Xu Wei, Jiang Wenhao, Ding Rongjing, Tao Hong, Wang Yanyong, Tang Yanping, Liang Dongfeng, Wang Yuping, Wang Mingwei, Chen Bingwei, Kong Youyong, Liu Lei, Yue Yingying, Tan Liangliang, Yu Lu, Cosci Fiammetta, Yuan Yonggui
Department of Psychosomatics and Psychiatry, Zhongda Hospital, School of Medicine, Jiangsu Provincial Key Laboratory of Brain Science and Medicine, Southeast University, Nanjing, China.
Department of Clinical Psychology, Northern Jiangsu People's Hospital, Yangzhou, China.
Psychother Psychosom. 2024;93(6):386-396. doi: 10.1159/000541404. Epub 2024 Oct 17.
Diagnostic Criteria for Psychosomatic Research (DCPR) serve as an instrument for identifying and classifying specific psychosomatic syndromes that are not adequately encompassed in standard nosography. The present study aimed at measuring the prevalence of DCPR syndromes in different clinical settings and exploring factors associated to such diagnoses.
A cross-sectional and nationwide study recruited 6,647 patients in different clinical settings: 306 were diagnosed with fibromyalgia (FM), 333 with irritable bowel syndrome, 1,109 with migraine, 2,550 with coronary heart disease (CHD), and 2,349 with type 2 diabetes (T2D). Participants underwent DCPR diagnostic interview and were assessed for depression (Patient Health Questionnaire-9), anxiety (Generalized Anxiety Disorder 7-Item Scale), and subjective well-being (World Health Organization-5 Well-Being Index). The PsychoSocial Index was used to evaluate global well-being, stress, and abnormal illness behavior. The prevalence of DCPR diagnoses was calculated, and factors associated to such diagnoses were analyzed by logistic regression.
Alexithymia (64.47%), irritable mood (20.55%), and demoralization (15.60%) were the most prevalent psychosomatic syndromes, with demoralization being most common in FM (49.02%). The factors associated to DCPR diagnoses encompassed high anxiety or abnormal illness behavior, and poor well-being. Notably, stress was found to be associated specifically to FM and T2D, with OR of 1.24 (95% CI: 1.06-1.46) and 1.26 (95% CI: 1.18-1.36), respectively.
DCPR is a clinically helpful complementary assessment tool in need of being widely implemented in clinical settings in order to have a comprehensive picture of the patients.
心身研究诊断标准（DCPR）是一种用于识别和分类标准疾病分类法未充分涵盖的特定心身综合征的工具。本研究旨在测量不同临床环境中DCPR综合征的患病率，并探索与这些诊断相关的因素。
一项横断面全国性研究在不同临床环境中招募了6647名患者：306名被诊断为纤维肌痛（FM），333名患有肠易激综合征，1109名患有偏头痛，2550名患有冠心病（CHD），2349名患有2型糖尿病（T2D）。参与者接受了DCPR诊断访谈，并接受了抑郁（患者健康问卷-9）、焦虑（广泛性焦虑障碍7项量表）和主观幸福感（世界卫生组织-5幸福感指数）评估。心理社会指数用于评估总体幸福感、压力和异常疾病行为。计算DCPR诊断的患病率，并通过逻辑回归分析与这些诊断相关的因素。
述情障碍（64.47%）、易怒情绪（20.55%）和士气低落（15.60%）是最常见的心身综合征，士气低落在FM中最为常见（49.02%）。与DCPR诊断相关的因素包括高焦虑或异常疾病行为以及幸福感差。值得注意的是，压力被发现与FM和T2D特别相关，优势比分别为1.24（95%CI：1.06-1.46）和1.26（95%CI：1.18-1.36）。
DCPR是一种对临床有帮助的补充评估工具，需要在临床环境中广泛实施，以便全面了解患者情况。
