Extending a structural model of somatization to South Koreans: Cultural values, somatization tendency, and the presentation of depressive symptoms

Zhou, Xiaolu; Min, Sung Kil; Sun, Jiahong; Kim, Se Joo; Peng, Yi; Noh, Samuel; Ryder, Andrew G.

doi:10.1016/j.jad.2015.01.040

Cited by 32 publications

(28 citation statements)

References 27 publications

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“…Hypersexuality may not be fully expressed by patients in the Korean Confucian culture. In contrast, somatic symptoms such as sleep problems may be emphasized, as has been found by studies on depressive disorders 30,31)…”

Section: Discussionmentioning

confidence: 93%

Improving the Screening Instrument of Bipolar Spectrum Disorders: Weighted Korean Version of the Mood Disorder Questionnaire

Hong

Bahk

Yoon

et al. 2018

Clin Psychopharmacol Neurosci

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ObjectiveIt is not easy to diagnose bipolar disorders accurately in the clinical setting. Although Korean version of the Mood Disorder Questionnaire (K-MDQ) is easily administered, it still has weakness regarding case finding. In this study, we suggest a new weighted version of the K-MDQ to increase its screening power.MethodsNinety-five patients with bipolar disorders and 346 controls (patients with schizophrenia, patients with depressive disorders, patients with anxiety disorders, and subjects without any psychiatric disease) were enrolled in this study. The subjects received brief information on the K-MDQ, and then independently completed the questionnaire.ResultsUsing odds ratios, we constructed a new weighted K-MDQ (W-K-MDQ). Item 1 (feel so good or hyper) was weighted 7 times and item 4 (less sleep) 3.5 times. Item 7 (easily distracted) and item 11 (more interested in sex) were excluded. Part 2 (simultaneity) and 3 (functional impairment) were also excluded as in the original K-MDQ. The sensitivity of the W-K-MDQ with a cutoff value of 10 was enhanced to 0.789. The area under the receiver operating characteristic curve was increased to 0.837.ConclusionWe suggested a new formula for K-MDQ using 11 of its items. The W-K-MDQ can be easily applied with good sensitivity to screen for bipolar disorders in clinical settings in Korea. Further evaluations with larger samples are needed to establish the usefulness of the W-K-MDQ.

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Section: Discussionmentioning

confidence: 93%

Improving the Screening Instrument of Bipolar Spectrum Disorders: Weighted Korean Version of the Mood Disorder Questionnaire

Hong

Bahk

Yoon

et al. 2018

Clin Psychopharmacol Neurosci

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“…Other studies indicate that STs put individuals at risk for several adverse outcomes, including furthered SD, chronic pain, long-term sequelae, and a range of other mental health problems such as suicide, anxiety, and depression disorders 8,13,14 . Several prior studies report that Korean depressives manifest more STs and fewer feelings of guilt and suicidal ideation when compared with Western patients 12,15 .…”

Section: Introductionmentioning

confidence: 95%

“…The BSI is a broadly applied self-reporting somatic symptoms scale discussed by Likert as five-point counts 18 , where each symptom was scored 0-4, depending on the distress it caused, yielding a total score of 0-28. The SSS were low (0-9), medium (10)(11)(12)(13)(14)(15)(16)(17)(18)(19), and high (20)(21)(22)(23)(24)(25)(26)(27)(28) 17 . Sample's internal consistency was 0.84 (Cronbach's alpha).…”

Section: • Adolescent St Measurementmentioning

confidence: 99%

“…Some studies suggest that young people show early signs before the onset of SD, such as somatization tendencies (ST) 8,11 . A study by Zhou et al 12 explains that STs are the tendency to experience and communicate psychologic distress in the form of somatic symptoms -that is, in a somatic tendency mode -, widespread in both our own as in other cultures. As such, STs are not in any sense pathological nor constitutes a medical or psychiatric problem.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and environmental impact factors of somatization tendencies in eastern Chinese adolescents: a multicenter observational study

Cheng

Xie

et al. 2019

Cad. Saúde Pública

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The aim of this study is at examining the prevalence and impact factors of adolescent somatization tendencies (ST) across three eastern Chinese provinces. A multicenter school-based cross-sectional study was conducted in these provinces from 2015 to 2016. The sample included 11,153 middle-school students aged 13-18 years, who were randomly selected using a multi-phase stratified cluster sampling technique. We also designed a multicenter school-based case-control study to evaluate the potential environmental impact of ST factors on this population. The overall positive rate of ST among the eastern Chinese adolescents was 12.1%. Somatic symptoms score (SSS) and positive ST rate were higher in females than males. Additionally, the SSS and positive ST rate for the 18-year-old group were significantly higher than in other age groups. In comparison to those in urban areas, adolescents in rural areas had significantly higher SSS and positive ST rate. Multiple conditional regression analyses revealed that family medical history, anxiety and depression scores; superstitious beliefs; left-behind adolescents; teacher-student support; family conflict; and family independence and achievement orientation were significantly linked to ST in adolescents. The models also indicated family medical history was the strongest impact factor to adolescent ST, even though ST were prevalent in the three studied eastern Chinese provinces. Gender, age, and dwelling differences were very significant in the SSS and positive ST rate in adolescents. This study concludes that adolescent ST are influenced by multiple environments.

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“…A lot of recent reports [17,19,27] on the occurrence and influencing factors of somatization symptoms in outpatients of general hospitals has confirmed that somatization symptoms are closely related to anxiety and depression. In the present study, the results showed that the scores of GAD-7 and PHQ-9 increased with the degree of somatization symptoms, and there were significant differences among different degrees of somatization symptoms in GAD-7 and PHQ-9 scores.…”

Section: Discussionmentioning

confidence: 98%

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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Extending a structural model of somatization to South Koreans: Cultural values, somatization tendency, and the presentation of depressive symptoms

Cited by 32 publications

References 27 publications

Improving the Screening Instrument of Bipolar Spectrum Disorders: Weighted Korean Version of the Mood Disorder Questionnaire

Improving the Screening Instrument of Bipolar Spectrum Disorders: Weighted Korean Version of the Mood Disorder Questionnaire

Prevalence and environmental impact factors of somatization tendencies in eastern Chinese adolescents: a multicenter observational study

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

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