Total somatic symptom score as a predictor of health outcome in somatic symptom disorders

被引：95

作者：

Tomenson, Barbara ^{[1
]}

Essau, Cecilia ^{[2
]}

Jacobi, Frank ^{[3
]}

Ladwig, Karl Heinz ^{[4
]}

Leiknes, Kari Ann ^{[5
]}

Lieb, Roselind ^{[6
]}

Meinlschmidt, Gunther ^{[6
,7
,8
]}

McBeth, John ^{[9
]}

Rosmalen, Judith ^{[10
]}

Rief, Winfried ^{[11
]}

Sumathipala, Athula ^{[12
]}

Creed, Francis ^{[13
]}

机构：

[1] Univ Manchester, Inst Populat Hlth, Biostat Unit, Manchester M13 9PL, Lancs, England

[2] Univ Roehampton, Whitelands Coll, Dept Psychol, London, England

[3] Tech Univ Dresden, Dresden, Germany

[4] Helmholtz Zentrum Munchen, German Res Ctr Environm Hlth, Inst Epidemiol 2, Neuherberg, Germany

[5] Norwegian Knowledge Ctr Hlth Serv, Oslo, Norway

[6] Univ Basel, Dept Psychol, Div Clin Psychol & Epidemiol, CH-4003 Basel, Switzerland

[7] Ruhr Univ Bochum, LWL Univ Hosp, Clin Psychosomat Med & Psychotherapy, Res Dept Psychobiol Psychosomat & Psychotherapy, Bochum, Germany

[8] Ruhr Univ Bochum, Fac Med, Bochum, Germany

[9] Keele Univ, Arthritis Res UK Primary Care Ctr, Keele, Staffs, England

[10] Univ Groningen, Univ Med Ctr Groningen, Interdisciplinary Ctr Psychopathol & Emot Regulat, Groningen, Netherlands

[11] Univ Marburg, Dept Clin Psychol, D-35032 Marburg, Germany

[12] Kings Coll London, London, England

[13] Univ Manchester, Inst Brain Behav & Mental Hlth, Manchester M13 9PL, Lancs, England

来源：

BRITISH JOURNAL OF PSYCHIATRY | 2013年 / 203卷 / 05期

基金：

英国医学研究理事会;

关键词：

EARLY DEVELOPMENTAL-STAGES; SOMATOFORM DISORDERS; CARE UTILIZATION; ANXIETY; SOMATIZATION; DEPRESSION; VALIDITY; EPIDEMIOLOGY; BURDEN; PSYCHOPATHOLOGY;

D O I：

10.1192/bjp.bp.112.114405

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Background The diagnosis of somatisation disorder in DSM-IV was based on 'medically unexplained' symptoms, which is unsatisfactory. Aims To determine the value of a total somatic symptom score as a predictor of health status and healthcare use after adjustment for anxiety, depression and general medical illness. Method Data from nine population-based studies (total n=28377) were analysed. Results In all cross-sectional analyses total somatic symptom score was associated with health status and healthcare use after adjustment for confounders. In two prospective studies total somatic symptom score predicted subsequent health status. This association appeared stronger than that for medically unexplained symptoms. Conclusions Total somatic symptom score provides a predictor of health status and healthcare use over and above the effects of anxiety, depression and general medical illnesses. Declaration of interest F.C. has been a member of the American Psychiatric Association DSM-5 work group on somatic distress disorders and he and A.S. are members of the World Health Organization ICD-11 working group on the classification of somatic distress and dissociative disorders.

引用

页码：373 / 380

页数：8

共 45 条

[1]

[Anonymous], SCL 90 R ADV SOCRING

[2]

[Anonymous], NATL SURVEY MENTAL H

[3]

[Anonymous], DIAGN STAT MAN MENT

[4]

[Anonymous], BESCHWERDE LISTE KLI

[5]

[Anonymous], MENTAL ILLNESS GEN H

[6] Somatization increases medical utilization and costs independent of psychiatric and medical comorbidity [J].

Barsky, AJ ;

Orav, EJ ;

Bates, DW .

ARCHIVES OF GENERAL PSYCHIATRY, 2005, 62 (08) :903-910

[7]

Carter MJ, 2014, THER RECREAT J, V48, P275

[8] A systematic review of the epidemiology of somatisation disorder and hypochondriasis [J].

Creed, F ;

Barsky, A .

JOURNAL OF PSYCHOSOMATIC RESEARCH, 2004, 56 (04) :391-408

[9] The relationship between somatisation and outcome in patients with severe irritable bowel syndrome [J].

Creed, Francis ;

Tomenson, Barbara ;

Guthrie, Elspeth ;

Ratcliffe, Joy ;

Fernandes, Lakshmi ;

Read, Nicholas ;

Palmer, Steve ;

Thompson, David G. .

JOURNAL OF PSYCHOSOMATIC RESEARCH, 2008, 64 (06) :613-620

[10]

Creed F, 2006, WORLD PSYCHIATRY, V5, P146

← 1 2 3 4 5 →