Cited by 89Psychosomatic Disorders and Their TreatmentsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesFibromyalgia and Chronic Fatigue Syndrome Research

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Somatic symptom burden and health anxiety in the population and their correlates

Lee, Sing, Creed, Francis H, Ma, Yee-Ling, Leung, Candi MC·2015·Journal of Psychosomatic Research

DOI 10.1016/j.jpsychores.2014.11.012

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Abstract

Objective Somatic symptom burden and health anxiety demonstrate overlapping clinical characteristics but their relationship in the general population is unclear. This study examined the association between these dimensions after adjustment for confounders and their respective correlation with outcome measures.Methods A randomly selected population-based sample of 3014 respondents aged 15-65 was interviewed by telephone using a structured questionnaire that included the 15-item Patient Health Questionnaire (PHQ-15), Whiteley-7, Kessler-6, Sheehan Disability Scale, socio-demographic variables and items regarding health care utilization. Respondents who scored 10 or above on PHQ-15 and 4 or above on Whiteley-5 were regarded as having high somatic symptom burden and high health anxiety respectively.Results Somatic symptom burden and health anxiety are moderately correlated after adjustment for confounders (p<.001). Both have important effects on psychological distress, functional impairment and health care utilization independent of each other (ps<.001). A considerable number of respondents (5.7%) reported both high somatic symptom burden and high health anxiety and this group showed the greatest general psychological distress, functional impairment and health care utilization.Conclusion This study demonstrates the close association of somatic symptom burden and health anxiety but also their independent association with psychological distress, functional impairment and health care utilization. The findings support the concept of the DSM-5 category of somatic symptom disorder, but also demonstrate that individuals with high somatic symptom burden or high health anxiety alone may merit separate diagnoses. More sophisticated studies of the relationship between somatic symptom burden and health anxiety are needed.

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Authors: Lee, S., Creed, F. H., Ma, Y.-L., & Leung, C. M.
Affiliations: Chinese University of Hong Kong (HK)
University of Manchester (GB)
Corresponding author: Lee, Sing
ORCID: Lee, Sing
Creed, Francis H
Leung, Candi MC
Venue: Journal of Psychosomatic Research
Publisher: Elsevier BV
Published: 2015-01
Volume: 78
Issue: 1
Pages: 71-76
ISSN: 0022-3999 (ISSN-L)
DOI: 10.1016/j.jpsychores.2014.11.012
OpenAlex: W2004636215
Cited by: 89
References: 42
Citations by year: 2026: 5 · 2025: 10 · 2024: 11 · 2023: 10 · 2022: 12 · 2021: 6 · 2020: 9 · 2019: 7 · 2018: 2 · 2017: 8 · 2016: 7 · 2015: 2
FWCI: 4.33
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of Psychosomatic Research (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
Keywords: somatic symptom burden, health anxiety, psychological distress, functional disability, health care utilization, somatic symptom disorder, DSM-5, PHQ-15, Kessler-6, Sheehan Disability Scale, general population
MeSH terms: Adolescent, Adult, Anxiety, Female, Health Status, Humans, Male, Middle Aged, Patient Acceptance of Health Care, Surveys and Questionnaires, Sampling Studies, Cost of Illness

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Somatic symptom burden and health anxiety in the population and their correlates

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