College of Health, Medicine and Wellbeing, School of Medicine and Health Sciences, University of Newcastle, Callaghan, NSW, Australia.
Department of Surgery, John Hunter Hospital, Newcastle, NSW, Australia.
Aust N Z J Psychiatry. 2022 Aug;56(8):994-1005. doi: 10.1177/00048674211044639. Epub 2021 Sep 4.
Somatic disorders and somatic symptoms are common in primary care populations; however, little is known about the prevalence in surgical populations. Identification of inpatients with high somatic symptom burden and psychological co-morbidity could improve access to effective psychological therapies.
Cross-sectional analysis ( = 465) from a prospective longitudinal cohort study of consecutive adult admissions with non-traumatic abdominal pain, at a tertiary hospital in New South Wales, Australia. We estimated somatic symptom prevalence with the Patient Health Questionnaire-15 at three cut-points: moderate (⩾10), severe (⩾15) and 'bothered a lot' on ⩾3 symptoms; and psychological co-morbidity with the Patient Health Questionnaire-9 and Generalized Anxiety Disorder-7 at standard (⩾10) cut-points. We also examined gender differences for somatic symptoms and psychological co-morbidity.
Prevalence was moderate (52%), female predominance (odds ratio = 1.71; 95% confidence interval = [1.18, 2.48]), severe (20%), no gender difference (1.32; [0.83, 2.10]) and 'bothered a lot' on ⩾3 symptoms (53%), female predominance (2.07; [1.42, 3.03]). Co-morbidity of depressive, anxiety and somatic symptoms ranged from 8.2% to 15.9% with no gender differences.
Somatic symptoms were common and psychological triple co-morbidity occurred in one-sixth of a clinical population admitted for abdominal pain. Co-ordinated surgical and psychological clinical intervention and changes in clinical service organisation may be warranted to provide optimal care.
躯体障碍和躯体症状在初级保健人群中很常见；然而，关于手术人群的患病率知之甚少。识别躯体症状负担高和心理共病的住院患者可以改善获得有效心理治疗的机会。
对澳大利亚新南威尔士州一家三级医院连续收治的非创伤性腹痛成年患者进行前瞻性纵向队列研究的横断面分析（ = 465）。我们使用患者健康问卷-15 量表在三个切点估计躯体症状的患病率：中度（≥10）、重度（≥15）和“困扰很多”（≥3 个症状）；使用患者健康问卷-9 和广泛性焦虑症-7 量表在标准切点（≥10）估计心理共病。我们还检查了躯体症状和心理共病的性别差异。
患病率为中度（52%），女性居多（优势比 = 1.71；95%置信区间 = [1.18, 2.48]），重度（20%），无性别差异（1.32；[0.83, 2.10]）和“困扰很多”（≥3 个症状）（53%），女性居多（2.07；[1.42, 3.03]）。抑郁、焦虑和躯体症状的共病率为 8.2%至 15.9%，无性别差异。
躯体症状很常见，六分之一因腹痛入院的临床患者存在心理三重共病。可能需要协调手术和心理临床干预以及改变临床服务组织，以提供最佳护理。
