医学
病人健康调查表
社会心理的
焦虑
人口
精神科
置信区间
苦恼
广泛性焦虑症
逻辑回归
检查表
萧条(经济学)
临床心理学
内科学
心理学
抑郁症状
经济
认知心理学
宏观经济学
环境卫生
作者
Jing Ma,Lirong Zheng,Ran Chen,Jie Ren,Hua Chen,Yaoyin Zhang,Wentian Li,Xiaoyan Ma,Wei Lü,Haitao Wu,Kurt Fritzsche,Anne Toussaint,Rainer Leonhart,Jing Wei,Lan Zhang
标识
DOI:10.1186/s12888-022-04342-y
摘要
Bodily distress syndrome (BDS) is a new, empirical-based diagnosis of functional somatic symptoms. This study aimed to explore the prevalence of BDS and its association with psychosocial variables in a Chinese clinical population.A multicentre cross-sectional study of 1269 patients was conducted in 9 different Chinese tertiary outpatient hospitals. The BDS was identified by trained interviewers face-to face, based on a brief version of the Schedules for Assessment in Neuropsychiatry (RIFD) and the BDS Checklist-25. Sociodemographic data and further information were characterised from psychometric questionnaires (The Patient Health Questionnaire-15, the Patient Health Questionnaire-9, the General Anxiety Disorder-7, the Whiteley scale-8) .Complete data were available for 697 patients. The prevalence of BDS was 26.8% (95% confidence interval (CI): 23.5-30.1). Among the participants, 5.8% (95% CI: 4.1-7.6) fulfilled the criteria for single-organ BDS, while 20.9% (95%CI: 17.9-24.0) had multi-organ BDS. Comparison of the PHQ-15, PHQ-9, GAD-7, and WI-8 scores revealed higher scores on all dimensions for patients with BDS. In a binary logistic regression analysis, BDS was significantly associated with increased health-related anxiety (WI-8) and depression (PHQ-9). The explained variance was Nagelkerke's R2 = 0.42.In China, the BDS is a common clinical condition in tertiary outpatient hospital settings with high prevalence, and is associated with health anxiety and depressive symptoms. In this clinical population, the severe multi-organ subtype of BDS was the most frequent.
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