Is severity a clinically meaningful specifier of somatic symptom disorder?

Tu, Chao-Ying; Liu, Wei‐Shih; Chen, Yen-Fu; Huang, Wei‐Lieh

doi:10.1016/j.jpsychores.2020.110108

Cited by 15 publications

(12 citation statements)

References 34 publications

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“…: 201609081RINA). We have examined the association of SSD severity with psychiatric and medical comorbidity, psychological features and help-seeking attitude/behaviors using the same studied population, and the results have been reported in a previous paper (Tu et al, 2020). Eligibility criteria were age ⩾18 and ⩽70 years and fulfilling the SSD diagnostic criteria of the DSM-5 (American Psychiatric Association, 2013).…”

Section: Participants and Proceduresmentioning

confidence: 98%

Patients who complain of autonomic dysregulation: A cross-sectional study of patients with somatic symptom disorder

Liu

Chen

et al. 2021

Int J Soc Psychiatry

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Background: Somatic symptom disorder (SSD) is common in medical settings but has been underdiagnosed. Stigma related to psychiatric illness was one of the barriers to making the diagnosis. More and more SSD patients who visited psychiatric clinics with physical complaints identify themselves as having ‘autonomic dysregulation’ in Taiwan. Aims: This study aimed to investigate the characteristics of patients with a subjective diagnosis of ‘autonomic dysregulation’. Method: We assessed the sociodemographic profile, medical/psychiatric diagnoses, subjective psychiatric diagnoses, perceived psychiatric stigma, help-seeking attitude, and healthcare utilization of 122 participants with SSD. Participants who identified themselves as having ‘autonomic dysregulation’ ( n = 84) were compared to those who did not (n=38). Results: Participants with a subjective diagnosis of ‘autonomic dysregulation’ were younger and had a higher education level than those who did not have such a subjective diagnosis. They also had higher scores on the Patient Health Questionnaire-15 (PHQ-15) and Health Anxiety Questionnaire (HAQ), whereas comorbid psychiatric diagnoses were similar in the two groups. Participants with and without a subjective diagnosis of ‘autonomic dysregulation’ did not have a significant difference in perceived psychiatric stigma and help-seeking attitude/behaviors. In a multiple logistic regression model, only age was associated with having a subjective diagnosis of ‘autonomic dysregulation’. Conclusion: Among SSD patients, those who identify themselves as having ‘autonomic dysregulation’ tend to have higher somatic distress and health anxiety than those who do not. ‘Autonomic dysregulation’ is not associated with perceived psychiatric stigma.

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Section: Participants and Proceduresmentioning

confidence: 98%

Patients who complain of autonomic dysregulation: A cross-sectional study of patients with somatic symptom disorder

Liu

Chen

et al. 2021

Int J Soc Psychiatry

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“…[18][19][20][21] This approach was considered to be more suitable than separating them according to the dichotomous diagnosis. 22,23 The data used for analysis were de-identified.…”

Section: Participantsmentioning

confidence: 99%

The association between heart rate variability and skin conductance: a correlation analysis in healthy individuals and patients with somatic symptom disorder comorbid with depression and anxiety

Huang

Liao

2022

J Int Med Res

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Objective To investigate the correlations between heart rate variability (HRV) and skin conductance (SC) in two populations under three different situations. Methods This cross-sectional study enrolled patients with somatic symptom disorder comorbid with depression and anxiety and healthy individuals without a psychiatric history. The biological signals were measured under three conditions: resting state, during a cognitive task and during paced breathing. Pearson’s correlation analysis and the generalized estimating equation were used to examine the correlations between SC and HRV in the two populations under the three situations. Results The study enrolled 97 patients with somatic symptom disorder comorbid with depression and anxiety and 96 healthy individuals. In healthy individuals, the ratio of low-frequency power to high frequency power (LF/HF) and normalized LF (LF%) were significantly correlated with SC in the resting state and during a cognitive task, but the correlation coefficients were low level. In patients with somatic symptom disorder comorbid with depression and anxiety, LF/HF and LF% did not show significant correlations with SC under any situation. Conclusions The two different populations and three situations might have affected the significance of the LF/HF-SC and LF%-SC correlations. The generally low correlations indicate that LF/HF and LF% cannot fully reflect the sympathetic cholinergic activity represented by SC.

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“…The overlap and comorbidity of these diseases make treatment difficult and costly for the public. 4,5 The studies mentioned that these diseases are defenses of the unconscious from emotional regulation disturbances, and several factors can influence disturbances in emotions and triggering. Interpersonal factors proposed to be essential in developing emotional regulation disturbances in SSD and MDD continue to trigger and maintain the psychosomatic symptoms in life.…”

Section: Introductionmentioning

confidence: 99%

“…Tu et al 5 reported that patients with SSD were found to have high comorbidity rates with MDD. Löwe et al 4 mentioned in their review article that the prevalence of MDD is high in a patient with SSD, and the severity of SSD is related to the severity of MDD.…”

Section: Introductionmentioning

confidence: 99%

The comorbidity of somatic symptom and major depressive disorders in the times of COVID-19 lockdown in adolescence: A case-report study

Shahini

Mirzadeh

Lashkarbolouk

2023

SAGE Open Medical Case Reports

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Physical symptoms with normal clinical examinations have been reported without detectable structural or biochemical abnormalities in the comorbidity of somatic symptom disorder and major depressive disorder. This association can have a debilitating effect on their academic and social performance. This case report is about a 13-year-old Afghani immigrant boy with no previous psychiatric history who developed severe body pain leading to a disability during the COVID-19 lockdown and social isolation. During further evaluation, all his clinical examinations were normal, and the diagnosis of major depressive disorder and somatic symptom disorder was confirmed. Cognitive behavioral therapy includes cognitive therapy, changing lifestyle, and a motivational support method. Medical treatment with olanzapine, fluvoxamine, and gabapentin was started. During follow-up, there was improvement in the patient’s mood, and the patient began to walk and communicate. It is important to suspect an association of somatic symptom disorder and major depressive disorder in patients with severe body pain and multiemotional factors. Psychiatrists should keep in mind that emotional factors can play a significant role in causing and maintaining physical symptoms.

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Is severity a clinically meaningful specifier of somatic symptom disorder?

Cited by 15 publications

References 34 publications

Patients who complain of autonomic dysregulation: A cross-sectional study of patients with somatic symptom disorder

Patients who complain of autonomic dysregulation: A cross-sectional study of patients with somatic symptom disorder

The association between heart rate variability and skin conductance: a correlation analysis in healthy individuals and patients with somatic symptom disorder comorbid with depression and anxiety

The comorbidity of somatic symptom and major depressive disorders in the times of COVID-19 lockdown in adolescence: A case-report study

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