Psychological and interactional characteristics of patients with somatoform disorders: Validation of the Somatic Symptoms Experiences Questionnaire (SSEQ) in a clinical psychosomatic population

Herzog, Annabel; Voigt, Katharina; Meyer, Björn; Wollburg, Eileen; Weinmann, Nina; Langs, Gernot; Löwe, Bernd

doi:10.1016/j.jpsychores.2015.03.004

Cited by 12 publications

(7 citation statements)

References 36 publications

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“…An update of the literature search conducted by Zijlema et al (2013) resulted in five additional self-report somatic screenings lists, namely the BSS ( Ritchie et al, 2013 ), the Quantification Inventory for Somatoform Syndromes ( Wedekind et al, 2007 ), the SEPS ( Tyrer et al, 2012 ), the Somatic Symptoms Experiences Questionnaire (SSEQ; Herzog et al, 2014 ), and the Somatic Symptom Scale–8 ( Gierk et al, 2014 ).…”

Section: Discussionmentioning

confidence: 99%

Assessment of Somatization and Medically Unexplained Symptoms in Later Life

Driel¹,

Hilderink²,

Hanssen

et al. 2017

Assessment

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The assessment of medically unexplained symptoms and “somatic symptom disorders” in older adults is challenging due to somatic multimorbidity, which threatens the validity of somatization questionnaires. In a systematic review study, the Patient Health Questionnaire–15 (PHQ-15) and the somatization subscale of the Symptom Checklist 90-item version (SCL-90 SOM) are recommended out of 40 questionnaires for usage in large-scale studies. While both scales measure physical symptoms which in younger persons often refer to unexplained symptoms, in older persons, these symptoms may originate from somatic diseases. Using empirical data, we show that PHQ-15 and SCL-90 SOM among older patients correlate with proxies of somatization as with somatic disease burden. Updating the previous systematic review, revealed six additional questionnaires. Cross-validation studies are needed as none of 46 identified scales met the criteria of suitability for an older population. Nonetheless, specific recommendations can be made for studying older persons, namely the SCL-90 SOM and PHQ-15 for population-based studies, the Freiburg Complaint List and somatization subscale of the Brief Symptom Inventory 53-item version for studies in primary care, and finally the Schedule for Evaluating Persistent Symptoms and Somatic Symptom Experiences Questionnaire for monitoring treatment studies.

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Section: Discussionmentioning

confidence: 99%

Assessment of Somatization and Medically Unexplained Symptoms in Later Life

Driel¹,

Hilderink²,

Hanssen

et al. 2017

Assessment

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“…However, a certain level of reproducibility was noted, with no great variation in the proportion of such patients throughout the observation period. If we had used the Somatic Symptom Scale-8 or Somatic Symptoms Experiences Questionnaire, we could have more accurately diagnosed psychosomatic conditions 18,19. Ishikawa et al reported that 12.4% of first-visit patients to a general medicine outpatient clinic at a university hospital in Japan had psychiatric disorders 20.…”

Section: Discussionmentioning

confidence: 99%

First-visit patients without a referral to the Department of Internal Medicine at a medium-sized acute care hospital in Japan: an observational study

Kajiwara¹,

Hayashi²,

Misago³

et al. 2017

IJGM

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PurposeWe sought to profile first-time patients without a referral who sought medical care at the Department of Internal Medicine at a medium-sized acute care hospital in Japan. We anticipated that the analysis would highlight the demand for medical care needs from acute care hospitals and help confirm one of the problems associated with primary care in Japan.Patients and methodsThe study population comprised 765 patients who sought outpatient consultation without a referral at “the Department of General Internal Medicine” at the Ikeda City Hospital on Fridays over 4 years. Data on the following variables were collected: age, sex, examination date, reason for encounter (RFE), diagnosis, as well as history of consultation with or without antibiotic treatment at another medical institution for the same RFE. We used the International Classicication of Primary Care, Revised Second edition (ICPC-2-R) codes for RFEs and diagnoses.ResultsThe main RFE fields were digestive (ICPC-2-R Chapter D), general and unspecified (A), and respiratory (R). The main diagnosis fields were digestive (D), respiratory (R), general and unspecified (A), and musculoskeletal (L). In total, 27.6% of patients had sought consultation at another medical institution for the same RFE. Of these, 64.7% of patients for whom the RFE was cough (ICPC-2-R code, R05), and 72.0% for whom the RFE was fever (A03) were prescribed antibiotics. In total, 62.4% of patients underwent emergency investigations and waited for the results; 4.3% were hospitalized on the same day; and 60.5% were medicated at the initial examination. In 11.5%, the main underlying problem appeared to be psychosomatic.ConclusionWe used the ICPC-2-R to analyze the state of first-visit patients without a referral visiting the Department of Internal Medicine at a medium-sized acute care hospital in Japan. Common RFEs were abdominal pain, cough, and fever. A tendency toward overprescription of antibiotics was observed among primary care physicians.

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“…El primer instrumento fue el Cuestionario de Experiencias de Síntomas Somáticos, creado por Herzog et al 15 , cuyo objetivo es valorar los factores psicológicos y las características interactivas pertinentes a los pacientes con TSS. Esta herramienta, validada para la presente investigación, consta de 15 reactivos con seis opciones de respuesta (nunca, muy rara vez, pocas veces, a menudo, frecuentemente y siempre), cuenta con una varianza explicada de 56,32% y está estructurada en cuatro factores: preocupación por la salud, experiencias de la enfermedad, problemas en la interacción con médicos, y consecuencias de la enfermedad.…”

Section: Instrumentosunclassified

“…Pese a la presencia del manejo perceptual de las condiciones traumáticas mediante la tendencia a desplazar el afecto a aspectos positivos, la presencia de los pensamientos automáticos de culpa denota la incapacidad de los pacientes con TSS para modular los afectos. Asimismo, la inclinación al autorreproche y la percepción de sentirse juzgado por otras personas pueden indicar la búsqueda de estrategias alternativas para someter la experimentación de las experiencias emocionales, de tal forma que se presenta el desarrollo de creencias de desamparo, desesperanza y depresión35,15 .En tal sentido, la falta de establecimiento de lazos sociales y afectos con otros, aunada al desinterés y la incapacidad para mantener decisiones, parece generar en los sujetos el desarrollo de preocupaciones. Es así como el aislamiento se estructura como un mecanismo de afrontamiento ante las problemáticas, aspecto que supone la incapacidad para experimentar frustración y angustia, síntomas característicos de la somatización 34 .En conclusión, las quejas gastrointestinales recurrentes resaltan las diferencias entre los grupos, seguidas de las somáticas, la culpa, indefensión y la presencia de preocupación y estrés.…”

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Variables que inciden en el trastorno de síntomas somáticos: un modelo de regresión logística

Jaimes

Barneveld

Estrada

et al. 2020

Duazary

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El Trastorno de Síntomas Somáticos (TSS) se refiere a la presencia de malestares de carácter físico acompañados de preocupaciones y conductas excesivas relacionados a la salud, cuya etiología es considerada multifactorial, entre los cuales se encuentran el estrés, características personales, exposición a situaciones traumáticas y creencias irracionales. Es por ello que la presente investigación tuvo por objeto desarrollar un modelo de regresión logística con el fin de analizar la incidencia de dichos factores sobre el TSS. Se trabajó con una muestra de 201 participantes divididos en dos grupos, 111 con diagnóstico de TSS y 90 no clínicos. Se realizó un análisis de regresión logística binaria donde la prueba de Omnibus (Chi cuadrada de 84,982, p<0,001) indica que las variables del modelo contribuyen a explicar el fenómeno. La prueba Hosmer-Lemeshow (Chi cuadrada de 8,603, p=0,377) mostró su ajuste a la realidad, con cuatro variables de riesgo; siendo las Quejas Gastrointestinales la de mayor proporción con un Coeficiente de Regresión de 1,053, seguida de la Preocupación y Estrés, Introversión y Pensamientos Automáticos Negativos; mientras que la Indefensión y Desesperanza disminuyen la probabilidad del TSS. Las quejas recurrentes de carácter gastrointestinal parecen ser los factores predictores más comunes del TSS.

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Psychological and interactional characteristics of patients with somatoform disorders: Validation of the Somatic Symptoms Experiences Questionnaire (SSEQ) in a clinical psychosomatic population

Cited by 12 publications

References 36 publications

Assessment of Somatization and Medically Unexplained Symptoms in Later Life

Assessment of Somatization and Medically Unexplained Symptoms in Later Life

First-visit patients without a referral to the Department of Internal Medicine at a medium-sized acute care hospital in Japan: an observational study

Variables que inciden en el trastorno de síntomas somáticos: un modelo de regresión logística

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