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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

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单位: [1]Department of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, China [2]Center for Mental Health, Department of Psychosomatic Medicine and Psychotherapy, Medical Centre - University of Freiburg, Faculty of Medicine, Germany [3]Department of Psychosomatic Medicine and Psychotherapy, University Medical Centre Hamburg-Eppendorf, Germany [4]Mental Health Centre, West China Hospital, Sichuan University, China [5]Department of Psychosomatic Medicine, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, China [6]Department of Psychological Medicine, Zhong Shan Hospital, Fudan University, China [7]Department of Psychosomatic Medicine, Tongji Hospital, School of Medicine, Tongji University, China [8]Department of Psychosomatic Medicine, Dongfang Hospital, School of Medicine, Tongji University, China [9]Department of Clinic Psychology, Wuhan Mental Health Centre, Wuhan, China [10]Department of Rehabilitation, General Hospital of Jincheng Anthracite Coal Mining Group Co. Ltd, China [11]Department of Psychosomatic Medicine, Beijing Hospital of Traditional Chinese Medicine, Capital University, China [12]Institute of Psychology, University of Freiburg, Germany
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关键词: General hospital Cross-sectional study Somatic symptom disorder Bodily distress syndrome Outpatients

摘要:
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.Copyright © 2023. Published by Elsevier Inc.

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出版当年[2022]版:
大类 | 2 区 医学
小类 | 2 区 精神病学
最新[2025]版:
大类 | 2 区 医学
小类 | 2 区 精神病学
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出版当年[2021]版:
Q1 PSYCHIATRY
最新[2023]版:
Q1 PSYCHIATRY

影响因子: 最新[2023版] 最新五年平均 出版当年[2021版] 出版当年五年平均 出版前一年[2020版] 出版后一年[2022版]

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第一作者单位: [1]Department of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, China
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通讯机构: [1]Department of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, China [*1]Department of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Shuaifuyuan 1, Dongcheng District, Beijing 100730, China.
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