Universität zu Köln

Berens, Sabrina, Schaefert, Rainer, Ehrenthal, Johannes C. ORCID: 0000-0002-9428-3763, Baumeister, David, Gauss, Annika, Eich, Wolfgang and Tesarz, Jonas (2021). The Validity of Somatic Symptom Disorder in Patients With Gastrointestinal Complaints. J. Clin. Gastroenterol., 55 (8). S. E66 - 11. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS. ISSN 1539-2031

Full text not available from this repository.

Abstract

Background and Goal: The current diagnostic concept of somatic symptom disorder (SSD) aims to capture psychological burden due to bodily complaints independent of the medical cause. The aim of this study was to compare patients with chronic gastrointestinal (GI) complaints with SSD (SSD+) and without SSD (SSD-) along sociodemographic, clinical, and psychological characteristics. Study: This cross-sectional study included 199 patients (n=92 SSD+ and n=107 SSD-) with distressing and chronic abdominal/lower GI complaints (>= 6 mo) recruited from several primary, secondary, and tertiary medical care units. SSD+ patients were separated from SSD- patients by psychobehavioral positive criteria. Psychological distress (somatization, depression, anxiety, and illness anxiety) and risk factors (adverse childhood experiences, insecure attachment, mentalizing capacity, and levels of personality functioning) were measured. Nonparametric group comparisons were performed to analyze the differences of sociodemographic, clinical, and psychological characteristics between SSD+ and SSD- patients. Results: About half of the SSD+ patients had a functional GI disorder and a third had an inflammatory bowel disease. SSD+ patients reported higher GI pain severity, higher health-related and work-related impairment, and higher psychological distress, especially illness anxiety, as well as higher mentalizing and personality functioning deficits. Conclusions: Overall, psychobehavioral positive criteria of SSD seem to be a valid identifier of patients exhibiting a high psychological burden, independent of the medical explanation of the GI complaints. There is a substantial overlap of SSD and general mental burden, but also evidence for a specific disease entity.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Berens, Sabrina UNSPECIFIED UNSPECIFIED UNSPECIFIED Schaefert, Rainer UNSPECIFIED UNSPECIFIED UNSPECIFIED Ehrenthal, Johannes C. UNSPECIFIED orcid.org/0000-0002-9428-3763 UNSPECIFIED Baumeister, David UNSPECIFIED UNSPECIFIED UNSPECIFIED Gauss, Annika UNSPECIFIED UNSPECIFIED UNSPECIFIED Eich, Wolfgang UNSPECIFIED UNSPECIFIED UNSPECIFIED Tesarz, Jonas UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-590018
DOI:	10.1097/MCG.0000000000001505
Journal or Publication Title:	J. Clin. Gastroenterol.
Volume:	55
Number:	8
Page Range:	S. E66 - 11
Date:	2021
Publisher:	LIPPINCOTT WILLIAMS & WILKINS
Place of Publication:	PHILADELPHIA
ISSN:	1539-2031
Language:	English
Faculty:	Faculty of Human Sciences
Divisions:	Faculty of Human Sciences > Department Psychologie
Subjects:	Psychology
Uncontrolled Keywords:	Keywords Language IRRITABLE-BOWEL-SYNDROME; QUALITY-OF-LIFE; ADVERSE CHILDHOOD EXPERIENCES; HEALTH-CARE UTILIZATION; CLINICAL UTILITY; DISEASE-ACTIVITY; GENERAL-PRACTICE; ATTACHMENT; VALIDATION; POPULATION Multiple languages Gastroenterology & Hepatology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/59001