Somatic symptom disorder in patients with myocardial bridge: cross-sectional study in China.

IF 3.9 3区医学 Q1 PSYCHIATRY

BJPsych Open Pub Date : 2025-03-24 DOI:10.1192/bjo.2024.851

Zhengyu Tao, Yani Wu, Yongxia Qiao, Zi Wang, Yezi Chai, Qizhen Wu, Yinan Wang, Xinning Guo, Chen Wu, Jialiang Mao, Meng Jiang, Jun Pu

{"title":"Somatic symptom disorder in patients with myocardial bridge: cross-sectional study in China.","authors":"Zhengyu Tao, Yani Wu, Yongxia Qiao, Zi Wang, Yezi Chai, Qizhen Wu, Yinan Wang, Xinning Guo, Chen Wu, Jialiang Mao, Meng Jiang, Jun Pu","doi":"10.1192/bjo.2024.851","DOIUrl":null,"url":null,"abstract":"Background: Myocardial bridge contributes to chest pain, often accompanied by non-specific complaints.Aims: Our study aims to determine somatic symptom disorder (SSD) prevalence in patients with myocardial bridge, investigating associated clinical and psychological features.Method: In this prospective cross-sectional study, we enrolled 1357 participants (337 with and 1020 without myocardial bridge) from Shanghai Renji Hospital. The Somatic Symptom Scale-China questionnaire was used to assess SSD. Depressive and anxiety disorders were assessed by the Patient Health Questionnaire-9 (PHQ-9) and Generalised Anxiety Disorder-7 (GAD-7).Results: The prevalence of SSD in the myocardial bridge group was 63.2%, higher than the group without myocardial bridge (53.8%). Patients with myocardial bridge were at an increased risk of SSD (odds ratio 1.362, 95% CI 1.026-1.809; P = 0.033). There were no differences in the mean PHQ-9 scores (3.2 ± 3.4 v. 3.2 ± 4.1; P = 0.751) or GAD-7 scores (2.5 ± 3.0 v. 2.3 ± 3.7; P = 0.143) between the two groups. Among patients with myocardial bridge, gender was the only independent risk factor for SSD. Women were 3.119 times more likely to experience SSD compared with men (95% CI 1.537-6.329; P = 0.002).Conclusions: Our findings emphasise the high prevalence and severity of SSD among patients with myocardial bridge. The screening for SSD should be of particular concern, especially among female patients.","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":"11 2","pages":"e67"},"PeriodicalIF":3.9000,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12001947/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BJPsych Open","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1192/bjo.2024.851","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHIATRY","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Myocardial bridge contributes to chest pain, often accompanied by non-specific complaints.

Aims: Our study aims to determine somatic symptom disorder (SSD) prevalence in patients with myocardial bridge, investigating associated clinical and psychological features.

Method: In this prospective cross-sectional study, we enrolled 1357 participants (337 with and 1020 without myocardial bridge) from Shanghai Renji Hospital. The Somatic Symptom Scale-China questionnaire was used to assess SSD. Depressive and anxiety disorders were assessed by the Patient Health Questionnaire-9 (PHQ-9) and Generalised Anxiety Disorder-7 (GAD-7).

Results: The prevalence of SSD in the myocardial bridge group was 63.2%, higher than the group without myocardial bridge (53.8%). Patients with myocardial bridge were at an increased risk of SSD (odds ratio 1.362, 95% CI 1.026-1.809; P = 0.033). There were no differences in the mean PHQ-9 scores (3.2 ± 3.4 v. 3.2 ± 4.1; P = 0.751) or GAD-7 scores (2.5 ± 3.0 v. 2.3 ± 3.7; P = 0.143) between the two groups. Among patients with myocardial bridge, gender was the only independent risk factor for SSD. Women were 3.119 times more likely to experience SSD compared with men (95% CI 1.537-6.329; P = 0.002).

Conclusions: Our findings emphasise the high prevalence and severity of SSD among patients with myocardial bridge. The screening for SSD should be of particular concern, especially among female patients.

查看原文本刊更多论文

心肌桥患者躯体症状障碍：中国横断面研究。

背景：心肌桥导致胸痛，常伴有非特异性主诉。目的：我们的研究旨在确定心肌桥患者的躯体症状障碍（SSD）患病率，调查相关的临床和心理特征。方法：在这项前瞻性横断面研究中，我们从上海仁济医院招募了1357名参与者（337名有心肌桥，1020名没有心肌桥）。采用躯体症状量表-中国问卷对SSD进行评估。抑郁和焦虑障碍通过患者健康问卷-9 （PHQ-9）和广泛性焦虑障碍-7 （GAD-7）进行评估。结果：心肌桥组SSD患病率为63.2%，高于无心肌桥组（53.8%）。心肌桥患者发生SSD的风险增加(优势比1.362,95% CI 1.026-1.809；P = 0.033)。两组PHQ-9平均评分无差异(3.2±3.4 vs 3.2±4.1；P = 0.751)或GAD-7评分(2.5±3.0 vs . 2.3±3.7；P = 0.143)。在心肌桥患者中，性别是唯一的独立危险因素。女性经历SSD的可能性是男性的3.119倍(95% CI 1.537-6.329；P = 0.002)。结论：我们的研究结果强调了心肌桥患者中SSD的高患病率和严重程度。SSD的筛查应特别关注，尤其是在女性患者中。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

BJPsych Open Medicine-Psychiatry and Mental Health

CiteScore

6.30

自引率

3.70%

发文量

610

审稿时长

16 weeks

期刊介绍： Announcing the launch of BJPsych Open, an exciting new open access online journal for the publication of all methodologically sound research in all fields of psychiatry and disciplines related to mental health. BJPsych Open will maintain the highest scientific, peer review, and ethical standards of the BJPsych, ensure rapid publication for authors whilst sharing research with no cost to the reader in the spirit of maximising dissemination and public engagement. Cascade submission from BJPsych to BJPsych Open is a new option for authors whose first priority is rapid online publication with the prestigious BJPsych brand. Authors will also retain copyright to their works under a creative commons license.