China: A multicenter cross-sectional study</title><author>Ma, Dandan ; 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A total of 694 general hospital outpatients completed the diagnostic interviews for SSD and BDS, and a set of questionnaires evaluating their psychosocial characteristics. A secondary analysis of these data is done.
SSD and BDS had a moderate overlap (kappa value = 0.43). Patients who fulfilled both SSD and BDS diagnosis showed significantly higher levels of symptom-related psychological distress (SSD-12), somatic symptom severity (PHQ-15), depression (PHQ-9), and general anxiety (GAD-7), as well as lower mental and physical quality of life (SF-12) compared to patients with neither diagnosis and patients with only one diagnosis. Patients with either diagnosis were associated with significantly higher psychosocial impairments as compared to those with neither diagnosis. Patients who only met SSD had higher SSD-12 scores, whereas those with only BDS had higher PHQ-15 scores (p<0.001).
SSD and BDS appear to represent somewhat different psychopathologies, with SSD more associated with psychological distress and BDS associated with greater experience of somatic symptoms. Patients fulfilling both diagnosis show higher symptom severity in various psychosocial aspects.</abstract><cop>United States</cop><pmid>37948794</pmid><doi>10.1016/j.genhosppsych.2023.10.017</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | China - epidemiology Cross-Sectional Studies Hospitals, General Humans Medically Unexplained Symptoms Outpatients Quality of Life - psychology Somatoform Disorders - diagnosis Surveys and Questionnaires |
| title | The distribution of somatic symptom disorder and bodily distress syndrome in general hospital outpatients in China: A multicenter cross-sectional study |
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