Department Psychosomatic Medicine and Psychotherapy, Technische Universität München, München, Germany; Department Internal Medicine 1, Klinikum Saarbrücken, Saarbrücken, Germany.
Department Psychosomatic Medicine and Psychotherapy, Technische Universität München, München, Germany; Department of Neurology, Trauma Center Murnau, Murnau, Germany.
J Psychosom Res. 2020 Jun;133:110111. doi: 10.1016/j.jpsychores.2020.110111. Epub 2020 Apr 11.
To study the prevalence and clinical characteristics of Somatic Symptom Disorder (SSD), Bodily Distress Syndrome (BDS) and fibromyalgia syndrome (FMS) and their overlap in the general German population.
A cross-sectional nationally representative population survey was performed. 2531 participants (mean age 48.8 ± 17.85 years, 53.3% women) completed the Somatic Symptom Scale SSS-8, the Bodily Distress Syndrome (BDS) 25 checklist, the Whiteley Index 7 (WI-7), the self-administered comorbidity questionnaire and the Michigan Body Map. Case definitions of SSD, BDS and FMS were assigned using established criteria.
4.5% of participants met the criteria of SSD (SSS - 8 at least one item "bothered very much" and WI- 7 total score ≥ 1). 9.6% met the criteria of single-organ BDS and 1.3% of multi-organ BDS. Prevalence of FMS according to 2016 criteria was 3.4%. 82.3% of FMS cases met any BDS criteria.28.1% of FMS cases satisfied SSD criteria. 28.8% of any BDS cases met the criteria of SSD. 75.1% of SSD cases met the criteria of any BDS. FMS cases reported the highest amount of somatic and psychological symptom burden and health anxieties. There were no differences in age and gender between any BDS and SSD cases. SSD cases reported worse general health and more fibromyalgia-related variables than any BDS cases.
In the general population, there is a substantial overlap between FMS and BDS, but not of FMS and SSD, and not of SSD and any BDS. Case definitions of the three disorders partially captured different groups in the general population.
研究躯体症状障碍（SSD）、躯体痛苦障碍（BDS）和纤维肌痛综合征（FMS）在德国普通人群中的流行情况和临床特征及其重叠情况。
进行了一项横断面全国代表性人群调查。2531 名参与者（平均年龄 48.8±17.85 岁，53.3%为女性）完成了躯体症状量表 SSS-8、躯体痛苦障碍 25 项检查表、Whiteley 指数 7（WI-7）、自我报告的合并症问卷和密歇根身体图。使用既定标准对 SSD、BDS 和 FMS 的病例定义进行了分配。
4.5%的参与者符合 SSD 的标准（SSS-8 至少有一个项目“非常困扰”，WI-7 总分≥1）。9.6%符合单一器官 BDS 的标准，1.3%符合多器官 BDS 的标准。根据 2016 年的标准，FMS 的患病率为 3.4%。82.3%的 FMS 病例符合任何 BDS 标准。28.1%的 FMS 病例符合 SSD 标准。28.8%的任何 BDS 病例符合 SSD 标准。75.1%的 SSD 病例符合任何 BDS 标准。FMS 病例报告了最高数量的躯体和心理症状负担和健康焦虑。任何 BDS 和 SSD 病例在年龄和性别上没有差异。SSD 病例报告的一般健康状况较差，与纤维肌痛相关的变量较多。
在普通人群中，FMS 和 BDS 之间存在很大的重叠，但 FMS 和 SSD 之间没有重叠，SSD 和任何 BDS 之间也没有重叠。这三种疾病的病例定义部分捕获了普通人群中的不同群体。
