Article ; Online: Somatic symptom severity, depression and anxiety associations with pancreatitis and undifferentiated abdominal pain in surgical inpatients.
2023 Volume 94, Issue 4, Page(s) 634–639
Abstract: Background: Somatic Symptom Disorder is a psychiatric diagnosis that describes the experience of physical symptoms and associated distress, that is disproportionate to recognized organic pathology. Somatic symptom severity (SSS) may be associated with ... ...
| Abstract | Background: Somatic Symptom Disorder is a psychiatric diagnosis that describes the experience of physical symptoms and associated distress, that is disproportionate to recognized organic pathology. Somatic symptom severity (SSS) may be associated with some surgical diagnoses; particularly the complex pain associated with pancreatitis, or the diagnostic ambiguity of undifferentiated abdominal pain (UAP). We aimed to estimate the prevalence of SSS in different diagnostic groups in surgical inpatients with abdominal pain; and to estimate the magnitude and direction of any association of SSS, anxiety and depression. Methods: Cross sectional analysis (n = 465) of adult admissions with non-traumatic abdominal pain, at a tertiary hospital in Australia. We estimated SSS with the Patient Health Questionnaire-15 (PHQ-15), depression with the Patient Health Questionnaire (PHQ-9) and anxiety with the General Anxiety Disorder (GAD-7), at standard cut-points ≥ 10; comparing acute pancreatitis (n = 20), chronic pancreatitis (n = 18) and UAP (n = 64) versus other causes of abdominal pain. Results: Somatic symptoms were common, 52% having moderate and 19.6% severe SSS. There was an association between moderate SSS and pancreatitis (OR 2.11, 95% CI 1.05-4.25) and depressive symptoms and chronic pancreatitis (OR = 3.47, 95% CI 1.31-9.24). There was no significant association between the four mental health categories and UAP. Conclusions: SSS and psychological comorbidity were common in a surgical inpatients admitted for abdominal pain and equally represented across most diagnostic sub-groups. However, the pancreatitis sub-group had greater proportions with clinically significant SSS and depression, suggesting that they have a higher requirement for psychological assessment and intervention. |
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| MeSH term(s) | Adult ; Humans ; Medically Unexplained Symptoms ; Depression/epidemiology ; Surveys and Questionnaires ; Cross-Sectional Studies ; Acute Disease ; Inpatients ; Anxiety/epidemiology ; Anxiety/etiology ; Anxiety/psychology ; Abdominal Pain/diagnosis ; Abdominal Pain/epidemiology ; Abdominal Pain/etiology ; Pancreatitis, Chronic ; Anxiety Disorders |
| Language | English |
| Publishing date | 2023-12-29 |
| Publishing country | Australia |
| Document type | Journal Article |
| ZDB-ID | 2050749-5 |
| ISSN | 1445-2197 ; 1445-1433 ; 0004-8682 |
| ISSN (online) | 1445-2197 |
| ISSN | 1445-1433 ; 0004-8682 |
| DOI | 10.1111/ans.18801 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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