Total somatic symptom score as a predictor of health outcome in somatic symptom disorders.

John Mcbeth; Barbara Tomenson; Cecilia Essau; Athula Sumathipala; Francis Creed; EURASMUS Population Based Study Group; Frank Jacobi; Karl Heinz Ladwig; Kari Ann Leiknes; Roselind Lieb; Gunther Meinlschmidt; John McBeth; Judith Rosmalen; Winfried Rief

doi:10.1192/bjp.bp.112.114405

Total somatic symptom score as a predictor of health outcome in somatic symptom disorders.

John Mcbeth, Barbara Tomenson, Cecilia Essau, Athula Sumathipala, Francis Creed, EURASMUS Population Based Study Group, Frank Jacobi, Karl Heinz Ladwig, Kari Ann Leiknes, Roselind Lieb, Gunther Meinlschmidt, John McBeth, Judith Rosmalen, Winfried Rief

Research output: Contribution to journal › Article › peer-review

Abstract

BACKGROUND: The diagnosis of somatisation disorder in DSM-IV was based on 'medically unexplained' symptoms, which is unsatisfactory. AIMS: To determine the value of a total somatic symptom score as a predictor of health status and healthcare use after adjustment for anxiety, depression and general medical illness. METHOD: Data from nine population-based studies (total n = 28 377) were analysed. RESULTS: In all cross-sectional analyses total somatic symptom score was associated with health status and healthcare use after adjustment for confounders. In two prospective studies total somatic symptom score predicted subsequent health status. This association appeared stronger than that for medically unexplained symptoms. CONCLUSIONS: Total somatic symptom score provides a predictor of health status and healthcare use over and above the effects of anxiety, depression and general medical illnesses.

Original language	English
Pages (from-to)	373-380
Number of pages	7
Journal	The British journal of psychiatry : the journal of mental science
Volume	203
Issue number	5
DOIs	https://doi.org/10.1192/bjp.bp.112.114405
Publication status	Published - 2013

Keywords

health outcome
somaic symptom disorders

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10.1192/bjp.bp.112.114405

http://bjp.rcpsych.org/content/203/5/373.full.pdf+html

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Mcbeth, J., Tomenson, B., Essau, C., Sumathipala, A., Creed, F., EURASMUS Population Based Study Group, Jacobi, F., Ladwig, K. H., Leiknes, K. A., Lieb, R., Meinlschmidt, G., McBeth, J., Rosmalen, J., & Rief, W. (2013). Total somatic symptom score as a predictor of health outcome in somatic symptom disorders. The British journal of psychiatry : the journal of mental science, 203(5), 373-380. https://doi.org/10.1192/bjp.bp.112.114405

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title = "Total somatic symptom score as a predictor of health outcome in somatic symptom disorders.",

abstract = "BACKGROUND: The diagnosis of somatisation disorder in DSM-IV was based on 'medically unexplained' symptoms, which is unsatisfactory. AIMS: To determine the value of a total somatic symptom score as a predictor of health status and healthcare use after adjustment for anxiety, depression and general medical illness. METHOD: Data from nine population-based studies (total n = 28 377) were analysed. RESULTS: In all cross-sectional analyses total somatic symptom score was associated with health status and healthcare use after adjustment for confounders. In two prospective studies total somatic symptom score predicted subsequent health status. This association appeared stronger than that for medically unexplained symptoms. CONCLUSIONS: Total somatic symptom score provides a predictor of health status and healthcare use over and above the effects of anxiety, depression and general medical illnesses.",

keywords = "health outcome, somaic symptom disorders",

author = "John Mcbeth and Barbara Tomenson and Cecilia Essau and Athula Sumathipala and Francis Creed and {EURASMUS Population Based Study Group} and Frank Jacobi and Ladwig, {Karl Heinz} and Leiknes, {Kari Ann} and Roselind Lieb and Gunther Meinlschmidt and John McBeth and Judith Rosmalen and Winfried Rief",

note = ", Medical Research Council, United Kingdom",

year = "2013",

doi = "10.1192/bjp.bp.112.114405",

language = "English",

volume = "203",

pages = "373--380",

journal = "The British journal of psychiatry : the journal of mental science",

issn = "1472-1465",

publisher = "Royal College of Psychiatrists",

number = "5",

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Mcbeth, J, Tomenson, B, Essau, C, Sumathipala, A, Creed, F, EURASMUS Population Based Study Group, Jacobi, F, Ladwig, KH, Leiknes, KA, Lieb, R, Meinlschmidt, G, McBeth, J, Rosmalen, J & Rief, W 2013, 'Total somatic symptom score as a predictor of health outcome in somatic symptom disorders.', The British journal of psychiatry : the journal of mental science, vol. 203, no. 5, pp. 373-380. https://doi.org/10.1192/bjp.bp.112.114405

TY - JOUR

T1 - Total somatic symptom score as a predictor of health outcome in somatic symptom disorders.

AU - Mcbeth, John

AU - Tomenson, Barbara

AU - Essau, Cecilia

AU - Sumathipala, Athula

AU - Creed, Francis

AU - EURASMUS Population Based Study Group

AU - Jacobi, Frank

AU - Ladwig, Karl Heinz

AU - Leiknes, Kari Ann

AU - Lieb, Roselind

AU - Meinlschmidt, Gunther

AU - McBeth, John

AU - Rosmalen, Judith

AU - Rief, Winfried

N1 - , Medical Research Council, United Kingdom

PY - 2013

Y1 - 2013

N2 - BACKGROUND: The diagnosis of somatisation disorder in DSM-IV was based on 'medically unexplained' symptoms, which is unsatisfactory. AIMS: To determine the value of a total somatic symptom score as a predictor of health status and healthcare use after adjustment for anxiety, depression and general medical illness. METHOD: Data from nine population-based studies (total n = 28 377) were analysed. RESULTS: In all cross-sectional analyses total somatic symptom score was associated with health status and healthcare use after adjustment for confounders. In two prospective studies total somatic symptom score predicted subsequent health status. This association appeared stronger than that for medically unexplained symptoms. CONCLUSIONS: Total somatic symptom score provides a predictor of health status and healthcare use over and above the effects of anxiety, depression and general medical illnesses.

AB - BACKGROUND: The diagnosis of somatisation disorder in DSM-IV was based on 'medically unexplained' symptoms, which is unsatisfactory. AIMS: To determine the value of a total somatic symptom score as a predictor of health status and healthcare use after adjustment for anxiety, depression and general medical illness. METHOD: Data from nine population-based studies (total n = 28 377) were analysed. RESULTS: In all cross-sectional analyses total somatic symptom score was associated with health status and healthcare use after adjustment for confounders. In two prospective studies total somatic symptom score predicted subsequent health status. This association appeared stronger than that for medically unexplained symptoms. CONCLUSIONS: Total somatic symptom score provides a predictor of health status and healthcare use over and above the effects of anxiety, depression and general medical illnesses.

KW - health outcome

KW - somaic symptom disorders

U2 - 10.1192/bjp.bp.112.114405

DO - 10.1192/bjp.bp.112.114405

M3 - Article

C2 - 24072756

SN - 1472-1465

VL - 203

SP - 373

EP - 380

JO - The British journal of psychiatry : the journal of mental science

JF - The British journal of psychiatry : the journal of mental science

IS - 5

ER -

Total somatic symptom score as a predictor of health outcome in somatic symptom disorders.

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Keywords

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