Somatic symptom load in men and women from middle to high age in the Gutenberg Health Study - association with psychosocial and somatic factors

被引：42

作者：

Beutel, Manfred E. ^{[1
]}

Wiltink, Joerg ^{[1
]}

Kerahrodi, Jasmin Ghaemi ^{[1
]}

Tibubos, Ana N. ^{[1
]}

Braehler, Elmar ^{[1
]}

Schulz, Andreas ^{[2
,9
]}

Wild, Philipp ^{[2
,7
,8
,9
]}

Muenzel, Thomas ^{[3
,8
,9
]}

Lackner, Karl ^{[5
]}

Koenig, Jochem ^{[4
]}

Pfeiffer, Norbert ^{[6
]}

Michal, Matthias ^{[1
]}

Henning, Michaela ^{[1
,10
]}

机构：

[1] Johannes Gutenberg Univ Mainz, Univ Med Ctr, Dept Psychosomat Med & Psychotherapy, Mainz, Germany

[2] Univ Med Ctr Mainz, Prevent Cardiol & Prevent Med, Ctr Cardiol, Mainz, Germany

[3] Univ Med Ctr Mainz, Ctr Cardiol Cardiol 1, Mainz, Germany

[4] Johannes Gutenberg Univ Mainz, Inst Med Biostat Epidemiol & Informat, Univ Med Ctr, Mainz, Germany

[5] Johannes Gutenberg Univ Mainz, Inst Clin Chem & Lab Med, Univ Med Ctr, Mainz, Germany

[6] Johannes Gutenberg Univ Mainz, Dept Ophthalmol, Univ Med Ctr Mainz, Mainz, Germany

[7] Johannes Gutenberg Univ Mainz, Ctr Thrombosis & Hemostasis, Univ Med Ctr, Mainz, Germany

[8] DZHK German Ctr Cardiovasc Res, Partner Site Rhine Mainz, Mainz, Germany

[9] Johannes Gutenberg Univ Mainz, CTVB, Univ Med Ctr, Mainz, Germany

[10] Univ Cologne, Univ Hosp Cologne, Dept Psychosomat & Psychotherapy, Cologne, Germany

来源：

SCIENTIFIC REPORTS | 2019年 / 9卷 / 1期

关键词：

SHORT QUESTIONNAIRE; PRIMARY-CARE; DEPRESSION; VALIDITY; ANXIETY; SOMATIZATION; VALIDATION; SEVERITY; SCALE;

D O I：

10.1038/s41598-019-40709-0

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

The purpose of the study was (1) to determine the prevalence of somatic symptoms in men and women in the general population and (2) to identify the contributions of psychosocial factors and somatic disease on symptom reporting. A total of 7,925 participants aged 40 to 80 years underwent medical and psychological assessments, based on the PHQ-15 (Patient Health Questionnaire). We excluded 3 items in order to avoid confounding findings: 2 items overlapping with the depression measure (PHQ-9) and the menstruation complaints item which biases sex comparisons. Pain complaints (arms, legs, joints, back pain) affected the majority of men and women, and somatic symptom reporting increased with age. When confounding has been reduced, psychosocial factors (lack of social support, adverse life events, loneliness, depression, generalized anxiety, panic, social phobia) have remained the strongest predictors of somatic symptoms. As shown by the interaction between sex and depression, depression plays a smaller role for somatic symptom reporting in women vs. men. Findings highlight the complex psychosocial and somatic contributions to somatic symptom reporting.

引用

页数：9

共 34 条

[1] Somatic symptom reporting in women and men [J].