A comparison of patients with somatic symptom disorder attending psychiatric services and those unwilling to attend psychiatric services

Naskar, Chandrima; Grover, Sandeep; Sharma, Aman; Padhy, Susanta Kumar

doi:10.1016/j.ajp.2020.102163

Cited by 5 publications

(5 citation statements)

References 25 publications

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“…Comparisons of sociodemographic features among SSD patients in different settings showed that the mean age was significantly higher for patients attending the modern biomedical settings than those attending the psychosomatic medicine departments. Consistent with previous studies, which found that patients attending the rheumatology outpatient services had a higher mean age than those attending the psychiatry outpatient services ( 13 ). Patients with late onset symptoms may tend think their symptoms are physical and thus are reluctant to seek mental health services.…”

Section: Discussionsupporting

confidence: 92%

“…The prevalence rates of SSD may be higher in patients with functional disabilities, such as fibromyalgia syndrome, functional gastrointestinal disease, and chronic fatigue syndrome ( 12 ). A study comparing the clinical features of patients with SSD attending psychiatric services and rheumatology outpatient services found that rheumatology outpatients had increased somatosensory amplification, hypochondria, amenorrhea, higher stigmatization attitudes toward mental illness, poorer quality of life and higher degree of disability ( 13 ). This suggests different psychometric characteristics in different patient groups.…”

Section: Introductionmentioning

confidence: 99%

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Differences in psychometric characteristics of outpatients with somatic symptom disorder from general hospital biomedical (neurology/gastroenterology), traditional Chinese medicine, and psychosomatic settings

Lü

Fritzsche

et al. 2023

Front. Psychiatry

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ObjectiveThe aim of this study is to investigate the psychometric characteristics of outpatients diagnosed with somatic symptom disorder (SSD) in biomedical, Traditional Chinese Medicine (TCM) and psychosomatic settings.Materials and methodsA total of 697 participants who completed SCID-5 and questionnaires were presented in our former study, as 3 of them had missed questionnaire data, a total of 694 participants are presented in this study. A secondary analysis of the psychometric characteristics of Somatic Symptom Disorder–B Criteria Scale (SSD-12), Somatic Symptom Severity Scale of the Patient-Health Questionnaire (PHQ-15), Patient Health Questionnaire-9 (PHQ-9) and General Anxiety Disorder-7 (GAD-7) is done to compare differences among outpatients from the three settings of medical specialties.ResultsBased on the DSM-5 criteria, 90 out of 224 (40.2%) participants enrolled in biomedical departments (represented by neurology and gastroenterology departments), 44/231 (19.0%) in TCM departments, and 101/239 (42.3%) in the psychosomatic medicine departments were diagnosed with SSD. The scores of PHQ-15 in the biomedical, TCM and psychosomatic settings were 11.08 (± 4.54), 11.02 (± 5.27) and 13.26 (± 6.20); PHQ-9 were 10.43 (± 6.42), 11.20 (± 5.46) and 13.42 (± 7.32); GAD-7 were 8.52 (± 6.22), 9.57 (± 5.06) and 10.83 (± 6.24); SSD-12 were 22.26 (± 11.53), 22.98 (± 10.96) and 25.03 (± 11.54) respectively. The scores of PHQ-15, PHQ-9 and GAD-7 in SSD patients were significantly higher in psychosomatic departments than that in biomedical settings (p < 0.05). The cutoff point for SSD-12 was ≥16 in total patients; 16, 16, 17 in biomedical, TCM and psychosomatic settings, respectively. The cutoff point for PHQ-15 was found to be ≥8 in total patients; 8, 9, 11 in biomedical, TCM and psychosomatic settings, respectively.ConclusionSSD patients from psychosomatic departments had higher level of somatic symptom severity, depression and anxiety than from TCM and biomedical settings. In our specific sample, a cutoff point of ≥16 for SSD-12 could be recommended in all three settings. But the cutoff point of PHQ-15 differs much between different settings, which was ≥8, 9, and 11 in biomedical, TCM, and psychosomatic settings, respectively.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Differences in psychometric characteristics of outpatients with somatic symptom disorder from general hospital biomedical (neurology/gastroenterology), traditional Chinese medicine, and psychosomatic settings

Lü

Fritzsche

et al. 2023

Front. Psychiatry

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“…This was a telephonic survey, in which patients diagnosed with somatic symptom disorder as per the DSM-5 criteria, by using MINI-PLUS (Sheehan et al, 1998), as part of a previous project (Naskar et al, 2020) were contacted. A new submission was made to the Ethics Committee for contacting these patients for assessment and single-session intervention.…”

mentioning

confidence: 99%

Telephonic survey and psychological aid for patients with somatic symptom disorders for the impact of lockdown and COVID-19 pandemic

Naskar

Grover

Sharma

2020

Int J Soc Psychiatry

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“… 56 A controlled study showed that patients visiting the rheumatology clinic had higher levels of somatosensory magnification, hypochondriasis, alexithymia, higher stigmatising attitudes towards mental illness, poorer quality of life and higher disability than patients visiting the psychiatric clinic. 57 …”

Section: Resultsmentioning

confidence: 99%

“…35 42 52 Another study showed that patients’ willingness to attend a psychiatric clinic was associated with better quality of life and lower disability. 57 Also, the severity of depressive symptoms and the cognitive behaviours related to somatic symptoms in patients with SSD are prognostic factors of quality of life impairment. 54…”

Section: Discussionmentioning

confidence: 99%

Scoping review update on somatic symptom disorder that includes additional Chinese data

Wu,

Manglike,

Chen

et al. 2023

Gen Psych

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Somatic symptom disorder (SSD) is a new diagnosis introduced into the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), which is expected to solve the diagnostic difficulties of patients with medically unexplained symptoms.Based on the previous work, this review aims to comprehensively synthesise updated evidence related to SSD from recent years in English publications and, more extensively, from data published in Chinese language journals.The scoping review update was based on an earlier scoping review and included Chinese language publication data from China National Knowledge Internet (CNKI), WANFANG and WEIPU between January 2013 and May 2022 and data from PubMed, PsycINFO, and Cochrane Library between June 2020 and May 2022.Initially, 2 984 articles were identified, of which 63 full texts were included for analysis. In China, SSD is mainly applied in scientific research, but it also shows good predictive validity and clinical application potential. The mean frequency of SSD was 4.5% in the general population, 25.2% in the primary care population and 33.5% in diverse specialised care settings. Biological factors, such as brain region changes and heart rate variability, are associated with the onset of SSD. Psychological impairment related to somatic symptoms is the best predictor of prognosis. While adolescent SSD was significantly associated with family function, SSD overall is associated with an increased dysfunction of cognition and emotion, decreased quality of life, and high comorbidity with anxiety and depressive disorders. Further research is needed on suicide risk and cultural and gender-related issues.Updating the data of Chinese language studies, our research enriches the evidence-based findings related to the topics addressed in the text sections of the SSD chapter of DSM-5. However, research gaps remain about SSD reliability, population-based prevalence, suicide risk, and cultural and gender-related issues.

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A comparison of patients with somatic symptom disorder attending psychiatric services and those unwilling to attend psychiatric services

Cited by 5 publications

References 25 publications

Differences in psychometric characteristics of outpatients with somatic symptom disorder from general hospital biomedical (neurology/gastroenterology), traditional Chinese medicine, and psychosomatic settings

Differences in psychometric characteristics of outpatients with somatic symptom disorder from general hospital biomedical (neurology/gastroenterology), traditional Chinese medicine, and psychosomatic settings

Telephonic survey and psychological aid for patients with somatic symptom disorders for the impact of lockdown and COVID-19 pandemic

Scoping review update on somatic symptom disorder that includes additional Chinese data

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