Prevalence and strong association of high somatic symptom severity with depression and anxiety in a Chinese inpatient population

Wang, Jian; Guo, Wanjun; Mo, Li-Ling; Luo, Shanhong; Yu, Jing; Dong, Zaiquan; Liu, Yang; Huang, Meizhu; Wang, Yu; Chen, Liang; He, Ning; Chen, Ran; Zhang, Lan; Li, Tao

doi:10.1111/appy.12282

Cited by 11 publications

(9 citation statements)

References 17 publications

(26 reference statements)

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“…It is directly related to the sense of well-being, quality of life, and health care expenses [ 10 , 11 ]. The study of somatic symptom burden has attracted the interests of researchers from different parts of the world and researchers have studied it in common clinical conditions such as anxiety, depression, chronic obstructive pulmonary disease (COPD), and cardiac illnesses [ 12 - 14 ]. In a large study involving 1,329 patients with anxiety and depression disorders, it has been found that 72.2%, 20.7%, and 7.1% of patients had a minimal/mild, medium, and high level of somatic symptom severity, respectively [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

“…The study of somatic symptom burden has attracted the interests of researchers from different parts of the world and researchers have studied it in common clinical conditions such as anxiety, depression, chronic obstructive pulmonary disease (COPD), and cardiac illnesses [ 12 - 14 ]. In a large study involving 1,329 patients with anxiety and depression disorders, it has been found that 72.2%, 20.7%, and 7.1% of patients had a minimal/mild, medium, and high level of somatic symptom severity, respectively [ 12 ]. In another study involving COPD patients, it was found that minimal/mild, medium, and high level of somatic symptom severity was present in 45.5%, 27.3%, and 27.3% of the patients studied, respectively [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

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Association of Somatic Symptom Severity With Sociodemographic Parameters In Patients With Medically Unexplained Physical Symptoms: A Cross-Sectional Study From a Tertiary Care Center in India

Baitha¹,

Ranjan²,

Deb³

et al. 2020

Cureus

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Association of Somatic Symptom Severity With Sociodemographic Parameters In Patients With Medically Unexplained Physical Symptoms: A Cross-Sectional Study From a Tertiary Care Center in India

Baitha¹,

Ranjan²,

Deb³

et al. 2020

Cureus

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“…Items can be summed up to generate a continuous measure of depressive symptoms. A cut-point of 10 is used to indicate at least moderate level of depressive symptoms [22]. The Chinese version of PHQ-9 had a sensitivity of 93.33% and a specificity of 96.83% for major depression [23].…”

Section: Methodsmentioning

confidence: 99%

Relationship between sleep duration and sociodemographic characteristics, mental health and chronic diseases in individuals aged from 18 to 85 years old in Guangdong province in China: a population-based cross-sectional study

Xie

Wang

et al. 2020

BMC Psychiatry

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Background Sleep is vital for maintaining individual’s physical and mental health. Prior studies have reported close relationships between sleep duration and chronic diseases. However, in China, the prevalence of aberrant sleep duration and the associations between sleep duration and chronic conditions still merit studying in Guangdong province. This study aimed at examining the relationship between sleep duration and multiple dimensions of sociodemographic characteristics, mental health and chronic diseases in Guangdong province in China, with a large population-based data of individuals aged from 18 to 85 years old. Methods This study aimed at analyzing the sociodemographic and clinical characteristics of the population in Guangdong province. Multistage stratified cluster sampling was applied for this study. 13,768 participants from Guangdong province were interviewed with standardized assessment tools, including Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder (GAD-7). Basic socio-demographic information, mental health and chronic diseases information were collected. Self-reported sleep duration was classified as three types: short (< 7 h), normative (7-9 h) and long (≥9 h). Results The mean sleep duration was 6.75 ± 1.11 h. Short sleepers had a higher prevalence of chronic diseases, including anemia (6.2%, p = 0.024), gout (2.8%, p = 0.010), hyperlipidemia (3.9%, p = 0.003) and low back pain (5.6%, p = 0.020) than other types of sleeper. Multinomial logistic regression analysis revealed that short sleepers were more likely to have low income level, have depressive symptoms, be ex- or current drinkers and be overweight. Anemia, hyperlipidemia and low back pain were all risk factors for short sleep, while malignant tumor was risky for long sleep. Conclusions Low income level, drinking status, being overweight, and chronic conditions may be associated with aberrant sleep duration in Guangdong province general population. Short sleepers have a higher risk of suffering from anemia, hyperlipidemia, and low back pain, while long sleepers are more likely to have malignant tumor. Health professionals should value the sleep patterns in general health care and attach importance to conduct further epidemiologic surveys to explore the relationship between sleep duration and health.

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“…Secondly, the three Chinese versions of GAD-7, PHQ-9 and PHQ-15 recommended by DSM-5 were used as research tools in this study. Several previous studies [16,20,21] confirmed that the three scales could be used to screen anxiety, depression and somatization symptoms and assess the severity of anxiety, depression and somatization with good validity and reliability respectively in general hospitals in China.…”

Section: Discussionmentioning

confidence: 87%

Clinical characteristics and relating factors of somatization symptoms of outpatients with psychological disorders: A cross-sectional observational study

Gong

Zhang

Jin

et al. 2019

Preprint

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Background:Cardiovascular disease patients associated with psychological disorders are very common clinically.It has been demonstrated in previous study that a higher prevalence of psychiatric disorders in the patients with CVD than the general population.Anxiety and depression are found to be the most common types of psychiatric disorders in the patients with CVD.Objective:Exploring the clinical characteristics and relating factors of somatization symptoms of the outpatients with psychological disorders. Methods:From August 2017 to July 2018,we used the General Anxiety Disorder-7, Patient Health Questionnaire, Patient Health Questionnaire-15 and self-made general demographic data questionnaire to investigate the outpatients suspected with psychiatric disorders in cardiology department in a general hospital,who were screened with the"three questions"method.Results:Among the 508 effective patients, the total detection rate of anxiety/depression was 81.1%(412/508),and the detection rate of somatization symptoms was 93.1%(473/508).The positive number of PHQ-15 symptom items was 8.54±2.67,and the detection rate of anxiety/depression was 78.7% in 473 patients with somatization symptoms.Among the patients with mild,moderate and severe somatization symptoms,there were significant differences in the proportion of women, the average number of the patient visits and hospitalizations in the past year(P=0.0341, 0.023),and also in GAD-7 and PHQ-9 scale scores(P=0.0282, 0.0011).Linear correlation analysis showed PHQ-15 score was significantly correlated with GAD-7(r=0.4787, P<0.001) and PHQ-9 score(r=0.5141, P<0.001).Stepwise logistic regression analysis showed that the PHQ-9,GAD-7 scores and female were positive factors on somatizations.Conclusion:The incidence of somatization symptoms is high in patients with psychological disorders in the outpatients of cardiology department.

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Prevalence and strong association of high somatic symptom severity with depression and anxiety in a Chinese inpatient population

Abstract: The symptom profile and high prevalence of HSSS, and its association with clinically significant depression and anxiety in this inpatient population were mostly consistent to that documented by studies in other populations.

Cited by 11 publications

References 17 publications

Association of Somatic Symptom Severity With Sociodemographic Parameters In Patients With Medically Unexplained Physical Symptoms: A Cross-Sectional Study From a Tertiary Care Center in India

Association of Somatic Symptom Severity With Sociodemographic Parameters In Patients With Medically Unexplained Physical Symptoms: A Cross-Sectional Study From a Tertiary Care Center in India

Relationship between sleep duration and sociodemographic characteristics, mental health and chronic diseases in individuals aged from 18 to 85 years old in Guangdong province in China: a population-based cross-sectional study

Clinical characteristics and relating factors of somatization symptoms of outpatients with psychological disorders: A cross-sectional observational study

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