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

2017 ◽  
Vol 101 ◽  
pp. 44-50 ◽  
Author(s):  
Anne Toussaint ◽  
Kurt Kroenke ◽  
Fitsum Baye ◽  
Spencer Lourens
Keyword(s):  
Somatic Symptom ◽  
Symptom Burden ◽  
Patient Health Questionnaire ◽  
Health Questionnaire ◽  
Symptom Scale ◽  
Patient Health ◽  
Scale 8

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)

2019 ◽  
Vol 50 (2) ◽  
pp. 324-333 ◽  
Author(s):  
Anne Toussaint ◽  
Paul Hüsing ◽  
Sebastian Kohlmann ◽  
Bernd Löwe
Keyword(s):  
Diagnostic Accuracy ◽  
Sensitivity And Specificity ◽  
Somatic Symptom ◽  
Patient Health Questionnaire ◽  
Health Questionnaire ◽  
Somatic Symptom Disorder ◽  
Symptom Scale ◽  
Dsm 5 ◽  
Patient Health ◽  
Scale 8

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.

scholarly journals Developing the Patient Health Questionnaire-8 for a greater impact on the quality of life of patients with functional dyspepsia compared to Somatic Symptom Scale-8

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Chaoqun Yuan ◽  
Guizhen Yong ◽  
Xi Wang ◽  
Ting Xie ◽  
Chunyan Wang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Regression Analysis ◽  
Somatic Symptom ◽  
Linear Regression Analysis ◽  
Reliability And Validity ◽  
Health Questionnaire ◽  
Symptom Scale ◽  
Patient Health ◽  
Scale 8

Abstract Background To develop the Patient Health Questionnaire-8 (PHQ-8) as a more reliable approach than the Somatic Symptom Scale-8 (SSS-8), evaluating somatization which might be a critical factor influencing the quality of life (QoL) in patients with functional dyspepsia (FD). Also, the effects of somatization on QoL of FD patients were assessed by these two approaches. Methods Herein, 612 FD patients completed a questionnaire involving 25 items. 8/25 items were selected to develop the PHQ-8 by four methods of discrete degree, correlation coefficient, factor analysis, and Cronbach’s α coefficient. Reliability and validity of the PHQ-8 and the SSS-8 were compared by principal component and confirmatory factor analyses. The effects of somatization, depression, and anxiety on the Nepean Dyspepsia Index (NDI) for QoL were explored by Pearson’s correlation coefficient and linear regression analysis. Results The Cronbach’s α coefficient for the PHQ-8 and the SSS-8 was 0.601 and 0.553, respectively, and the cumulative contribution rate of three extracted factors for the developed PHQ-8 and SSS-8 was 55.103% and 51.666%, respectively. Somatization evaluated by the PHQ-8 (r = 0.309, P < 0.001) and the SSS-8 (r = 0.281, P < 0.001) was found to be correlated to NDI. The model used for the PHQ-8 showed that the values of goodness-of-fit index (GFI) and adjusted GFI (AGFI) were 0.984 and 0.967, respectively, which indicated that the model fitted well. Linear regression analysis unveiled that somatization (β = 0.270, P < 0.001), anxiety (β = 0.163, P < 0.001), and depression (β = 0.136, P = 0.003) assessed by the PHQ-8 were correlated to NDI. In addition, somatization (β = 0.250, P < 0.001), anxiety (β = 0.156, P < 0.001), and depression (β = 0.155, P = 0.001) evaluated by the SSS-8 were correlated to NDI. Conclusions PHQ-8 showed a superior reliability and validity, and somatization assessed by the developed PHQ-8 showed a greater influence on the QoL of FD patients as compared to the SSS-8. Our findings suggested that the developed PHQ-8 may show improvement in a reliable assessment of the effects of somatization on FD patients in lieu of the SSS-8.

Using the Patient Health Questionnaire to estimate prevalence and gender differences of somatic symptoms and psychological co-morbidity in a secondary inpatient population with abdominal pain

2021 ◽  
pp. 000486742110446
Author(s):  
Melissa Stieler ◽  
Peter Pockney ◽  
Cassidy Campbell ◽  
Vaisnavi Thirugnanasundralingam ◽  
Lachlan Gan ◽  
...  
Keyword(s):  
Gender Differences ◽  
Abdominal Pain ◽  
Somatic Symptom ◽  
Somatic Symptoms ◽  
Patient Health Questionnaire ◽  
Health Questionnaire ◽  
Cut Points ◽  
Co Morbidity ◽  
Female Predominance ◽  
Patient Health

Background: Somatic disorders and somatic symptoms are common in primary care populations; however, little is known about the prevalence in surgical populations. Identification of inpatients with high somatic symptom burden and psychological co-morbidity could improve access to effective psychological therapies. Methods: Cross-sectional analysis ( n = 465) from a prospective longitudinal cohort study of consecutive adult admissions with non-traumatic abdominal pain, at a tertiary hospital in New South Wales, Australia. We estimated somatic symptom prevalence with the Patient Health Questionnaire-15 at three cut-points: moderate (⩾10), severe (⩾15) and ‘bothered a lot’ on ⩾3 symptoms; and psychological co-morbidity with the Patient Health Questionnaire-9 and Generalized Anxiety Disorder-7 at standard (⩾10) cut-points. We also examined gender differences for somatic symptoms and psychological co-morbidity. Results: Prevalence was moderate (52%), female predominance (odds ratio = 1.71; 95% confidence interval = [1.18, 2.48]), severe (20%), no gender difference (1.32; [0.83, 2.10]) and ‘bothered a lot’ on ⩾3 symptoms (53%), female predominance (2.07; [1.42, 3.03]). Co-morbidity of depressive, anxiety and somatic symptoms ranged from 8.2% to 15.9% with no gender differences. Conclusion: Somatic symptoms were common and psychological triple co-morbidity occurred in one-sixth of a clinical population admitted for abdominal pain. Co-ordinated surgical and psychological clinical intervention and changes in clinical service organisation may be warranted to provide optimal care.

scholarly journals 314. Six-Month Post-Acute Sequelae of COVID-19: High Self-Reported Morbidity among Women and Younger Adults

2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. S262-S263
Author(s):  
Ashish Bhargava ◽  
Wei Zhao ◽  
Mamta Sharma ◽  
Susan M Szpunar ◽  
Louis Saravolatz
Keyword(s):  
Emergency Department ◽  
Standard Deviation ◽  
Symptom Burden ◽  
Patient Health Questionnaire ◽  
Health Questionnaire ◽  
General Symptom ◽  
Patients Âgés ◽  
Symptom Questionnaire ◽  
Patient Health ◽  
The Impact

Abstract Background Long term sequelae across multiple medical domains, including the respiratory, psychiatric, and neurocognitive have been reported after COVID-19. Studies evaluating the impact of this symptom burden, however, are lacking. We aimed to describe the self-reported occurrence of symptoms and their effect on patient functioning six months after their acute hospitalization for COVID-19. Methods From a historical cohort study of patients hospitalized for COVID-19 between March 8, and June 14, 2020, we identified patients discharged home. The purpose of the study was explained, and they were asked to consent to a telephone questionnaire. We used a modified version of a previously validated general symptom questionnaire (GSQ-30) to assess multi-system symptom burden. The Patient Health Questionnaire-2 (PHQ-2) was used to screen for major depression. Results Of the original 565 patients, 258 patients were discharged home (45%). Of these, 57 (22%) patients were able to be contacted and agreed to participate in the survey. The mean (SD) age of the respondents was 55.1 (14.8) years, and 37 (64.9%) were female. The most common symptoms at follow-up were fatigue (60.0%), dyspnea (57.1%), feeling irritable, sad or decreased pleasure (56.4%), and memory difficulty (56.4%). Females had a significantly higher GSQ score (0.02) than males. Patients ages &lt; 60 years tended to experience similar, if not greater, impaired functioning (p=0.07) compared with those ages ≥ 60 years (Table 1). Females were more likely to be irritable or sad (p=0.007), not feel rested on awakening (p=0.04), have shooting, stabbing and burning pain (p=0.02), have discomfort with normal light and sound (p=0.04), and have memory difficulty (p=0.04) than males (Table 2). Table 1. Self-Reported Post-Acute Sequelae of COVID syndrome in adults younger than 60 versus adults at or older than 60 Years. SD: Standard deviation, ICU: Intensive care unit, ED: Emergency department, GSQ - General symptom questionnaire, PHQ-2: Patient Health Questionnaire-2 Table 2. Self-Reported Post-acute Sequelae of COVID syndrome in female versus male adults. SD: Standard deviation, ED: Emergency department, GSQ - General symptom questionnaire, PHQ-2: Patient Health Questionnaire-2 Conclusion Our study describes the clinical burden of post-acute sequelae of COVID-19 (PASC) in four core domains: fatigue, neurologic, neuro-psychiatric and viral-like symptoms. Over 45% of patients ages &lt; 60 years suffered impaired functioning, compared with 21.1% of patient’s ages 60 years and above. Females had significantly higher GSQ scores than men which strongly corelates with the functional impairment among the females. Larger studies are needed to further validate our findings. Disclosures All Authors: No reported disclosures

Somatoforme Symptome, Angst und Depression bei Migranten aus der Türkei, aus Osteuropa und aus der ehemaligen Sowjetunion

2010 ◽  
Vol 58 (3) ◽  
pp. 165-171 ◽  
Author(s):  
Ricarda Mewes ◽  
Winfried Rief ◽  
Alexandra Martin ◽  
Heide Glaesmer ◽  
Elmar Brähler
Keyword(s):  
Psychische Gesundheit ◽  
Patient Health Questionnaire ◽  
Health Questionnaire ◽  
Epidemiologische Studien ◽  
Patient Health

Hintergrund: Gegenüberstellende epidemiologische Studien zur psychischen Gesundheit bei verschiedenen Migrantengruppen in Deutschland fehlen weitgehend. Sie sind jedoch von großer Wichtigkeit, um den Therapiebedarf für diese Gruppen zu bestimmen und Angebote entsprechend auszurichten. Die vorliegende Studie möchte die Ausprägung einer depressiven, somatoformen und angstbezogenen Symptomatik bei osteuropäischen, türkischen und Migranten aus der ehemaligen Sowjetunion in der Allgemeinbevölkerung miteinander vergleichen und untersuchen, ob es Unterschiede in der Bereitschaft gibt, für verschiedene Beschwerden einen Arzt aufzusuchen. Methode: 43 osteuropäische Migranten (beide Eltern in Polen, Rumänien, Slowakischer Republik, Tschechischer Republik oder Ungarn geboren), 49 Migranten aus der ehemaligen Sowjetunion (beide Eltern in Russland, Ukraine, Weißrussland oder Kasachstan geboren; Russlanddeutsche Personen fallen auch in diese Gruppe) und 42 Personen mit türkischem Migrationshintergrund wurden mit dem Patient-Health-Questionnaire auf depressive, somatoforme und angstbezogene Symptome untersucht und mit einem Fragebogen zu ihrer Bereitschaft befragt, für verschiedene Beschwerden einen Arzt aufzusuchen. Die Gruppen wurden mit Varianzanalysen unter Kontrolle möglicher konfundierender Variablen miteinander verglichen. Ergebnisse: Unter Kontrolle von Geschlecht, Alter, Partnerschaft und Erwerbstätigkeit zeigten sich keine signifikanten Unterschiede in depressiver, somatoformer und ängstlicher Symptomatik zwischen den drei Gruppen. Unter Kontrolle für Alter und Geschlecht zeigten sich ebenfalls keine Unterschiede in der Bereitschaft, für verschiedene Beschwerden einen Arzt aufzusuchen. Frauen berichteten mehr somatoforme Beschwerden als Männer und zeigten eine höhere Bereitschaft, einen Arzt zu konsultieren. Diskussion: Es lassen sich keine kulturellen Einflüsse in Bezug auf die psychische Gesundheit und den Umgang mit verschiedenen Beschwerden bei diesen eher gut integrierten Migranten feststellen. Weitere Studien zu dieser Fragestellung mit größeren Stichproben und unter Einbezug schlechter Deutsch sprechender Migranten wären wünschenswert.

Beurteilung depressiver und somatischer Symptome mittels des PHQ-9 und PHQ-15 bei ambulanten vietnamesischen und deutschen Patientinnen

2016 ◽  
Vol 64 (1) ◽  
pp. 25-36 ◽  
Author(s):  
Eric Hahn ◽  
Ronald Burian ◽  
Annegret Dreher ◽  
Georg Schomerus ◽  
Michael Dettling ◽  
...  
Keyword(s):  
Patient Health Questionnaire ◽  
Health Questionnaire ◽  
Fand Sich ◽  
Patient Health ◽  
Somatische Symptome ◽  
Vergleichende Untersuchungen

Zusammenfassung. Studien in der Allgemeinbevölkerung zeigen uneinheitliche Ergebnisse bezüglich häufigerer Somatisierung bei Migranten. Vergleichende Untersuchungen fanden bei depressiven Patienten ostasiatischer Herkunft geringere Angaben von psychologischen Symptomen und häufigere somatische Beschwerden, als bei Patienten westlicher Herkunft. Aufgrund einer geringen Inanspruchnahme psychiatrischer Versorgungsangebote in Deutschland, insbesondere durch vietnamesische Migranten der ersten Generation, existieren bisher keine Studien zu einer psychischen und somatischen Symptomausprägung bei Patienten vietnamesischer Herkunft im Vergleich zu deutschen Patienten ohne Migrationshintergrund. Im Kontext kultursensibler Diagnostik von Migranten in Deutschland wurde als ausreichend messäquivalentes Selbstbeurteilungsinstrument insbesondere der Patient Health Questionnaire bzw. der Gesundheitsfragebogen für Patienten als ein valides und einfach verwendbares Instrument für eine Erfassung von Symptomen und Schweregraden häufiger psychischer Störungen, wie der Depression empfohlen. Im Rahmen der vorliegenden Untersuchung wurden bei 66 vietnamesischen Patientinnen der ersten Generation und 83 deutschen Patientinnen während des erstmaligen psychiatrischen Kontaktes psychische Symptome einer Depression mittels des PHQ-9 und somatische Symptome mittels des PHQ-15 in der jeweiligen Muttersprache erfasst. Für beide Gruppen fand sich für beide Instrumente eine zufriedenstellende interne Konsistenz. Ein möglicher Zusammenhang zwischen der Herkunft und dem Schweregrad der Ausprägung psychischer depressiver und somatischer Symptome bei diagnostizierter depressiver Episode erfolgte mittels einer multivariaten Analyse. Für die Selbstbeurteilung mittels des PHQ-9 fanden sich keine Gruppenunterschiede hinsichtlich des Gesamtsummenwertes und des Schweregrades psychischer depressiver Symptome. Dagegen berichteten vietnamesische Patientinnen in der Selbstwahrnehmung anhand des PHQ-15 von einem insgesamt höheren Schweregrad von somatischen Symptomen. Insbesondere waren bei depressiven vietnamesischen Patientinnen die Mittelwerte der Einzelitems Kopfschmerzen, Glieder- und Gelenkschmerzen, Schmerzen im Brustbereich sowie Schwindel und Ohnmachtsanfälle gegenüber deutschen Patientinnen deutlich erhöht. Entgegen der Untersuchungshypothese und früherer Studien ging die häufigere Selbstbeurteilung oder Aufmerksamkeit auf somatische Symptome bei vietnamesischen Patientinnen nicht mit einer verminderten Eigenwahrnehmung von psychischen Symptomen einer depressiven Episode anhand des PHQ-9 einher.

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