Prediction of major depression in Japanese adults: Somatic manifestation of depression in annual health examinations

Nakao, Mutsuhiro; Yano, Eiji

doi:10.1016/j.jad.2005.09.010

Cited by 34 publications

(27 citation statements)

References 28 publications

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“…This finding is consistent with those of our previous study [14] but inconsistent with those of other studies emphasizing the importance of depression in the reporting of somatic symptoms [35,36,37]. These inconsistent results may be attributable to the possibility that relatively more anxious patients with somatic symptoms than depressed patients with somatic symptoms might have been inclined to participate in the CBT intervention used in the present study.…”

Section: Discussionsupporting

confidence: 76%

Anxiety as a Predictor of Improvements in Somatic Symptoms and Health Anxiety Associated with Cognitive-Behavioral Intervention in Hypochondriasis

Nakao

Shinozaki

Ahern

et al. 2011

Psychother Psychosom

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Background: Cognitive-behavioral therapy (CBT) has been shown to be beneficial in the treatment of hypochondriasis. In this study, we sought to determine whether there was a differential treatment effect for patients with greater levels of anxiety at the outset of treatment. Methods: A total of 182 hypochondriacal participants (139 women, mean = 42.1 years of age) were randomly assigned to a CBT or control group. All participants completed self-report measures of hypochondriasis that exceeded a predetermined threshold on 2 successive occasions. CBT consisted of 6, weekly 90-min sessions. The control subjects received the usual medical care during the same period. Three questionnaires (the Whiteley Index, the Health Anxiety Inventory, and the Somatic Symptom Inventory) were used to assess hypochondriacal symptoms, and the Symptom Checklist 90R was used to assess anxiety and other psychological symptoms. These were administered before the intervention and at 6 and 12 months after the completion of the intervention. Results: Scores on the 3 measures of hypochondriasis were significantly decreased after treatment in the CBT compared with the control group. Anxiety and other psychological symptoms also showed significant reductions in the CBT group. High levels of pretreatment anxiety predicted decreases in the 3 hypochondriasis scores after controlling for the effects of depression, age, sex, educational level, employment status, and marital status. Conclusions: High anxiety at entry into the CBT program predicted a better treatment outcome.

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Section: Discussionsupporting

confidence: 76%

Anxiety as a Predictor of Improvements in Somatic Symptoms and Health Anxiety Associated with Cognitive-Behavioral Intervention in Hypochondriasis

Nakao

Shinozaki

Ahern

et al. 2011

Psychother Psychosom

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“…Indeed our previous study 2) indicated that somatic symptoms such as lower back pain and dizziness were significant risk factors for major depression the following year at the workplace, and therefore, the result of the present study suggests that the reporting of somatic symptoms by individual workers might be a simple indicator of poor mental health.…”

Section: Discussionsupporting

confidence: 58%

“…Responses of "always" or "sometimes" were regarded to be affirmative answers, and each somatic symptom was divided into a binary variable (i.e., "always" and "sometimes" versus "never"). The sum of the somatic symptoms reported was calculated for each worker 2) .…”

Section: ) Frequency Of Somatic Symptomsmentioning

confidence: 99%

The Association of the Reporting of Somatic Symptoms with Job Stress and Active Coping among Japanese White‐collar Workers

Nomura

Nakao

Sato

et al. 2007

Journal of Occupational Health

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The Association of the Reporting of Somatic Symptoms with Job Stress and ActiveCoping among Japanese White-collar Workers: Kyoko NOMURA, et al. Department of Hygiene and Public Health, Teikyo University School of Medicine-To assess the associations between job stress and somatic symptoms and to investigate the effect of individual coping on these associations. In July 2006, a cross-sectional study was conducted during a periodic health check-up of 185 Japanese male office workers (21-66 yr old) at a Japanese company. Job stress was measured by job demand, control, and strain (=job demand/control) based on the Job Content Questionnaire (JCQ). Major somatic symptoms studied were headache, dizziness, shoulder stiffness, back pain, shortness of breath, abdominal pain, general fatigue, sleep disturbance, and skin itching. Five kinds of coping were measured using the Job Stress Scale: active coping, escape, support seeking, reconciliation, and emotional suppression. Comorbidities of hypertension, diabetes, obesity, depression, and anxiety were also evaluated. The most frequently cited somatic symptom was general fatigue (66%), followed by shoulder stiffness (63%) and sleep disturbance (53%). Of the five kinds of coping, only "active coping" was significantly and negatively associated with the number of somatic symptoms. The generalized linear models showed that the number of somatic symptoms increased as job strain index (p=0.001) and job demand (p=0.001) became higher, and decreased as active coping (p=0.018) increased, after adjusting for age and comorbidities. There was no statistical interaction among active coping, the number of somatic symptoms, and the three JCQ scales. Reporting somatic symptoms may be a simple indicator of job stress, and active coping could be used to alleviate somatization induced by job stress. (J Occup Health 2007; 49: 370-375)

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“…Depressive disorders also may cause dizziness [57]. These disorders are diagnosed according to the latest versions of the International Classification of Diseases [95] or Diagnostic and Statistical Manual of Mental Disorders [3].…”

Section: Chronic Anxiety and Depressive Disordersmentioning

confidence: 99%

Diagnostic criteria for persistent postural-perceptual dizziness (PPPD): Consensus document of the committee for the Classification of Vestibular Disorders of the Bárány Society

Staab

Eckhardt-Henn

Horii

et al. 2017

VES

559

571

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Abstract. This paper presents diagnostic criteria for persistent postural-perceptual dizziness (PPPD) to be included in the International Classification of Vestibular Disorders (ICVD). The term PPPD is new, but the disorder is not. Its diagnostic criteria were derived by expert consensus from an exhaustive review of 30 years of research on phobic postural vertigo, space-motion discomfort, visual vertigo, and chronic subjective dizziness. PPPD manifests with one or more symptoms of dizziness, unsteadiness, or non-spinning vertigo that are present on most days for three months or more and are exacerbated by upright posture, active or passive movement, and exposure to moving or complex visual stimuli. PPPD may be precipitated by conditions that disrupt balance or cause vertigo, unsteadiness, or dizziness, including peripheral or central vestibular disorders, other medical illnesses, or psychological distress. PPPD may be present alone or co-exist with other conditions. Possible subtypes await future identification and validation. The pathophysiologic processes underlying PPPD are not fully known. Emerging research suggests that it may arise from functional changes in postural control mechanisms, multi-sensory information processing, or cortical integration of spatial orientation and threat assessment. Thus, PPPD is classified as a chronic functional vestibular disorder. It is not a structural or psychiatric condition.

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Prediction of major depression in Japanese adults: Somatic manifestation of depression in annual health examinations

Cited by 34 publications

References 28 publications

Anxiety as a Predictor of Improvements in Somatic Symptoms and Health Anxiety Associated with Cognitive-Behavioral Intervention in Hypochondriasis

Anxiety as a Predictor of Improvements in Somatic Symptoms and Health Anxiety Associated with Cognitive-Behavioral Intervention in Hypochondriasis

The Association of the Reporting of Somatic Symptoms with Job Stress and Active Coping among Japanese White‐collar Workers

Diagnostic criteria for persistent postural-perceptual dizziness (PPPD): Consensus document of the committee for the Classification of Vestibular Disorders of the Bárány Society

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