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|Title:||Total somatic symptom score as a predictor of health outcome in somatic symptom disorders|
|Citation:||British Journal of Psychiatry, 2013; 203(5):373-380|
|Publisher:||Royal College of Psychiatrists|
|Barbara Tomenson, Cecilia Essau, Frank Jacobi, Karl Heinz Ladwig, Kari Ann Leiknes, Roselind Lieb, Gunther Meinlschmidt, John McBeth, Judith Rosmalen, Winfried Rief, Athula Sumathipala, Francis Creed, EURASMUS Population Based Study Group|
|Abstract:||BACKGROUND: The diagnosis of somatisation disorder in DSM-IV was based on 'medically unexplained' symptoms, which is unsatisfactory. AIMS: To determine the value of a total somatic symptom score as a predictor of health status and healthcare use after adjustment for anxiety, depression and general medical illness. METHOD: Data from nine population-based studies (total n = 28 377) were analysed. RESULTS: In all cross-sectional analyses total somatic symptom score was associated with health status and healthcare use after adjustment for confounders. In two prospective studies total somatic symptom score predicted subsequent health status. This association appeared stronger than that for medically unexplained symptoms. CONCLUSIONS: Total somatic symptom score provides a predictor of health status and healthcare use over and above the effects of anxiety, depression and general medical illnesses.|
|Keywords:||EURASMUS Population Based Study Group|
|Rights:||© 2013 The Royal College of Psychiatrists|
|Appears in Collections:||Psychology publications|
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