Neurodevelopmental and personality traits of somatic symptom disorder: A cross-sectional study.

PCN reports : psychiatry and clinical neurosciences Pub Date : 2025-03-17 eCollection Date: 2025-03-01 DOI:10.1002/pcn5.70082
Mirai Miyoshi, Rieko Takanashi, Kayoko Taguchi, Tokiko Yoshida, Kohei Kurita, Eiji Shimizu
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Abstract

Aim: Somatic symptom disorder (SSD) is prevalent in primary healthcare settings and is often challenging to diagnose and treat. This study examined the neurodevelopmental and personality traits of individuals with probable SSD.

Methods: This cross-sectional study utilized anonymous online surveys. In this study, individuals with a score of 23 or higher on the Somatic Symptom Disorder-B Criteria Scale (SSD-12) were defined as having probable SSD, and individuals with no somatic symptoms and who scored 0 were defined as the healthy control (HC) group. We compared groups regarding neurodevelopmental traits, personality traits, depression, and anxiety using self-report questionnaires and analysis of covariance. In addition, we examined the association between neurodevelopmental traits, emotional problems, and SSD in the probable SSD group using structural equation modeling.

Results: A total of 491 people with probable SSD and 532 age- and sex-matched HCs were analyzed. The scores for somatic symptom severity, depression, generalized anxiety, health anxiety, attention deficit/hyperactivity disorder traits, autism spectrum disorder traits, personality traits, and personality disorder traits showed significant differences between the probable SSD group and the HC group. In the probable SSD group, neurodevelopmental traits positively and directly affected emotional problems and SSD.

Conclusion: Most neurodevelopmental and personality traits were associated with probable SSD. When approaching patients suspected of having SSD, clinicians may consider not only somatic symptoms, but also neurodevelopmental traits, personality traits, depression, and anxiety.

躯体症状障碍的神经发育和人格特征:横断面研究。
目的:躯体症状障碍(SSD)是普遍存在于初级卫生保健机构,往往是具有挑战性的诊断和治疗。本研究考察了疑似SSD患者的神经发育和人格特征。方法:本横断面研究采用匿名在线调查。在本研究中,躯体症状障碍- b标准量表(SSD-12)得分为23分或更高的个体被定义为可能患有SSD,没有躯体症状且得分为0分的个体被定义为健康对照组(HC)。我们使用自我报告问卷和协方差分析来比较各组的神经发育特征、人格特征、抑郁和焦虑。此外,我们使用结构方程模型检查了可能的SSD组的神经发育特征、情绪问题和SSD之间的关系。结果:共分析了491例可能的SSD患者和532例年龄和性别匹配的hcc患者。躯体症状严重程度、抑郁、广泛性焦虑、健康焦虑、注意缺陷/多动障碍特征、自闭症谱系障碍特征、人格特征和人格障碍特征得分在可能的SSD组和HC组之间存在显著差异。在可能的SSD组中,神经发育特征对情绪问题和SSD有积极和直接的影响。结论:大多数神经发育和人格特征与可能的SSD有关。在接近疑似患有SSD的患者时,临床医生不仅要考虑躯体症状,还要考虑神经发育特征、人格特征、抑郁和焦虑。
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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