جستجوی مقالات مرتبط با کلیدواژه "somatic symptom disorder" در نشریات گروه "پزشکی"

Given the prevalence of somatic symptoms disorder among Iranians, the aim of this research is to evaluate and verify the psychometric characteristics of Takata and Sakata psychosomatic complaints scale among psychosomatic patients.

In this study 360 people who referred to the psychosomatics department of Taleghani Hospital in Tehran in 2022, as well as the patients referred by the physicians, psychiatrists and psychologists of medical centers were selected through convenience sampling method. Internal consistency method (Cronbach's alpha) was used to determine the reliability of the questionnaire. Also, exploratory factor analysis and confirmatory factor analysis were used to determine the factor structure. To ensure convergent validity, Goldberg general health scale (GHQ-28) was used and SPSS and Lisrel software were applied for analyzing data.

The results of the Cronbach's alpha indicated the appropriate internal consistency of the whole questionnaire and its components. Cronbach's alpha for the whole questionnaire was 0.957. In the exploratory factor analysis, a "hyper stimulation" factor was extracted. According to confirmatory factor analysis, the goodness of fit indicators of proposed model were confirmed (Chi-Square/df: 1.297, RMSEA: 0.029, SRMR: 0.031, CFI: 0.976, IFI: 0.976) and all paths were significant. Regarding the convergent validity, somatic symptoms component, anxiety, dysfunction in social action and function, and depression have a direct and significant relationship with psychosomatic problems.

The Persianversion of the takata and sakata psychosomatic complaints scale, is a reliable and valid tool for assessing of the severity of psychosomatic symptoms in Iranian psychosomatic patients.

The present study was done to investigate the mediating role of cognitive emotion regulation strategies in the relationship between early maladaptive schemas, alexithymia, and emotional intelligence with the somatic symptoms in people with somatic symptom disorder (SSD).

The research population consisted of 360 people with SSD referred to the psychosomatic department of Taleghani Hospital in Tehran in 2021 and were referred by psychiatrists and psychologists of medical centers selected by an accessible sampling method. The participants were asked to complete the Toronto alexithymia scale, early maladaptive schemas questionnaire, Bar-on emotional intelligence scale, cognitive emotion regulation strategies scale, and Takata and Sakata psychosomatic symptom scale. Data were analyzed by correlation analysis and structural equation modeling test

The findings indicated that the hypothesized model had a good fit with the data. The results of the path analysis showed that cognitive emotion regulation strategies play a mediating role in the relationship between alexithymia and maladaptive schemas with SSD. Also, the mediating role of cognitive emotion regulation strategies between emotional intelligence and somatic symptoms was not significant.

Based on the findings of the research, it can be concluded that maladaptive schemas and alexithymia with somatic symptoms have no linear and simple relationship, but other variables, such as cognitive emotion regulation strategies play a mediating role in this relationship. Also, the findings of the current research can be used in order to prevent and understand the underlying etiologies and treatment of SSD.

Somatic symptom disorder (SSD) is characterized by somatic symptoms that are very distressing or cause considerable functional disability. SSD is associated with various medical and psychiatric conditions and imposes high costs on the patient's health care system. Therefore, diagnosis and treatment of SSD are crucial. The Somatic Symptom Scale-8 (SSS-8) is a valuable and brief self-report questionnaire to assess somatic symptom burden. The current study aimed to determine the psychometric properties of the Persian version of SSS-8 in depressed samples.

Data were drawn from a clinical setting with individuals diagnosed with major depressive disorder (MDD, N = 122). convergent validity of SSS-8 was examined by assessing correlations with Hospital Anxiety and Depression Scale (HADS), Whiteley index (WI-14), and Somatic Symptom Disorder–B Criteria Scale (SSD-12) questionnaires.

Cronbach's alpha results confirmed the reliability of SSS-8. Reliability assessment with test-retest showed excellent reliability for scale. The CFA also approved the SSS-8 single-factor structure. The results of construct validity analysis of the questionnaire showed that SSS-8 has a positive and significant relationship with depression, anxiety, WI, and SSS-12.

The Persian version of the SSS-8 is an 8-item self-report questionnaire that health professionals and researchers can use to assess and screen somatic symptoms in individuals diagnosed with MDD.

 Early diagnosis of 2019-nCoV infection is of great importance and can be challenging in psychiatric patients, especially when a mental illness such as somatoform disorder causes one or more bodily symptoms because the clinical features of this group of patients may be more confusing compared with non-psychiatric patients. On the other hand, treating this infection in psychiatric patients faces some challenges.

 A case of the 2019-nCoV infection is reported in a patient who was admitted to the psychosomatic ward with a diagnosis of somatic symptom disorder. The patient had a history of numerous unexplained physical complaints, usually complained of some new physical symptoms when informed of the time of his discharge. Although the possibility of misdiagnosis was high, based on examinations and some paraclinical evaluations, the patient underwent a simultaneous diagnosis of COVID-19. Unlike usual, he did not complain of any new physical complaints after informing of the 2019-nCoV infection and was willing to be discharged. Some diagnostic and therapeutic challenges regarding 2019-nCoV infection in the patient were examined.

 There are three clinically relevant learning points to be noted from this case report. Firstly, the importance of paying attention to the patient's complaints in any mental patient, even disorders related to unexplained physical complaints. Secondly, the introduction highlights the differences in the care of patients with COVID-19 between psychiatric and non-psychiatric patients and the need for a multidisciplinary approach. Third, this introduction identifies a crucial diagnostic role for CT thorax in symptomatic patients with suspected COVID-19 because the false-negative rate with RT-PCR COVID-19 nasopharyngeal swabs is high.