Jinya Cao1, Jing Wei2, Kurt Fritzsche3, Anne Christin Toussaint4, Tao Li1, Yinan Jiang1, Lan Zhang5, Yaoyin Zhang6, Hua Chen7, Heng Wu8, Xiquan Ma9, Wentian Li10, Jie Ren11, Wei Lu12, Anne-Maria Müller3, Rainer Leonhart13. 1. Department of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, China. 2. Department of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, China. Electronic address: weijing@pumch.cn. 3. Center for Mental Health, Department of Psychosomatic Medicine and Psychotherapy, Medical Centre, University of Freiburg, Faculty of Medicine, Germany. 4. Department of Psychosomatic Medicine and Psychotherapy, University Medical Centre Hamburg-Eppendorf, Germany. 5. Mental Health Centre, West China Hospital, Sichuan University, China. 6. Department of Psychosomatic Medicine, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, China. 7. Department of Psychological Medicine, Zhong Shan Hospital, Fudan University, China. 8. Department of Psychosomatic Medicine, Tongji Hospital, School of Medicine, Tongji University, China. 9. Department of Psychosomatic Medicine, Dongfang Hospital, School of Medicine, Tongji University, China. 10. Department of Clinic Psychology, Wuhan Mental Health Centre, Wuhan, China. 11. Department of Rehabilitation, General Hospital of Jincheng Anthracite Coal Mining Group Co. Ltd, China. 12. Department of Psychosomatic Medicine, Beijing Hospital of Traditional Chinese Medicine, Capital University, China. 13. Institute of Psychology, University of Freiburg, Germany.
Abstract
OBJECTIVE: We aimed to explore the prevalence of somatic symptom disorder (SSD) according to DSM-5 criteria in Chinese outpatients from general hospital departments. METHODS: This multicentre cross-sectional study enrolled 699 patients from outpatient departments, including the neurology, gastroenterology, Traditional Chinese Medicine [TCM] and psychosomatic medicine departments, in five cities in China. The structured clinical interview for DSM-5 (SCID-5) for SSD was administered by trained clinical professionals to diagnose SSD. RESULTS: SSD was diagnosed in 33.8% (236/697) of all enrolled patients. The prevalence of SSD differed significantly among the departments (χ2 = 34.049, df = 2, p ≤0.001). No differences were found between SSD patients and non-SSD patients in terms of gender, residence, marital and living statuses, family income, education, employment status and lifestyle factors. However, patients with SSD reported higher levels of depression, health-related and general anxiety, lower physical and mental quality of life, higher frequency of doctor visits, increased time devoted to physical symptoms and longer duration of somatic symptoms. In a binary linear regression analysis, SSD was significantly associated with an increase in health-related anxiety, time devoted to symptoms and impact of somatic symptoms on daily life. The explained variance was Nagelkerke R2 = 0.45. CONCLUSION: There is a high prevalence of SSD in Chinese general hospital outpatient clinics. The diagnosis is associated with high levels of emotional distress and low quality of life. There is a danger of over-diagnosis if we include the mild and moderate forms of SSD. Future studies are warranted to investigate the prevalence of SSD in inpatient departments and the development of psychological interventions for these patients.
OBJECTIVE: We aimed to explore the prevalence of somatic symptom disorder (SSD) according to DSM-5 criteria in Chinese outpatients from general hospital departments. METHODS: This multicentre cross-sectional study enrolled 699 patients from outpatient departments, including the neurology, gastroenterology, Traditional Chinese Medicine [TCM] and psychosomatic medicine departments, in five cities in China. The structured clinical interview for DSM-5 (SCID-5) for SSD was administered by trained clinical professionals to diagnose SSD. RESULTS:SSD was diagnosed in 33.8% (236/697) of all enrolled patients. The prevalence of SSD differed significantly among the departments (χ2 = 34.049, df = 2, p ≤0.001). No differences were found between SSDpatients and non-SSDpatients in terms of gender, residence, marital and living statuses, family income, education, employment status and lifestyle factors. However, patients with SSD reported higher levels of depression, health-related and general anxiety, lower physical and mental quality of life, higher frequency of doctor visits, increased time devoted to physical symptoms and longer duration of somatic symptoms. In a binary linear regression analysis, SSD was significantly associated with an increase in health-related anxiety, time devoted to symptoms and impact of somatic symptoms on daily life. The explained variance was Nagelkerke R2 = 0.45. CONCLUSION: There is a high prevalence of SSD in Chinese general hospital outpatient clinics. The diagnosis is associated with high levels of emotional distress and low quality of life. There is a danger of over-diagnosis if we include the mild and moderate forms of SSD. Future studies are warranted to investigate the prevalence of SSD in inpatient departments and the development of psychological interventions for these patients.
Authors: Bernd Löwe; James Levenson; Miriam Depping; Paul Hüsing; Sebastian Kohlmann; Marco Lehmann; Meike Shedden-Mora; Anne Toussaint; Natalie Uhlenbusch; Angelika Weigel Journal: Psychol Med Date: 2021-11-15 Impact factor: 7.723
Authors: Barbara Resnick; Elizabeth Galik; Rachel McPherson; Marie Boltz; Kimberly Van Haitsma; Ann Kolanowski Journal: West J Nurs Res Date: 2021-05-28 Impact factor: 1.774