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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The distribution of somatic symptom disorder and bodily distress syndrome in general hospital outpatients in China: A multicenter cross-sectional study. / Ma, Dandan; Cao, Jinya; Wei, Jing; Fritzsche, Kurt; Toussaint, Anne-Kristin; Li, Tao; Zhang, Lan; Zhang, Yaoyin; Chen, Hua; Wu, Heng; Ma, Xiquan; Li, Wentian; Ren, Jie; Lu, Wei; Leonhart, Rainer.
In: GEN HOSP PSYCHIAT, Vol. 85, 11.2023, p. 171-176.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - The distribution of somatic symptom disorder and bodily distress syndrome in general hospital outpatients in China: A multicenter cross-sectional study
AU - Ma, Dandan
AU - Cao, Jinya
AU - Wei, Jing
AU - Fritzsche, Kurt
AU - Toussaint, Anne-Kristin
AU - Li, Tao
AU - Zhang, Lan
AU - Zhang, Yaoyin
AU - Chen, Hua
AU - Wu, Heng
AU - Ma, Xiquan
AU - Li, Wentian
AU - Ren, Jie
AU - Lu, Wei
AU - Leonhart, Rainer
PY - 2023/11
Y1 - 2023/11
N2 - ObjectiveTo 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.MethodsA 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.ResultsSSD 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).ConclusionsSSD 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.
AB - ObjectiveTo 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.MethodsA 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.ResultsSSD 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).ConclusionsSSD 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.
U2 - 10.1016/j.genhosppsych.2023.10.017
DO - 10.1016/j.genhosppsych.2023.10.017
M3 - SCORING: Journal article
C2 - 37948794
VL - 85
SP - 171
EP - 176
JO - GEN HOSP PSYCHIAT
JF - GEN HOSP PSYCHIAT
SN - 0163-8343
ER -