Is development and persistence of multiple physical symptoms associated with coping? A longitudinal study over a decade

IF 4.1 2区医学 Q1 PSYCHIATRY

General hospital psychiatry Pub Date : 2024-10-09 DOI:10.1016/j.genhosppsych.2024.10.005

Isabella Raasthøj , Dorte Ejg Jarbøl , Sanne Rasmussen , Tina Birgitte Wisbech Carstensen , Marianne Rosendal

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引用次数: 0

Abstract

Objective

To examine the development and persistence of multiple physical symptoms (MPS) over a decade including the associations with sociodemographics and coping strategies.

Method

A longitudinal study of 16,405 individuals aged 20–64 years participating in the Danish Symptom Cohort (DaSC) was conducted in 2012 with follow-up data in 2022 (DaSC II). MPS were assessed according to the unifying diagnostic construct of bodily distress syndrome, and coping was measured with the Brief Approach/Avoidance Coping Questionnaire. Descriptive statistics and multivariable logistic regression analyses were performed.

Results

Among individuals not having MPS in 2012, 17 % had developed MPS in 2022. Among individuals having MPS in 2012, 57 % had persistence of MPS in 2022. Individuals who developed or had persistence of MPS at follow-up were more likely to be female, have lower educational level, be immigrant, redeem antidepressants, have lower approach scores as well as higher diversion and resignation scores.

Conclusions

Individuals responding to stressful situations with low approach, high diversion, and high resignation may be at higher risk of developing MPS and have persistence of MPS. As coping can be targeted through psychotherapy, it is important to focus on maladaptive strategies, especially in high-risk groups for developing and maintaining MPS.

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多种躯体症状的发展和持续与应对措施有关吗？十年纵向研究

目的研究十年来多种躯体症状（MPS）的发展和持续情况，包括与社会人口统计学和应对策略的关系：2012年，对丹麦症状队列（Danish Symptom Cohort，DaSC）中16405名20-64岁的参与者进行了一项纵向研究，并于2022年进行了随访（DaSC II）。MPS根据身体痛苦综合征的统一诊断结构进行评估，而应对方式则通过简短方法/回避应对问卷进行测量。研究进行了描述性统计和多变量逻辑回归分析：在2012年未患上MPS的人中，17%在2022年患上了MPS。在 2012 年患有 MPS 的患者中，57% 在 2022 年持续患有 MPS。在随访中出现或持续出现MPS的人更有可能是女性、教育水平较低、移民、重新服用抗抑郁药物、方法得分较低以及转移和辞职得分较高：结论：以低接近性、高转移性和高顺从性应对压力情境的个体可能会有更高的罹患 MPS 的风险，并且 MPS 会持续存在。由于可以通过心理治疗来有针对性地应对压力，因此关注适应不良的策略非常重要，尤其是对于罹患和维持 MPS 的高危人群。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

General hospital psychiatry 医学-精神病学

CiteScore

9.60

自引率

2.90%

发文量

125

审稿时长

20 days

期刊介绍： General Hospital Psychiatry explores the many linkages among psychiatry, medicine, and primary care. In emphasizing a biopsychosocial approach to illness and health, the journal provides a forum for professionals with clinical, academic, and research interests in psychiatry''s role in the mainstream of medicine.