المؤلفون: Katharina Radziej, Heribert Sattel, Karina Limburg, Claas Lahmann

المصدر: Journal of Psychosomatic Research. 91:26-32

مصطلحات موضوعية: Adult, Male, Pediatrics, medicine.medical_specialty, Psychometrics, Somatic symptom disorder, Audiology, Dizziness, DSM-5, 03 medical and health sciences, 0302 clinical medicine, Surveys and Questionnaires, Vertigo, medicine, Humans, In patient, 030212 general & internal medicine, Medical diagnosis, Patient group, Somatoform Disorders, Aged, biology, business.industry, Cognition, Middle Aged, medicine.disease, biology.organism_classification, Diagnostic and Statistical Manual of Mental Disorders, Psychiatry and Mental health, Clinical Psychology, Medically Unexplained Symptoms, Female, business, 030217 neurology & neurosurgery

الوصف: Objective DSM-5 somatic symptom disorder (SSD) could potentially be a highly relevant diagnosis for patients with vertigo and dizziness. The criteria of SSD, particularly the B-criterion with its three components (cognitive, affective, behavioral), have however not yet been investigated in this patient group. Methods We evaluated a large sample ( n = 399) of outpatients presenting in a neurological setting. Physical examinations and a psychometric assessment (SCID-I) were conducted; patients completed self-report questionnaires. The diagnosis of SSD was assigned retrospectively. The prevalence of SSD, its diagnostic criteria, and its overlap with former DSM-IV somatoform disorders were evaluated; comparisons were drawn between (1) patients fulfilling different components of the B-criterion and (2) patients with diagnoses after DSM-IV vs. DSM-5 . Results SSD was almost twice as common as DSM-IV somatoform disorders. Patients with all three components of the B-criterion reported the highest impairment levels. Patients with both DSM-IV somatoform disorders and DSM-5 SSD were more impaired compared to groups with one of the diagnoses; patients with DSM-IV somatoform disorders only were more impaired than those with SSD only. Conclusions Our findings demonstrate that SSD is highly prevalent in patients with vertigo and dizziness. The classification of severity based on the number of psychological symptoms appears valid and may assist in finding suitable treatment options according to clinical practice guidelines. Future studies should investigate the overlap of SSD and other psychiatric disorders, this may assist in better defining the diagnostic criteria of SSD.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8b30ad8eed5027b5037db32a2e49a0fbTest
https://doi.org/10.1016/j.jpsychores.2016.10.005Test

المؤلفون: Elmar Brähler, Bernd Löwe, Pascal Jordan, Anne Toussaint

المصدر: Journal of psychosomatic research. 97

مصطلحات موضوعية: Predictive validity, Adult, Male, Adolescent, Psychometrics, Population, Somatic symptom disorder, Logistic regression, Correlation, 03 medical and health sciences, Young Adult, 0302 clinical medicine, Cronbach's alpha, Surveys and Questionnaires, medicine, Humans, 030212 general & internal medicine, education, Aged, education.field_of_study, Reproducibility of Results, Middle Aged, medicine.disease, Confirmatory factor analysis, Quantile regression, Psychiatry and Mental health, Clinical Psychology, Medically Unexplained Symptoms, Female, Psychology, Factor Analysis, Statistical, 030217 neurology & neurosurgery, Clinical psychology

الوصف: The Somatic Symptom Disorder - B Criteria Scale (SSD-12) assesses the psychological features of DSM-5 Somatic Symptom Disorder (SSD). The present study investigates the dimensionality and psychometric properties in a general population sample and provides norm values.Test dimensionality was evaluated via confirmatory factor analysis and nonparametric item response theory. Correlational analyses and logistic regression models based on related measures (SSS 8, PHQ-2, GAD-2, Health Care Utilization) were used to derive predictive validity. Age and gender specific norms were derived via quantile regression.The SSD-12 has good item characteristics and excellent reliability (Cronbach's α=0.95). Confirmatory factor analyses revealed a high correlation between the three proposed psychological subscales interpreted as cognitive, affective and behavioral aspects, indicating a general factor model of the SSD-12 in the general population (n=2362, CFI=0.99, TLI=0.998, RMSEA=0.09, 90% CI: 0.09-0.1). SSD-12 total sum-score was significantly associated with somatic symptom burden (r=0.73, p0.001), general anxiety (r=0.63, p0.001) and depressive symptoms (r=0.64, p0.001). Patients with a higher SSD-12 symptom burden reported higher general physical and mental health impairment and a significantly higher health care use.The SSD-12 is a reliable and valid self-report measure of the psychological characteristics of DSM-5 Somatic Symptom Disorder. The provided norms enable researchers and clinicians to compare SSD-12 scores with reference values of a general population sample.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c291038fd18fce68635cd78cad83d225Test
https://pubmed.ncbi.nlm.nih.gov/28606504Test

المؤلفون: Katharina Voigt, Bernd Löwe, Annabel Herzog, Eileen Wollburg, Christoph Braukhaus

المصدر: Journal of Psychosomatic Research. 74:18-24

مصطلحات موضوعية: Adult, Male, Weakness, medicine.medical_specialty, Psychometrics, Comorbidity, Somatic symptom disorder, Logistic regression, DSM-5, Diagnostic Self Evaluation, Germany, Surveys and Questionnaires, medicine, Humans, Somatoform Disorders, Psychiatry, Illness Behavior, Depressive Disorder, Construct validity, Middle Aged, medicine.disease, Anxiety Disorders, Diagnostic and Statistical Manual of Mental Disorders, Hospitalization, Psychiatry and Mental health, Clinical Psychology, Cross-Sectional Studies, Anxiety, Female, medicine.symptom, Construct (philosophy), Psychology, Somatization, Clinical psychology

الوصف: Objective Current diagnostic criteria for somatoform disorders demand revisions due to their insufficient clinical as well as scientific usability. Various psychological and behavioral characteristics have been considered for the proposed new category Somatic Symptom Disorder ( SSD ). With this study, we were able to jointly assess the validity of these variables in an inpatient sample. Methods Using a cross-sectional design, we investigated N = 456 patients suffering from somatoform disorder, anxiety, or depression. Within one week after admission to the hospital, informed consent was obtained and afterwards, a diagnostic interview and a battery of self-report questionnaires were administered. Logistic regression analyses were performed to determine which variables significantly add to construct and descriptive validity. Results Several features, such as somatic symptom severity, health worries, health habits, a self-concept of being weak, and symptom attribution, predicted physical health status in somatization. Overall, our model explained about 50% of the total variance. Furthermore, in comparison with anxious and depressed patients, health anxiety, body scanning, and a self-concept of bodily weakness were specific for DSM-IV somatoform disorders and the proposed SSD . Conclusions The present study supports the inclusion of psychological and behavioral characteristics in the DSM-5 diagnostic criteria for somatoform disorders. Based on our results, we make suggestions for a slight modification of criterion B to enhance construct validity of the Somatic Symptom Disorder .

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::052018569aea000473fe532b349ad2c9Test
https://doi.org/10.1016/j.jpsychores.2012.09.015Test

المؤلفون: Bernd Löwe, Ronald P. Stolk, Judith G. M. Rosmalen, Winfried Rief, Peter D White, Wilma L. Zijlema

المصدر: Journal of Psychosomatic Research; Vol 74

مصطلحات موضوعية: Questionnaires, SOMATOFORM DISORDERS, medicine.medical_specialty, Large-scale studies, Psychometrics, PRIMARY-CARE PATIENTS, MEDLINE, ITEM RESPONSE THEORY, Validity, PsycINFO, Dizziness, 03 medical and health sciences, 0302 clinical medicine, Surveys and Questionnaires, SELF-REPORT QUESTIONNAIRE, SOMATIZATION DISORDER, Item response theory, medicine, Humans, 030212 general & internal medicine, Somatization disorder, MEDICALLY UNEXPLAINED SYMPTOMS, PATIENT HEALTH QUESTIONNAIRE-15, GENERAL-POPULATION, Somatization Scale, business.industry, Headache, Reproducibility of Results, PHYSICAL SYMPTOMS, Nausea, Reliability, medicine.disease, Low back pain, 3. Good health, 030227 psychiatry, Common somatic symptoms, Psychiatry and Mental health, Clinical Psychology, PSYCHOMETRIC PROPERTIES, Dyspnea, Physical therapy, Functional somatic symptoms, Symptom Assessment, medicine.symptom, business, Low Back Pain

الوصف: Objective: Many questionnaires for assessment of common somatic symptoms or functional somatic symptoms are available and their use differs greatly among studies. The prevalence and incidence of symptoms are partially determined by the methods used to assess them. As a result, comparison across studies is difficult. This article describes a systematic review of self-report questionnaires for somatic symptoms for use in large-scale studies and recommends two questionnaires for use in such studies. Methods: A literature search was performed in the databases Medline, PsycINFO and EMBASE. Articles that reported the development, evaluation, or review of a self-report somatic symptom measure were included. Instrument evaluation was based on validity and reliability, and their fitness for purpose in large scale studies, according to the PhenX criteria. Results: The literature search identified 40 questionnaires. The number of items within the questionnaires ranged from 5 to 78 items. In 70% of the questionnaires, headaches were included, followed by nausea/upset stomach. (65%), shortness of breath/breathing trouble (58%), dizziness (55%), and (low) back pain/backaches (55%). Data on validity and reliability were reported and used for evaluation. Conclusion: Questionnaires varied regarding usability and burden to participants, and relevance to a variety of populations and regions. Based on our criteria, the Patient Health Questionnaire-15 and the Symptom Checklist-90 somatization scale seem the most fit for purpose for use in large-scale studies. These two questionnaires have well-established psychometric properties, contain relevant symptoms, are relatively short, and are available in multiple languages. (C) 2013 Elsevier Inc. All rights reserved.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::23e9af312f165089c6a104e6157cb017Test

المؤلفون: Susan E. Abbey, Vanessa C. Delisle, Sherry L. Grace, Brett D. Thombs, Russell Steele, Roy C. Ziegelstein, Erin Arthurs, Donna E. Stewart

المصدر: Journal of Psychosomatic Research. 73:356-361

مصطلحات موضوعية: Adult, Male, medicine.medical_specialty, Time Factors, Personality Inventory, Psychometrics, Myocardial Infarction, Symptom reporting, Humans, Medicine, Myocardial infarction, Depression (differential diagnoses), Aged, Psychiatric Status Rating Scales, Depression, business.industry, Beck Depression Inventory, Cognition, Middle Aged, Prognosis, medicine.disease, humanities, Psychiatry and Mental health, Clinical Psychology, Physical therapy, Myocardial infarction complications, Female, Personality Assessment Inventory, business

الوصف: Objective Depressive symptoms following myocardial infarction (MI) are often assessed using self-report questionnaires, such as the Beck Depression Inventory (BDI). No studies have examined whether depressive symptom scores assessed by self-report questionnaires during hospitalization post-MI are influenced by factors related to the acute event or hospitalization compared to subsequent outpatient assessments of the same patients. The objective of this study was to compare BDI total scores, somatic scores, and cognitive/affective scores among post-MI patients in-hospital versus at post-discharge follow-up. Methods Secondary analysis of data from two existing cohorts of post-MI patients (Groningen, The Netherlands and Toronto, Canada). In-hospital BDI scores and follow-up scores were compared using paired samples t-tests. Results There were 1556 patients from the Groningen sample with BDI data in-hospital and at 3-months post-MI and 229 patients from Toronto with data in-hospital and at 6-months post-MI. BDI total, somatic, and cognitive/affective scores did not differ significantly between in-hospital and follow-up assessments in either sample. Similarly, there were no substantive differences in symptom composition in either sample. Somatic symptoms accounted for 66.3% of total BDI scores in-hospital versus 64.9% at 3-months post-MI for Groningen patients and for 62.1% of total scores in-hospital versus 64.3% at 6-months post-MI for Toronto patients. Conclusion Overall BDI total scores, somatic scores, and cognitive/affective scores did not differ between in-hospital and subsequent outpatient assessments. The timing of when depressive symptoms are assessed post-MI does not appear to influence the overall level of BDI scores or the composition of symptoms that are reported.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::3550f15989033d3e44219d1cef7c4fb1Test
https://doi.org/10.1016/j.jpsychores.2012.08.021Test

المؤلفون: Teixeira, Ana^1,2 (AUTHOR), Ribeiro, Cristiano³ (AUTHOR), Gaio, Rita⁴ (AUTHOR), Torres, Tiago⁵ (AUTHOR), Magina, Sofia⁶ (AUTHOR), Pereira, Teresa⁷ (AUTHOR), Teixeira, Maribel¹ (AUTHOR) maribel.teixeira@iucs.cespu.pt, Rocha, José Carlos³ (AUTHOR), Lobo, José Manuel Sousa² (AUTHOR), Almeida, Isabel Filipa^1,2 (AUTHOR) ifalmeida@ff.up.pt, Vidal, Diogo Guedes⁸ (AUTHOR), Pedrosa e Sousa, Hélder Fernando⁹ (AUTHOR), Dinis, Maria Alzira Pimenta⁸ (AUTHOR), Almeida, Vera^2,10 (AUTHOR)

المصدر: Journal of Psychosomatic Research. Mar2022, Vol. 154, pN.PAG-N.PAG. 1p.

مصطلحات موضوعية: *PSORIASIS, *PSORIATIC arthritis, *BRIEF Symptom Inventory, *PSYCHOMETRICS, *SCIENTIFIC observation, *DISABILITIES

مستخلص: Objectives: The psychosocial impact of psoriasis is well documented. However, the contributing role of clinical disease characteristics is not satisfactorily explored. This study aimed to validate the Self-administered Psoriasis Area and Severity Index (SAPASI) to a Portuguese population (SAPASI-PT) and to perform its cross-validation, assessing how the results will generalize to an independent data set, with the Psoriasis Area and Severity Index (PASI), in order to assess the influence of psoriasis' severity on psychosocial disability and psychopathology.Methods: A cross-sectional study with 228 patients with psoriasis was carried out. Data was collected through a sociodemographic and clinical questionnaire, SAPASI-PT, the Psoriasis Disability Index (PDI) and the Brief Symptoms Inventory (BSI). The cultural and linguistic adaptation of SAPASI to a Portuguese version and the cross validation with PASI was carried out. Multiple associations between psychosocial disability, psychopathology and severity, discomfort and location of lesions were investigated through logistic regression models.Results: A good adjustment model for SAPASI-PT is found. Also, associations between psychosocial disability, psychopathology and the psoriasis severity and discomfort are found. The existence of lesions is positively associated with the severity of the disease. Patients with lesions in hands or genitals are those reporting a greater discomfort. The presence of lesions in hands is positively associated with PDI, i.e., with leisure and with treatment, marginally. Additionally, patients scoring higher in the personal dimension are found to have a significantly greater percentage of lesions in the genitals.Conclusions: The psoriasis severity and location of lesions are important determinants of patients´ quality of life. Lesions on face, hands and genitals are associated with a higher impact on psychosocial wellbeing of patients. Psychological counselling should be considered within psoriasis treatment context in patients with the described disease manifestations. [ABSTRACT FROM AUTHOR]

المؤلفون: Wolfgang Hiller, Ulrike Ehlert, Susanne Fischer, Fabian Jasper, Urs M. Nater, Michael Witthöft

المساهمون: University of Zurich, Jasper, Fabian

المصدر: Journal of psychosomatic research. 74(6)

مصطلحات موضوعية: Adult, Male, Psychometrics, Sensation, Sensitivity and Specificity, 2738 Psychiatry and Mental Health, Rating scale, Surveys and Questionnaires, Statistics, medicine, Humans, Set (psychology), Somatoform Disorders, Rasch model, 10093 Institute of Psychology, Somatosensory amplification, 3203 Clinical Psychology, Polytomous Rasch model, Hypervigilance, Psychiatry and Mental health, Clinical Psychology, Anxiety, Female, medicine.symptom, Symptom Assessment, 150 Psychology, Psychology, Clinical psychology

الوصف: Objective Somatosensory amplification refers to a person's tendency to experience somatic sensations as inappropriately intense and involves hypervigilance concerning bodily sensations. We applied the Somatosensory Amplification Scale (SSAS) in an Internet sample of young adults (N = 3031) to test whether the SSAS is Rasch scalable. Methods We applied mixture distribution extensions of the partial credit and rating scale models to identify possible subgroups that use the response set of the SSAS in different ways. Results A partial credit model, with two latent classes, showed a superior fit to all other models. Still, one of the SSAS items had to be removed because it showed severe underfit. Overall fit of the remaining items was acceptable, although the differentiation between at least two of the five item categories was questionable in both classes. Class 1 was characterized by a higher SSAS sum score, female gender, more somatic complaints, more anxiety, more psychosocial stress, and slightly higher depressiveness. Further exploratory analyses showed that the three mid categories of the SSAS can be collapsed without a large loss of information. Conclusions Our results show that a shortened version of the SSAS is Rasch scalable but also reveal that there is a lot of room for further improvements of the scale. Based on our results, Item 1 should be removed from the scale and a reduction of the number of response categories is probably warranted.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0515c0105d3fb0c0be286e651e05b93eTest
https://pubmed.ncbi.nlm.nih.gov/23731743Test

المؤلفون: D.C. Degi, E.K. Kallay

المصدر: Journal of Psychosomatic Research. 78:606

مصطلحات موضوعية: Psychometrics, education, Dysfunctional family, Somatic symptom disorder, medicine.disease, Tertiary care, Psychiatry and Mental health, Clinical Psychology, Distress, Well-being, medicine, In patient, Sensitivity to change, Psychology, Clinical psychology

الوصف: Background: A core feature of somatic symptom disorder is the troubled relation of patients to their body. Efforts to assess bodyrelatedness have been focusing on self-report questionnaires, which may overlook important aspects of body-relatedness. Drawings of the felt sense of the body could have added value but its diagnostic usefulness is still unclear. The reliability, validity, and sensitivity of observer scores of characteristics of body drawings made by patients with severe somatic symptom disorder were examined. Method: Drawings of the body from 180 patients in the intake phase of a tertiary care intervention were analyzed. Physical features of the drawings were scored using a 10-item observation. Arts therapists judged the severity of the dysfunctional body-relatedness. Sixtyseven patients made a second drawing after multidisciplinary treatment. Patients completed the Dresdner Korperbild Fragebogen (DKB-35). Results: Inter-rater reliabilities were excellent for 7 observation scores (ICC N .75), poor for 3 observation scores (.40 N ICC N .21) and good for the severity score (ICC = .58). Categorical principal components analysis followed by principal component analysis with oblique rotation of the observation scores indicated a 2-factor structure referring to completeness (factor 1) and detailedness (factor 2) of the body drawings. Internal consistency of both factors was good (α ≥ .75). Factor 1 and factor 2 correlated with the severity score (r =− .39 and r =− .47). Factor 1 correlated with the ‘body contact’ scale (r = .26) and factor 2 with the ‘body acceptance’ scale (r = .31) of the DKB-35. Both the factor 2 score and the severity score showed improvement after therapy. Conclusion: This first psychometric analysis of body drawings in patients with severe somatic symptom disorder indicates reliability, validity, and sensitivity to change. The Results may help to improve treatment indication and evaluation.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_________::5695a9c204759bfc9b4fcf098a1a96f2Test
https://doi.org/10.1016/j.jpsychores.2015.03.068Test

المؤلفون: Andreu Vaillo, Yolanda¹ yolanda.andreu@uv.es, Murgui Pérez, Sergio¹, Martínez López, Paula¹, Romero Retes, Rocío¹

المصدر: Journal of Psychosomatic Research. Nov2018, Vol. 114, p38-44. 7p.

مصطلحات موضوعية: *MINI-Mental State Examination, *BREAST cancer patients, *PSYCHOLOGICAL distress, *PSYCHOLOGICAL adaptation, *BREAST cancer diagnosis, *BREAST cancer treatment, *CONFIRMATORY factor analysis, *PSYCHOMETRICS, *BREAST tumors, *ADAPTABILITY (Personality), *COMPARATIVE studies, *RESEARCH methodology, *MEDICAL cooperation, *QUESTIONNAIRES, *RESEARCH, *EVALUATION research, *BRIEF Symptom Inventory, *CANCER & psychology, RESEARCH evaluation

مصطلحات جغرافية: SPAIN

مستخلص: Objective: The Mini-Mental Adjustment to Cancer Scale (MiniMAC) is widely used to evaluate cancer patients' psychological responses to diagnosis and treatment. Validation studies of the scale have shown inconsistency in the obtained factor structures. The aim of this study was to explore the factor structure, using Confirmatory Factor Analysis (CFA), and other psychometric properties of the MiniMAC in Spanish breast cancer patients.Methods: A sample of 368 women with breast cancer completed the MiniMAC and the 18 items version of the Brief Symptom Inventory (BSI-18).Results: The original pentafactorial model and three additional models derived from the empirical research -two first-order structures with four and three factors, and a second-order bifactorial structure- were tested. The five-factor model showed the best model fit and largely replicated the original MiniMAC's subscales. Five factors had acceptable reliability and showed modest correlations with emotional distress in the expected direction.Conclusions: The Spanish version of the MiniMAC has a satisfactory overall performance and serves as a brief, reliable and valid tool measuring cognitive appraisals and ensuing reactions to cancer. [ABSTRACT FROM AUTHOR]

المؤلفون: Riedl, D.¹ (AUTHOR), Dejaco, D.^1,2 (AUTHOR) daniel.dejaco@i-med.ac.at, Steinbichler, T.B.² (AUTHOR), Innerhofer, V.² (AUTHOR), Gottfried, T.² (AUTHOR), Bektic-Tadic, L.² (AUTHOR), Giotakis, A.I.² (AUTHOR), Rumpold, G.¹ (AUTHOR), Riechelmann, H.² (AUTHOR)

المصدر: Journal of Psychosomatic Research. Jan2021, Vol. 140, pN.PAG-N.PAG. 1p.

مصطلحات موضوعية: *SINUSITIS, *PSYCHOMETRICS, *PATIENT reported outcome measures, *TEST validity, *PARANASAL sinus diseases, *MENTAL health, *QUALITY of life, *CHRONIC diseases, *RHINITIS, *LANGUAGE & languages, *BRIEF Symptom Inventory, *LONGITUDINAL method, RESEARCH evaluation

مصطلحات جغرافية: MACKAY (Qld.), LUND (Sweden), GERMANY

مستخلص: Purpose: The Sino-Nasal-Outcome-Test-22 (SNOT-22) represents the reference questionnaire to assess symptoms, health-related quality-of-life (HRQOL) and treatment-response in patients with chronic rhinosinusitis (CRS). The SNOT-22 has been validated for various languages, yet no validation is available for the German version. Thus, we provide a validation of the SNOT-22 for German.Methods: In this prospective observational study 139 CRS-patients and 36 control-participants were included. CRS-patients completed the German-SNOT-22 before treatment (T0) and four (T1), twelve (T2) and 48 weeks after inclusion (T3). At T0, Mackay-Naclerio-, Lund-Mackay- and Brief-Symptom-Inventory-18 (BSI-18) scores were collected as external reference for the German-SNOT-22 and its subscales. At T1, T2, and T3 health-transition-items (HTIs) were raised to explore responsivity. Control-participants completed the German-SNOT-22 at T0. Reliability (internal consistency, item-total correlation), validity (concurrent validity, discriminatory validity) and responsiveness (distribution- and anchor-based) were explored for the German-SNOT-22.Results: At T0, the mean German-SNOT-22 total-score for CRS patients was 38.0 (± 20.9) and responded to treatment (T1 = 26.3 ± 19.1; T2 = 25.8 ± 20.6; T3 = 20.5 ± 16.3). For control-participants, the mean total-score at T0 was 15.1 (±10.9). The German-SNOT-22 was reliable (excellent internal consistency α = 0.93; good overall item-total correlations r = 0.39-0.85), valid (significant correlations between Mackay-Naclerio-, Lund-Mackay- and BSI-18 scores, all r > 0.39, p < 0.01) and responsive (significant correlations between HTIs and mean change in German-SNOT-22 total-score F = 9.57, p < 0.001).Conclusion: The German-SNOT-22 validated here matches the original SNOT-22. It is a reliable, valid and responsive questionnaire to assess symptoms, HRQOL and treatment-response in CRS-patients. Good psychometric properties were observed. [ABSTRACT FROM AUTHOR]