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

Tomenson, Barbara; Essau, Cecilia A.; Jacobi, Frank; Ladwig, Karl Heinz; Leiknes, Kari Ann; Lieb, Roselind; Meinlschmidt, Gunther; McBeth, John; Rosmalen, Judith; Rief, Winfried; Sumathipala, Athula; Creed, Francis

doi:10.1192/bjp.bp.112.114405

Cited by 112 publications

(96 citation statements)

References 41 publications

(73 reference statements)

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“…Multiple somatic symptoms, such as headache and musculoskeletal (MS) pain, have been associated with an increased risk of poor health status [1][2][3] and high health care use [3][4][5] independently of the etiology of the symptoms. This indicates an importance of focusing on multiple symptoms in health research and not only on a few specific symptoms or diseases.…”

Section: Introductionmentioning

confidence: 99%

“…This indicates an importance of focusing on multiple symptoms in health research and not only on a few specific symptoms or diseases. Studies looking at the epidemiology of multiple symptoms have mainly used the number of symptoms to identify groups at risk [1][2][3][4] using standard symptom questionnaires, eg, the Patient Health Questionnaire 6 and the Symptom Checklist. 7 However, it can be questioned if this method identifies the persons at the highest risk of poor health and hence leads to blurred or distorted results.…”

Section: Introductionmentioning

confidence: 99%

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Somatic symptom profiles in the general population: A latent class analysis in a Danish population-based health survey

Eliasen¹,

Kreiner

Ebstrup³

et al. 2015

Journal of Psychosomatic Research

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Purpose: The aim of this study was to identify and describe somatic symptom profiles in the general adult population in order to enable further epidemiological research within multiple somatic symptoms. Methods: Information on 19 self-reported common somatic symptoms was achieved from a population-based questionnaire survey of 36,163 randomly selected adults in the Capital Region of Denmark (55.4% women). The participants stated whether they had been considerably bothered by each symptom within 14 days prior to answering the questionnaire. We used latent class analysis to identify the somatic symptom profiles. The profiles were further described by their association with age, sex, chronic disease, and self-perceived health. Results: We identified 10 different somatic symptom profiles defined by number, type, and site of the symptoms. The majority of the population (74.0%) had a profile characterized by no considerable bothering symptoms, while a minor group of 3.9% had profiles defined by a high risk of multiple somatic symptoms. The remaining profiles were more likely to be characterized by a few specific symptoms. The profiles could further be described by their associations with age, sex, chronic disease, and self-perceived health. Conclusion:The identified somatic symptom profiles could be distinguished by number, type, and site of the symptoms. The profiles have the potential to be used in further epidemiological studies on risk factors and prognosis of somatic symptoms but should be confirmed in other population-based studies with specific focus on symptom burden.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Somatic symptom profiles in the general population: A latent class analysis in a Danish population-based health survey

Eliasen¹,

Kreiner

Ebstrup³

et al. 2015

Journal of Psychosomatic Research

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“…In diagnostic follow-up studies, only 0.5% of initial diagnoses of FSS had to be changed into a diagnosis of definite medical disease, whereas an initial thorough evaluation of patients said to have FSS reveals underlying organic pathology in up to 8% of cases [9,10]. Importantly, the overall number of bodily symptoms is a strong predictor of disability and health care use and appears to be a better measure of overall severity than the severity of a single symptom or single FSS or the description of bodily symptoms as “medically unexplained” [11,12,13]. High health anxiety is an additional, independent predictor of health care use [14,15].…”

Section: The Clinical Problem: a Matter Of Perspectivementioning

confidence: 99%

“…Two to three percent of the population have multiple FSS; such individuals have more severe illness, more concurrent anxiety or depressive disorders, and greater impairment [13,42,43]. …”

Section: Terminology Classification and Classificatory Overlapmentioning

confidence: 99%

Management of Functional Somatic Syndromes and Bodily Distress

Henningsen

Zipfel²,

Sattel³

et al. 2018

Psychother Psychosom

229

182

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Functional somatic syndromes (FSS), like irritable bowel syndrome or fibromyalgia and other symptoms reflecting bodily distress, are common in practically all areas of medicine worldwide. Diagnostic and therapeutic approaches to these symptoms and syndromes vary substantially across and within medical specialties from biomedicine to psychiatry. Patients may become frustrated with the lack of effective treatment, doctors may experience these disorders as difficult to treat, and this type of health problem forms an important component of the global burden of disease. This review intends to develop a unifying perspective on the understanding and management of FSS and bodily distress. Firstly, we present the clinical problem and review current concepts for classification. Secondly, we propose an integrated etiological model which encompasses a wide range of biopsychosocial vulnerability and triggering factors and considers consecutive aggravating and maintaining factors. Thirdly, we systematically scrutinize the current evidence base in terms of an umbrella review of systematic reviews from 2007 to 2017 and give recommendations for treatment for all levels of care, concentrating on developments over the last 10 years. We conclude that activating, patient-involving, and centrally acting therapies appear to be more effective than passive ones that primarily act on peripheral physiology, and we recommend stepped care approaches that translate a truly biopsychosocial approach into actual management of the patient.

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“…3 Ayrıca belirtilerin belirleyici olmayıp bulunan belirtinin işaretlenmesine yöne-lik çalışmalar da bedensel belirti bozukluğunun kavramlaştırılmasına katkıda bulunmuştur. 4 Diğer yandan önceden hipokondriyazis olarak bilinen bozukluk hastalık anksiyetesi bozukluğu (health anxiety disorder) başlığı altında yeniden kavramlaştırılmış ve hastanın hastalık anksiyetesine vurgu yapan biçimde yeniden düzenlen-miştir. 3 Konversiyon bozukluğunda ise önemli değişiklikler yapılmamıştır.…”

Section: Introductionunclassified

Reliability and validity of Turkish Form of Somatic Symptom Scale and Level 2 Somatic Symptom Scale

Sarıkavak¹,

Balıkçı²,

Aydemi̇r³

et al. 2017

Anadolu Psikiyatri Derg

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

Abstract: 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.

Cited by 112 publications

References 41 publications

Somatic symptom profiles in the general population: A latent class analysis in a Danish population-based health survey

Somatic symptom profiles in the general population: A latent class analysis in a Danish population-based health survey

Management of Functional Somatic Syndromes and Bodily Distress

Reliability and validity of Turkish Form of Somatic Symptom Scale and Level 2 Somatic Symptom Scale

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