scholarly journals A New Routine for Analyzing Brief Symptom Inventory Profiles in Chronic Pain Patients to Evaluate Psychological Comorbidity

2021 ◽  
Vol 12 ◽  
Author(s):  
Gabriele Helga Franke ◽  
Melanie Jagla-Franke ◽  
Dieter Küch ◽  
Katja Petrowski

Question: Comorbidity, i.e., additional psychological distress in patients already suffering from chronic somatic diseases (e.g., orthopedic conditions) is of growing importance. The quality of analyzing and interpreting the often used Brief Symptom Inventory (BSI) used with orthopedic patients should improve by employing a new “case definition” of four groups (instead of two) of differentially psychologically distressed patients instead of two groups as before.Methods: Four groups with the different psychological distress definitions of “no,” “mild,” “remarkable,” and “severe” were to be analyzed from a group of 639 orthopedic patients in inpatient rehabilitation clinics. The BSI is transformed into T values (M=50, SD=10). There is “no” distress if no T [two scales] is ≥60 and “mild” distress if T [two scales] and/or T [GSI] is ≥60 and <63. If T [two scales] and/or T [GSI] is ≥63 and <70, it is “remarkable,” and if T [two scales] and/or T [GSI] ≥70, it speaks for “severe” psychological distress.Results: The new tool for analyzing psychological distress based on the T-scores of the BSI resulted in the following four groups: No psychological distress (41.9%): unspecific health-related information stands for a useful intervention. About 13.3% demonstrated low psychological distress: shorter diagnostic interviews and a few more diagnostic examinations led to a low-level outpatient group program to improve health and well-being in a preventive sense; one repeated measurement in 4weeks is advised. Remarkable psychological distress (26%): in-depth exploration using interviews, tests, and questionnaires to choose specific interventions in a single and/or group setting, outpatient or inpatient treatment; repeated measurements and process control. About 18.8% reported severe psychological distress: in-depth exploration led to specific interventions in a single and/or group setting, almost an inpatient setting; immediately crisis intervention and high-frequent process control.Conclusion: The new evaluation strategy of the BSI should improve practice and research; further investigation is necessary.

2018 ◽  
Vol 154 (1) ◽  
pp. S49
Author(s):  
Shmuel Odes ◽  
Vered Slonim-Nevo ◽  
Ruslan Sergienko ◽  
Michael Friger ◽  
Doron Schwartz ◽  
...  

Author(s):  
Rosa GARCÍA-SIERRA ◽  
María Isabel Fernández-Cano ◽  
Josep María MANRESA-DOMÍNGUEZ ◽  
María FEIJOO-CID ◽  
Eduard MORENO-GABRIEL ◽  
...  

The process of international migration causes a situation of vulnerability in people's health and greater difficulty in coping with disease. Furthermore, the adversities suffered during migration can trigger reactive signs of stress and cause anxious, depressive, confusional and somatic symptoms. This article studies the relationships between psychosocial risk, psychological distress and somatization in immigrants from 4 communities: Maghrebis, Sub-Saharans, South Americans and South Asian. A cross-sectional study was carried out with questionnaires on 602 immigrants who were surveyed in the Primary Care Centres of an urban area of Catalonia. The instruments used were the Demographic Psychosocial Inventory (DPSI), the Brief Symptom Inventory (BSI) and the Somatic Symptom Inventory (SSI). The average psychosocial risk obtained was 0.35, with the highest values in the sub-Saharan community. Psychological distress showed a mean value of 0.66, with the sub-Saharan community scoring the lowest in all dimensions except depression. The average somatization values were 1.65, with the sub-Saharan community scoring the least. The female gender is a risk factor for somatization and psychological distress. Perceived psychosocial risk is a predictor of psychological distress, but not somatization, suggesting that the use of more adaptive coping strategies could minimize the effect of the migration process on somatizations.


2018 ◽  
Vol 24 (suppl_1) ◽  
pp. S34-S34
Author(s):  
Shmuel Odes ◽  
Vered Slonim-Nevo ◽  
Ruslan Sergienko ◽  
Michael Friger ◽  
Doron Schwartz ◽  
...  

1995 ◽  
Vol 41 (1) ◽  
pp. 31-46 ◽  
Author(s):  
Karen J. Aroian ◽  
Carol A. Patsdaughter ◽  
Anatoly Levin ◽  
Maria Eden Gianan

1990 ◽  
Vol 35 (4) ◽  
pp. 211-216 ◽  
Author(s):  
Denise G. Tate ◽  
Donald G. Kewman ◽  
Frederick Maynard

Neurology ◽  
2020 ◽  
Vol 95 (20 Supplement 1) ◽  
pp. S17-S17
Author(s):  
Jena Nicole Moody ◽  
Jasmeet Hayes ◽  
Thomas A. Buckley ◽  
Julianne Schmidt ◽  
Steven Broglio ◽  
...  

ObjectiveThis study examined the association between age of first concussion (AFC) and neurocognitive performance, psychological distress, postural stability, and concussion symptoms in healthy collegiate student athletes.BackgroundConcussions are common among youth athletes, yet the long-term clinical consequences are largely unknown. We hypothesized that earlier AFC (younger age at first injury) would be associated with worse clinical outcomes.Design/MethodsParticipants included 4,267 collegiate athletes with a positive concussion history from various contact, limited-contact, and non-contact sports (1,818 women and 2,449 men) who completed baseline assessments as part of the Concussion Assessment, Research and Education (CARE) Consortium. Self-reported AFC included both sport- and non-sport-related concussions. Participants completed the Brief Symptom Inventory-18 (assessing psychological distress), the Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT, assessing neurocognitive performance and symptoms), the Sport Concussion Assessment Tool symptom evaluation, and the Balance Error Scoring System (assessing postural stability). Generalized linear models were implemented for men and women separately to examine the effects of AFC on clinical outcomes.ResultsMedian time from AFC to assessment was four years. After correcting for multiple comparisons, earlier AFC was associated with greater somatic (Exp(B) = 0.96, p = 0.001) and global (Exp(B) = 0.96, p < 0.001) psychological distress on the Brief Symptom Inventory-18, and slower ImPACT reaction time (B = −0.003, p = 0.001) in women. After correcting for multiple comparisons, AFC was not associated with any clinical outcomes in men.ConclusionsEarlier AFC appears to have some long-term clinical consequences in women but not men, which is consistent with work suggesting that women report greater overall symptoms than men following concussion. These results underscore the importance of minimizing the risk of and properly managing concussions in youth sports, as they may have lasting effects. Future work should examine mechanisms of the AFC sex effects as well as longer-term clinical outcomes in middle and older adulthood.


Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 557
Author(s):  
Rosa García-Sierra ◽  
María Isabel Fernández-Cano ◽  
Josep María Manresa-Domínguez ◽  
María Feijoo-Cid ◽  
Eduard Moreno Gabriel ◽  
...  

The process of international migration causes a situation of vulnerability in people’s health and greater difficulty in coping with disease. Furthermore, the adversities suffered during migration can trigger reactive signs of stress and cause anxious, depressive, confusional and somatic symptoms. This article studies the relationships between psychosocial risk, psychological distress and somatization in immigrants from four communities: Maghrebis, Sub-Saharans, South Americans and South Asian. A cross-sectional study was carried out with questionnaires on 602 immigrants who were surveyed in the primary care centers of an urban area of Catalonia. The instruments used were the Demographic Psychosocial Inventory (DPSI), the Brief Symptom Inventory (BSI) and the Somatic Symptom Inventory (SSI). The average psychosocial risk obtained was 0.35, with the highest values in the Sub-Saharan community. Psychological distress showed a mean value of 0.66, with the Sub-Saharan community scoring the lowest in all dimensions except depression. The average somatization values were 1.65, with the Sub-Saharan community scoring the least. The female gender is a risk factor for somatization and psychological distress. Perceived psychosocial risk is a predictor of psychological distress, but not somatization, suggesting that the use of more adaptive coping strategies could minimize the effect of the migration process on somatizations.


2003 ◽  
Vol 31 (1) ◽  
pp. 91-99 ◽  
Author(s):  
Güler Yayli ◽  
Hakan Yaman ◽  
Aylin Yaman

It has long been recognized that work can influence mental well-being. Quality of medical care is dependent upon the mental well-being of health care professionals. Determination of factors in job stress is important, because it will help to prevent it. The aim of this study was to evaluate the relationship of work-related stress with work life variables by using The Brief Symptom Inventory (BSI) and Brief Coping Styles Inventory (BCSI). A survey was conducted among hospital staff of a university teaching hospital in Turkey. Response rate was 52.4 % (N=152). A questionnaire included 47 questions on sociodemographic variables and lifestyle. Nineteen questions were derived from the Work-life Evaluation Scales. Psychological symptom status was assessed with BSI. Coping styles with stress behavior was evaluated with BCSI. Most participants showed medium level BSI subscale scores, but global indexes were at a higher level. Females had higher depression and anxiety scores than did males; graduates of university programs (mostly nurses) had higher somatisation, obsessive compulsive interpersonal sensitivity, depression, hostility, paranoid ideation, global severity index, positive symptom total and positive symptom distress index scores than did other respondents of other educational levels, staff who were employed by the university (i.e., residents and nurses) had higher BSI symptom scores. In conclusion, even though the respondents did not seem generally to be dissatisfied concerning their work-life, the majority of staff had depressive symptoms and were distressed. Nurses and residents in particular, should receive counseling concerning coping styles with stress.


2022 ◽  
Vol 15 (1) ◽  
Author(s):  
Alexander Zinke ◽  
Christin Bohl ◽  
Hendrik Berth

Abstract Objectives Information was collected to identify anxiety in dental patients visiting a dental clinic using the Dental Anxiety Scale, their level of psychological distress using the Brief Symptom Inventory-18 and identifying a correlation between these groups as well as the gender and age. Data description This data contains a set of 1550 patients’ answers to questionnaires taken before dental treatment in a dental clinic. It is divided into male and female patients as well as according to their age. The level of Dental Anxiety can be interpreted by answers chosen in the Dental Anxiety Scale (DAS) and the level of psychological distress by answers chosen in the Brief Symptom Inventory-18 (BSI-18). This dataset should help to encourage more research in the field of dental anxiety and we hope to see more comparisons with our data in the future or in different regions of the world.


2020 ◽  
Author(s):  
Rosa García-Sierra ◽  
María Isabel Fernández-Cano ◽  
Josep Maria Manresa-Domínguez ◽  
María Feijoo-Cid ◽  
Eduard Moreno Gabriel ◽  
...  

Abstract Background: The process of international migration causes a situation of vulnerability in people's health and greater difficulty in coping with disease. Furthermore, the adversities suffered during migration can trigger reactive signs of stress and cause anxious, depressive, confusional and somatic symptoms. This article studies the relationships between psychosocial risk, psychological distress and somatization in immigrants from 4 communities: Maghrebis, Sub-Saharans, South Americans and South Asians.Methods: A cross-sectional study was carried out with questionnaires on 602 immigrants who were surveyed in the Primary Care Centres of an urban area of Catalonia. The instruments used were the Demographic Psychosocial Inventory (DPSI), the Brief Symptom Inventory (BSI) and the Somatic Symptom Inventory (SSI).Results: The average psychosocial risk obtained was 0.35, with the highest values in the sub-Saharan community. Psychological distress showed a mean value of 0.66, with the sub-Saharan community scoring the lowest in all dimensions except depression. The average somatization values were 1.65, with the sub-Saharan community scoring the least. The female gender is a risk factor for somatization and psychological distress.Conclusions: Perceived psychosocial risk is a predictor of psychological distress, but not somatization, suggesting that the use of more adaptive coping strategies could minimize the effect of the migration process on somatizations.


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