کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6082547 1205696 2013 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Psychiatry and Primary CarePsychological and behavioral variables associated with the somatic symptom severity of general hospital outpatients in China
ترجمه فارسی عنوان
متغیرهای روانپزشکی و اولویت مراقبت های روانشناختی و رفتاری مرتبط با شدت علائم جسمی بیماران سرپایی بیمارستان عمومی در چین
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب اورژانس
چکیده انگلیسی

ObjectiveIn high-income countries, the number and severity of somatic symptoms - irrespective of etiology - are associated with adverse psychobehavioral and functional characteristics. This study aimed to assess these key features among Chinese general hospital outpatients with high levels of somatic symptoms.MethodsThis multicenter, cross-sectional study evaluated four outpatient departments of internal medicine and Traditional Chinese Medicine in Beijing and Kunming and enrolled a total of 281 consecutive patients. The patients answered questionnaires concerning somatic symptom severity [Patient Health Questionnaire (PHQ-15)], illness perception (Brief Illness Perception Questionnaire), illness behavior (Scale for the Assessment of Illness Behavior), emotional distress (Hospital Anxiety and Depression Scale) and health-related quality of life (12-Item Short Form Health Survey). Subsamples reporting high scores of somatic symptom severity (PHQ-15 ≥ 10, SOM +) versus low scores (PHQ-15 < 10, SOM −) were compared.ResultsTwenty-eight percent (79/281) of all outpatients showed high somatic symptom severity. The strongest correlations between high somatic symptom severity and psychobehavioral variables were found for high emotional distress, female gender, living alone, low physical quality of life and high dysfunctional illness behavior. The proportion of the explained variance was 36.1%.ConclusionIn Chinese outpatients, high somatic symptom severity is frequent and associated with psychobehavioral characteristics. With the PHQ-15 cutoff of 10, SOM + patients could be differentiated from SOM − patients using these characteristics.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: General Hospital Psychiatry - Volume 35, Issue 3, May–June 2013, Pages 297-303
نویسندگان
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