Case complexity in outpatients in a centre of excellence for somatic symptom disorder -a cross-sectional study-

2016 ◽  
Vol 85 ◽  
pp. 84-85 ◽  
Author(s):  
J. van Eck van der Sluijs ◽  
L. de Vroege ◽  
A. van Manen ◽  
E. van der Thiel ◽  
A. Timmermans ◽  
...  
Keyword(s):  
Somatic Symptom ◽  
Cross Sectional Study ◽  
Somatic Symptom Disorder ◽  
Sectional Study ◽  
Cross Sectional ◽  
Case Complexity ◽  
Centre Of Excellence

Complexity Assessed by the INTERMED in Patients With Somatic Symptom Disorder Visiting a Specialized Outpatient Mental Health Care Setting: A Cross-sectional Study

2017 ◽  
Vol 58 (4) ◽  
pp. 427-436 ◽  
Author(s):  
Jonna F. van Eck van der Sluijs ◽  
Lars de Vroege ◽  
Annick S. van Manen ◽  
Cees A.Th Rijnders ◽  
Christina M. van der Feltz-Cornelis
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Somatic Symptom ◽  
Care Setting ◽  
Cross Sectional Study ◽  
Somatic Symptom Disorder ◽  
Sectional Study ◽  
Cross Sectional ◽  
Outpatient Mental Health

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

2021 ◽  
pp. 002076402110255
Author(s):  
Chao-Ying Tu ◽  
Wei-Shih Liu ◽  
Yen-Fu Chen ◽  
Wei-Lieh Huang
Keyword(s):  
Help Seeking ◽  
Somatic Symptom ◽  
Health Anxiety ◽  
Cross Sectional Study ◽  
Psychiatric Diagnoses ◽  
Somatic Symptom Disorder ◽  
Autonomic Dysregulation ◽  
Cross Sectional ◽  
Significant Difference ◽  
Patient Health

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.

Relationship between the Dental Aesthetic Index and Discrepancy Index

2020 ◽  
Vol 47 (3) ◽  
pp. 213-222
Author(s):  
Sonia P Plaza ◽  
Claudia M Aponte ◽  
Sonia R Bejarano ◽  
York J Martínez ◽  
Soraya Serna ◽  
...  
Keyword(s):  
Statistical Evaluation ◽  
Private University ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Case Complexity ◽  
American Board Of Orthodontics ◽  
Discrepancy Index ◽  
Pre Treatment ◽  
Spearman’S Correlation

Objective: To establish the association between malocclusion severity and orthodontic case complexity as assessed by the Dental Aesthetic Index (DAI) and the American Board of Orthodontics Discrepancy Index (ABO-DI), respectively. Design: Cross-sectional study. Setting: Pre-treatment dental casts and radiographs from 500 individuals (294 women and 206 men; mean age = 26.06 ± 11.58 years) were randomly selected from the orthodontics department of a private university. Methods: Malocclusion severity was assessed using DAI and case complexity was evaluated with ABO-DI. Three previously calibrated operators performed the measurements. Spearman’s correlation analysis, Mann–Whitney U test, Kruskal–Wallis test and a linear generalised model were used for statistical evaluation ( P < 0.05 was considered significant). Results: Although the correlation (r = 0.45; P < 0.0001) between malocclusion severity and case complexity was moderate, strong evidence of an association ( P < 0.001) between dichotomised DAI and ABO-DI total scores was observed. The linear generalised model showed that for each point of increase in DAI score, the ABO-DI score increased an average of 0.3624 points ( P < 0.0001). Conclusion: An association between malocclusion severity and case complexity is suggested. A linear generalised model could be used to predict the complexity of the case from the malocclusion severity (DAI score).

scholarly journals Patients with Multiple Functional Gastrointestinal Disorders (FGIDs) Show Increased Illness Severity: A Cross-Sectional Study in a Tertiary Care FGID Specialty Clinic

2020 ◽  
Vol 2020 ◽  
pp. 1-10 ◽  
Author(s):  
Sabrina Berens ◽  
Felicitas Engel ◽  
Annika Gauss ◽  
Jonas Tesarz ◽  
Wolfgang Herzog ◽  
...  
Keyword(s):  
Symptom Severity ◽  
Somatic Symptom ◽  
Tertiary Care ◽  
Functional Gastrointestinal Disorders ◽  
Cross Sectional Study ◽  
Gastrointestinal Disorders ◽  
Sectional Study ◽  
Cross Sectional ◽  
Work Related

Objectives. Overlaps between different functional gastrointestinal disorders (FGIDs) are common. However, little is known about the impact of this overlap on patients’ health status. This study is aimed at analyzing the differences between patients with multiple as compared to one single FGID. Methods. A retrospective, cross-sectional study was conducted with patients presenting to a tertiary care FGID specialty clinic between 06/2012 and 01/2015 (n=294). They were characterized primarily according to their GI symptom severity (IBS-SSS) and secondarily to their physical as well as psychosocial symptom burden, quality of life, health care utilization, and work-related impairment. Differences between patients with >1 vs. 1 FGID were analyzed. Results. Of the 294 patients, 92.2% fulfilled the Rome III criteria for any FGID, and 48.0% had >1 FGIDs. FGID patients had a median age of 38 [23.0] years; 72.0% were female. Median GI symptom severity (IBS-SSS) scores were 339 [126] and 232 [163] in patients with >1 and 1 FGID, respectively (p<.001). Furthermore, patients with >1 FGIDs had higher general somatic symptom severity, higher illness anxiety, lower quality of life, and more work-related impairment. Almost no differences were found regarding their somatic as well as mental comorbidities. Conclusions. Multiple FGIDs are associated with an increased risk for complicated courses of illness as reflected in higher GI and somatic symptom severity, as well as stronger psychosocial and diet- and work-related impairment. Stepped and interdisciplinary models of care including psychosocial expertise and dietary advice are needed, especially for patients with multiple FGIDs.

scholarly journals Prevalence of Alexithymia in Patients with Medically Unexplained Physical Symptoms: A Cross-sectional Study in Egypt

2021 ◽  
Vol 17 (1) ◽  
pp. 136-145
Author(s):  
Ahmed Rady ◽  
Roa Gamal Alamrawy ◽  
Ismail Ramadan ◽  
Mervat Abd El Raouf
Keyword(s):  
Somatic Symptom ◽  
Somatic Symptoms ◽  
Cross Sectional Study ◽  
Physical Symptoms ◽  
Arabic Version ◽  
Sectional Study ◽  
Cross Sectional ◽  
Patient Health ◽  
Medically Unexplained ◽  
Unexplained Physical Symptoms

Background: There is a high incidence of alexithymia in people who report medically unexplained symptoms. There have been limited studies on the prevalence of alexithymia in patients with medically unexplained physical symptoms (MUPS) in various ethnic and cultural backgrounds. Objective: This study aimed to estimate the prevalence of alexithymia in patients with MUPS and examine their socio-demographic data. Methods: In this cross-sectional study, 196 patients with MUPS were recruited from tertiary care internal medicine and neuropsychiatry clinics during the first quarter of 2019. Patients completed a structured interview; socio-demographic and medical history data were collected. Somatic symptom severity was assessed using the Arabic version of the Patient Health Questionnaire (PHQ-15). Alexithymia was assessed using the Arabic version of the Toronto Alexithymia Scale. Results: General fatigue was the most common complaint observed, followed by headache and dyspepsia. In addition, 73.5% of patients had a high Patient Health Questionnaire score, 17.9% had somatic symptoms of medium severity, while 8% and 0.5% had low and marginal somatic symptoms, respectively. Alexithymia was presented in 49.5%, 22.9% had no alexithymia, and 27.6% had borderline/intermediate alexithymia.A weak positive correlation (r<0.4) was found between somatic symptom severity and alexithymic psychopathology (r=0.277;p<0.05). Only the ‘difficulty identifying feelings’ dimension of alexithymic psychopathology was positively correlated with the severity of somatic symptoms (r=0.271;p<0.05). Conclusion: Alexithymia is associated with the development of MUPS.

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