Functioning and quality of life in patients with somatic symptom disorder: The association with comorbid depression
Journal
Comprehensive Psychiatry
Journal Volume
90
Journal Volume
90
Pages
88-94
Start Page
88
End Page
94
ISSN
0010-440X
Date Issued
2019-04
Author(s)
Abstract
Objectives: Patients with somatic symptoms often have impaired functioning and reduced quality of life (QOL), but the factors identified as responsible for these impairments vary between studies. We examined functioning and QOL in patients with somatic symptom disorder (SSD), exploring their associations with demographic factors, personality traits and psychological features. Methods: The sample comprised 107 SSD patients and 100 healthy controls. Several types of self-report instrument were administered. Group differences were assessed with independent t-tests. We used multiple linear regression to examine relationships between the independent variables and functioning and QOL. Finally, we used structural equation modeling (SEM) to perform path analysis and examine the fit of a model based on the earlier results. Results: Most function scores were lower in SSD patients than in healthy controls. In SSD patients overall WHO Quality of Life-BREF (WHOQOL-BREF) score was correlated with exercise level and Beck Depression Inventory-II (BDI-II) score. There were also associations between Sheehan Disability Scale (SDS) score and age, novelty seeking, Cognitions About Body and Health Questionnaire (CABAH) score and BDI-II score. Family APGAR score was only related to BDI-II score. Path analysis revealed that BDI-II score was related to all three indices of functioning. Conclusions: Depression is associated with functioning and QOL in SSD patients. Trial registration information: The Research Ethics Committee of National Taiwan University National Taiwan University Hospital approved this study (approval number: 201507007RINB). ? 2019 The Authors
SDGs
Other Subjects
adult; anxiety; Apgar score; Article; avoidance behavior; Beck Depression Inventory; comorbidity; comparative study; controlled study; cross-sectional study; depression; disease association; educational status; emotional disorder; exercise; female; human; major clinical study; male; path analysis; personality; psychological aspect; psychosomatic disorder; quality of life; reward; self report; sex difference; somatic symptom disorder; structural equation modeling; depression; medically unexplained symptom; middle aged; psychology; quality of life; questionnaire; self report; Taiwan; Adult; Comorbidity; Cross-Sectional Studies; Depression; Female; Humans; Male; Medically Unexplained Symptoms; Middle Aged; Quality of Life; Self Report; Surveys and Questionnaires; Taiwan
Publisher
W.B. Saunders
Type
journal article