Institute for Health Promotion and Sport Sciences, Faculty of Education and Psychology, Eötvös Loránd University, Bogdánfy u. 10, 1117, Budapest, Hungary.
Int J Behav Med. 2013 Mar;20(1):38-41. doi: 10.1007/s12529-011-9217-y.
Modern health worries (MHWs; i.e., concerns about possibly harmful features of modern life) have been associated with somatic symptoms and somatosensory amplification in previous cross-sectional studies. Causal relationship among these variables is yet to be discovered.
The study investigates the temporal association among subjective symptoms, somatosensory amplification (SSA), and modern health worries (MHWs).
Baseline and follow-up questionnaires (somatic symptoms--PHQ-15, somatosensory amplification scale--SSAS, modern health worries scale--MHW, PANAS negative affect scale-NA) were completed by 366 undergraduate students in a 2-month longitudinal study.
MHWs were predicted by baseline MHWs (β = 0.721, p < 0.001) and by somatic symptoms (β = 0.084, p < 0.05). Somatic symptoms were predicted by baseline symptoms (β = 0.610, p < 0.001), NA (β = 0.104, p < 0.05), and SSAS scores (β = 0.089, p < 0.05). The only predictor of SSA was baseline SSAS score (β = 0.628, p < 0.001).
Based on the results, a linear model (proneness to somatosensory amplification leads to subjective symptoms which lead to MHWs) was proposed, where MHWs serve as explanations of physical symptoms or as possible environmental threats to avoid.
在先前的横断面研究中，现代健康忧虑（即对现代生活中可能有害特征的担忧）与躯体症状和躯体感觉放大有关。这些变量之间的因果关系尚未被发现。
本研究调查了主观症状、躯体感觉放大（SSA）和现代健康忧虑（MHW）之间的时间关联。
366 名本科生在为期 2 个月的纵向研究中完成了基线和随访问卷（躯体症状-PHQ-15、躯体感觉放大量表-SSAS、现代健康忧虑量表-MHW、正性情绪和负性情绪量表-NA）。
MHW 由基线 MHW（β=0.721，p<0.001）和躯体症状（β=0.084，p<0.05）预测。躯体症状由基线症状（β=0.610，p<0.001）、NA（β=0.104，p<0.05）和 SSAS 评分（β=0.089，p<0.05）预测。SSA 的唯一预测因子是基线 SSAS 评分（β=0.628，p<0.001）。
根据研究结果，提出了一个线性模型（躯体感觉放大倾向导致躯体症状，进而导致 MHW），其中 MHW 可作为身体症状的解释或作为可能需要避免的环境威胁的解释。
