Dysfunctional illness perception and illness behaviour associated with high somatic symptom severity and low quality of life in general hospital outpatients in China

2015 ◽  
Vol 78 (6) ◽  
pp. 633
Author(s):  
Y. Zhang ◽  
K. Fritzsche ◽  
R. Leonhart ◽  
R. Nater-Mewes ◽  
A. Larisch ◽  
...  
Keyword(s):  
Quality Of Life ◽  
General Hospital ◽  
Symptom Severity ◽  
Somatic Symptom ◽  
Illness Perception ◽  
Illness Behaviour ◽  
Hospital Outpatients

scholarly journals Assessment of the structured clinical interview (SCID) for DSM-5 for somatic symptom disorder in general hospital outpatient clinics in China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yinan Jiang ◽  
Jing Wei ◽  
Kurt Fritzsche ◽  
Anne Christin Toussaint ◽  
Tao Li ◽  
...  
Keyword(s):  
Quality Of Life ◽  
General Hospital ◽  
Emotional Distress ◽  
Symptom Severity ◽  
Somatic Symptom ◽  
Clinical Interview ◽  
Outpatient Clinics ◽  
Hospital Outpatient ◽  
Dsm 5

Abstract Background It is still unknown whether the “Somatic symptom disorders (SSD) and related disorders” module of the Structured Clinical Interview for DSM-5, research version (SCID-5-RV), is valid in China. This study aimed to assess the SCID-5-RV for SSD in general hospital outpatient clinics in China. Methods This multicentre cross-sectional study was conducted in the outpatient clinics of nine tertiary hospitals in Beijing, Jincheng, Shanghai, Wuhan, and Chengdu between May 2016 and March 2017. The “SSD and related disorders” module of the SCID-5-RV was translated, reversed-translated, revised, and used by trained clinical researchers to make a diagnosis of SSD. Several standardized questionnaires measuring somatic symptom severity, emotional distress, and quality of life were compared with the SCID-5-RV. Results A total of 699 patients were recruited, and 236 were diagnosed with SSD. Of these patients, 46 had mild SSD, 78 had moderate SSD, 100 had severe SSD, and 12 were excluded due to incomplete data. The SCID-5-RV for SSD was highly correlated with somatic symptom severity, emotional distress, and quality of life (all P < 0.001) and could distinguish nonsevere forms of SSD from severe ones. Conclusions This study suggests that SCID-5-RV for SSD can distinguish SSD from non-SSD patients and severe cases from nonsevere cases. It has good discriminative validity and reflects the DSM-5 diagnostic approach that emphasizes excessive emotional, thinking, and behavioural responses related to symptoms.

scholarly journals Assessment of the Structured Clinical Interview (SCID) for DSM-5 for Somatic Symptom Disorder in General Hospital Outpatient Clinics in China

2020 ◽  
Author(s):  
Yinan Jiang ◽  
Jing Wei ◽  
Kurt Fritzsche ◽  
Anne Christin Toussaint ◽  
Tao Li ◽  
...  
Keyword(s):  
Quality Of Life ◽  
General Hospital ◽  
Emotional Distress ◽  
Symptom Severity ◽  
Somatic Symptom ◽  
Clinical Interview ◽  
Outpatient Clinics ◽  
Hospital Outpatient ◽  
Dsm 5

Abstract Background: It is still unknown whether the “Somatic symptom disorders (SSD) and related disorders” module of Structured clinical interview for DSM-5, research version (SCID-5-RV) is valid in China. This study aimed to assess the SCID-5-RV for SSD in general hospital outpatient clinics in China.Methods: This multicenter cross-sectional study was conducted in the outpatient clinics of nine tertiary hospitals in Beijing, Jincheng, Shanghai, Wuhan, and Chengdu, between May 2016 and March 2017. The “SSD and related disorders” module of SCID-5-RV was translated, reversed-translated, revised, and used by trained clinical researchers to make a diagnosis of SSD. Several standardized questionnaires measuring somatic symptom severity, emotional distress, and quality of life were used to compare with SCID-5-RV.Results: A total of 699 patients were recruited, and 236 were diagnosed with SSD. Of these, 46 had mild SSD, 78 had moderate SSD, 100 had severe SSD, and 12 were excluded due to incomplete data. SCID-5-RV for SSD correlated high with somatic symptom severity, emotional distress, and quality of life (all P<0.001), and could distinguish non-severe forms of SSD from severe ones. Conclusions: This study suggests that SCID-5-RV for SSD can distinguish SSD from non-SSD patients, and severe patients from non-severe patients. It has good discriminative validity with other tools and reflects the DSM-5 diagnostic approach that emphasizes excessive emotional, thinking, and behavioral responses related to symptoms.

Psychological and behavioral variables associated with the somatic symptom severity of general hospital outpatients in China

2013 ◽  
Vol 35 (3) ◽  
pp. 297-303 ◽  
Author(s):  
Rainer Schaefert ◽  
Claudia Höner ◽  
Florian Salm ◽  
Michael Wirsching ◽  
Rainer Leonhart ◽  
...  
Keyword(s):  
General Hospital ◽  
Symptom Severity ◽  
Somatic Symptom ◽  
Behavioral Variables ◽  
Hospital Outpatients

scholarly journals A Measure of Suffering in relation to Anxiety and Quality of Life in IBS Patients: Preliminary Results

2017 ◽  
Vol 2017 ◽  
pp. 1-7
Author(s):  
Sanda Pletikosić Tončić ◽  
Mladenka Tkalčić
Keyword(s):  
Quality Of Life ◽  
Symptom Severity ◽  
Illness Perception ◽  
Sensitivity Index ◽  
Physical And Mental Health ◽  
Sf 36 ◽  
Health Related Qol ◽  
Health Related ◽  
Symptom Diary

Irritable bowel syndrome (IBS) is a chronic gastrointestinal (GI) disorder with a severe impact on quality of life (QoL). We explored the relationship of a visual measure of suffering, the PRISM-RII, with quality of life (QoL) and anxiety measures in IBS patients. Participants were 44 IBS patients who completed several questionnaires and kept a symptom diary for two weeks. The measures used were PRISM-RII (self-illness separation (SIS); illness perception measure (IPM)); IBS-36 (IBS health related QoL); SF-36 (physical and mental health related QoL); State-Trait Anxiety Inventory (STAI-T); Visceral Sensitivity Index (VSI; GI-specific anxiety); and a symptom diary. SIS was negatively correlated to VSI, while IPM was negatively correlated to SIS and the physical component of SF-36 and positively to VSI and symptom severity. We found significant differences between participants who perceive their illness as small and those who perceive it as medium in SIS, symptom severity, VSI, and the mental component of SF-36. Participants, who perceived their illness as small, represented their illness as more distant, showed lower average symptom severity, and had lower GI-specific anxiety and higher QoL. The results indicate that IPM and SIS can be useful in discriminating patients with more prominent psychological difficulties and QoL impairment.

scholarly journals Quality of life of patients with breast cancer

2021 ◽  
Vol 24 (82) ◽  
pp. 18-22
Author(s):  
Miljana Kuljić ◽  
Jelena Ljubomirac ◽  
Miloš Radović
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
General Hospital ◽  
Short Form ◽  
Illness Perception ◽  
Depression Scale ◽  
University Hospital ◽  
Number Of Patients ◽  
The University

Introduction: Quality of life represents the overall satisfaction or dissatisfaction with one's own life. Breast cancer is the most common malignant tumor in women in Europe, North America and other Western countries, while its incidence is constantly increasing. Aim: The main aim of the study was to examine the quality of life of patients with breast cancer at the University Hospital Foča and the General Hospital Trebinje. Material and methods: The research was conducted on a sample of 120 patients in the University Hospital Foča and the General Hospital Trebinje from May to August 2019. The chosen study design is the cross-sectional study. A general questionnaire on the basic sociodemographic indicators of the respondents, a modified Short Questionnaire on Health Perception (Brief Illness Perception Questionnaire), a questionnaire on the quality of life SF-36v2 (Short form SF 36 ver 2) and the Beck Depression Scale (BDI) were used in the research. Results: The average value, of the maximum possible 100 points, by which patients assessed their physical component of quality of life is 55.3 points, of which physical functioning was assessed with 52.7 points, limitation due to physical health with 60.5 points, physical pain with 45.3 points and general health with 56.8 points. Beck's depression scale found that the largest number of patients with breast cancer do not have depression, 96 of them (80%), 21 patients (17.5%) have a mild form of depression, 2 patients (1.7%) have moderate depression, while only 1 patient (0,8%) has a severe form of depression. Conclusion: Patients with breast cancer had average values in the domain of the physical and mental component of quality of life. It has been determined that the majority of patients do not have depression.

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