Köteles Ferenc, Szemerszky Renáta, Witthöft Michael, Nordin Steven
Institute of Health Promotion and Sport Sciences, ELTE Eötvös Loránd University, Budapest, Hungary.
Department of Clinical Psychology, Psychotherapy and Experimental Psychopathology, Johannes Gutenberg-University of Mainz, Mainz, Germany.
Psychol Health. 2021 Nov;36(11):1384-1396. doi: 10.1080/08870446.2020.1841761. Epub 2020 Nov 2.
Three theoretically grounded hypotheses were tested that predict interactions between modern health worries (MHWs), somatic symptom distress, and negative affect.
Cross-sectional.
Hypotheses were tested in a representative German sample ( = 2306) and a near-representative Swedish sample ( = 3406). Participants completed the 12-item Modern Health Worries Scale, the Patient Health Questionnaire 15-Item Somatic Symptom Severity Scale (both samples), the Patient Health Questionnaire 9-Item Depression Scale (German sample), and the Hospital Anxiety and Depression Scale (Swedish sample).
According to the results obtained from the two samples, MHWs were only weakly associated with somatic symptoms and negative affectivity. Frequentist and Bayesian linear regression analyses showed an interaction only in one case. All other factors being equal, individuals high on somatic symptoms and MHWs did not experience disproportionately less anxiety or depression; those high on MHWs and negative affect were characterized by disproportionately more symptoms in the German sample but not in the Swedish sample; and high level of negative affect did not strengthen the positive association between somatic symptoms and MHWs.
Based on data from two large community samples, temporal stability of MHWs cannot be explained by somatic symptom distress and negative affectivity.
检验了三个基于理论的假设，这些假设预测了现代健康担忧（MHWs）、躯体症状困扰和消极情绪之间的相互作用。
横断面研究。
在一个具有代表性的德国样本（n = 2306）和一个接近代表性的瑞典样本（n = 3406）中对假设进行了检验。参与者完成了12项现代健康担忧量表、患者健康问卷15项躯体症状严重程度量表（两个样本均使用）、患者健康问卷9项抑郁量表（德国样本）和医院焦虑抑郁量表（瑞典样本）。
根据从两个样本中获得的结果，MHWs与躯体症状和消极情感仅存在微弱关联。频率学派和贝叶斯线性回归分析仅在一种情况下显示出相互作用。在所有其他因素相同的情况下，躯体症状和MHWs得分高的个体并没有不成比例地较少经历焦虑或抑郁；在德国样本中，MHWs和消极情感得分高的个体其症状不成比例地更多，但在瑞典样本中并非如此；消极情感水平高并没有加强躯体症状和MHWs之间的正相关。
基于两个大型社区样本的数据，躯体症状困扰和消极情感无法解释MHWs的时间稳定性。
