Monitoring somatic symptoms in patients with mental disorders: Sensitivity to change and minimal clinically important difference of the Somatic Symptom Scale – 8 (SSS-8)

Gierk, Benjamin; Kohlmann, Sebastian; Hagemann-Goebel, Marion; Löwe, Bernd; Nestoriuc, Yvonne

doi:10.1016/j.genhosppsych.2017.07.002

Cited by 19 publications

(11 citation statements)

References 34 publications

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“…Previous studies demonstrated good item characteristics and excellent reliability, a sound factor structure, and significant associations with related constructs like depression, anxiety, quality of life, and health care use. Gender- and age-specific norms are available (Gierk et al ., 2014), and sensitivity to change has been demonstrated recently (Gierk et al ., 2017).…”

Section: Methodsmentioning

confidence: 99%

Detecting DSM-5 somatic symptom disorder: criterion validity of the Patient Health Questionnaire-15 (PHQ-15) and the Somatic Symptom Scale-8 (SSS-8) in combination with the Somatic Symptom Disorder – B Criteria Scale (SSD-12)

et al. 2019

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BackgroundThe fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) introduced somatic symptom and related disorders (SSD) to improve the diagnosis of somatoform disorders. It is unclear whether existing questionnaires are useful to identify patients with SSD. Our study investigates the diagnostic accuracy of the Patient Health Questionnaire-15 (PHQ-15) and the Somatic Symptom Scale-8 (SSS-8) in combination with the Somatic Symptom Disorder – B Criteria Scale (SSD-12).MethodsFor this cross-sectional study, participants were recruited from a psychosomatic outpatient clinic. PHQ-15, SSS-8, and SSD-12 were administered and compared with SSD criteria from a diagnostic interview. Sensitivity and specificity were calculated for optimal individual and combined cutpoints. Receiver operator curves were created and area under the curve (AUC) analyses assessed.ResultsData of n = 372 patients [31.2% male, mean age: 39.3 years (s.d. = 13.6)] were analyzed. A total of 56.2% fulfilled the SSD criteria. Diagnostic accuracy was moderate for each questionnaire (PHQ-15: AUC = 0.70; 95% CI = 0.65–0.76; SSS-8: AUC = 0.71; 95% CI = 0.66–0.77; SSD-12: AUC = 0.74; 95% CI = 0.69–0.80). Combining questionnaires improved diagnostic accuracy (PHQ-15 + SSD-12: AUC = 0.77; 95% CI = 0.72–0.82; SSS-8 + SSD-12: AUC = 0.79; 95% CI = 0.74–0.84). Optimal combined cutpoints were ⩾9 for the PHQ-15 or SSS-8, and ⩾23 for the SSD-12 (sensitivity and specificity = 69% and 70%).ConclusionsThe combination of the PHQ-15 or SSS-8 with the SSD-12 provides an easy-to-use and time- and cost-efficient opportunity to identify persons at risk for SSD. If systematically applied in routine care, effective screening and subsequent treatment might help to improve quality of life and reduce health care excess costs.

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Section: Methodsmentioning

confidence: 99%

Detecting DSM-5 somatic symptom disorder: criterion validity of the Patient Health Questionnaire-15 (PHQ-15) and the Somatic Symptom Scale-8 (SSS-8) in combination with the Somatic Symptom Disorder – B Criteria Scale (SSD-12)

et al. 2019

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“…It is highly correlated with a modified version of the PHQ‐15 and demonstrates at least comparable psychometric properties (Toussaint, Kroenke, Baye, & Lourens, ). Moreover, its sensitivity to change was recently established in relation to depression, anxiety, and disability (Gierk, Kohlmann, Hagemann‐Goebel, Löwe, & Nestoriuc, ). In this study, somatic symptom burden was measured as a continuous variable.…”

Section: Methodsmentioning

confidence: 99%

Somatic burden and perceived cognitive problems in trauma‐exposed adults with posttraumatic stress symptoms or pain

et al. 2019

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Objective Posttraumatic stress disorder (PTSD) is associated with somatic and cognitive changes, which may be magnified when accompanied by persistent pain. The mechanisms of somatic sensation processing may extend to cognitive symptoms, revealing a potential generalization of impairment across cognitive and somatic domains in PTSD. We hypothesized that somatic burden would mediate relationships between PTSD, pain, and perceived cognitive impairment. Methods Two samples—360 trauma‐exposed college students and 268 mechanical Turk users—completed self‐report measures. Results Both samples revealed similar findings. There was a significant indirect effect of PTSD and pain on perceived cognitive problems through somatic burden. There remained a direct effect of PTSD symptoms. These findings indicate that in trauma‐exposed samples with pain, somatic burden rather than pain severity accounts for perceived cognitive problems. Conclusion High somatic burden may reflect an underlying appraisal about somatic cues, which extend in part to interpretation of cognitive cues.

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“…English, German, and Japanese [13,17,18], and its sensitivity to change has recently been demonstrated [19].…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Comparing the Patient Health Questionnaire – 15 and the Somatic Symptom Scale – 8 as measures of somatic symptom burden

Toussaint

Kroenke

Baye

et al. 2017

Journal of Psychosomatic Research

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Monitoring somatic symptoms in patients with mental disorders: Sensitivity to change and minimal clinically important difference of the Somatic Symptom Scale – 8 (SSS-8)

Cited by 19 publications

References 34 publications

Detecting DSM-5 somatic symptom disorder: criterion validity of the Patient Health Questionnaire-15 (PHQ-15) and the Somatic Symptom Scale-8 (SSS-8) in combination with the Somatic Symptom Disorder – B Criteria Scale (SSD-12)

Detecting DSM-5 somatic symptom disorder: criterion validity of the Patient Health Questionnaire-15 (PHQ-15) and the Somatic Symptom Scale-8 (SSS-8) in combination with the Somatic Symptom Disorder – B Criteria Scale (SSD-12)

Somatic burden and perceived cognitive problems in trauma‐exposed adults with posttraumatic stress symptoms or pain

Comparing the Patient Health Questionnaire – 15 and the Somatic Symptom Scale – 8 as measures of somatic symptom burden

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