Pub Date : 2019-08-05DOI: 10.3760/CMA.J.ISSN.1006-7884.2019.04.004
Xiang-yun Yang, Zhanjiang Li, Pengchong Wang, L. Tan, Xiaoqi Li, Yongdong Hu, Xueqing Han, Jianhua He, Jian Gao, Ruixiang Cao, Yi Zhang, Si Zu, F. Cui, Shaojuan Cui, Jing Sun
Objective To explore the detection rate and clinical characteristics of multiple somatic symptoms among adult outpatients in cardiology, neurology and GI clinics. Methods The general demographic data and disease-related information of 1 497 patients in Beijing Chaoyang Hospital, Beijing Anzhen Hospital and Beijing Tongren Hospital were collected through continuous inquiry and screening. Physical symptoms and depressive symptoms were assessed by Patient Health Questionnaire-15 (PHQ-15) and Patient Health Questionnaire-9 (PHQ-9). The patients were divided into multiple somatic symptoms group (SOM+group, PHQ-15≥10) and non-multiple somatic symptoms group (SOM-group, PHQ-15<10). The detection rate of multiple somatic symptoms was calculated. Partial correlation analysis was used to analyze the correlation of PHQ-15 with the demographic, course of disease, cumulative number of visits, and the total score of PHQ-9. Results The overall detection rate of multiple somatic symptoms was 32.67% (489/1 497) in the three hospitals, and the highest was found in the department of digestive medicine (37.74%, 191/506). There were significant differences in gender (χ2=36.85, P<0.01), working status (χ2=19.78, P<0.01), visiting department (χ2=9.64, P<0.01), first visiting/repeated visiting (χ2=6.67, P<0.01), and the total score of PHQ-9 (χ2=231.52, P<0.01). The detection rate of female patients was higher than that of male patients. The detection rates of retired patients and patients who had no daily stable work were higher than patients who had daily stable work.The detection rate of re-visited patients was higher than that of first-visited patients. The illness duration (r=0.07, P<0.05, Bonferroni correction) and the total score of PHQ-9 (r=0.66, P<0.05, Bonferroni correction) were positively correlated with the severity of somatic symptoms measured by PHQ-15. Conclusions The detection rate of multiple somatic symptoms was high in general hospitals, especially highest in digestive outpatient clinics, and significantly higher in female, retired, unemployed, re-visited and patients who have depressive symptoms. Depressive symptoms and the illness duration were positively correlated with the severity of somatic symptoms. Key words: Somatoform disorders; Questionnaires; Outpatients; Hospitals, General
{"title":"Detection rate and characteristics of adult outpatients with multiple somatic symptoms of general hospital in Beijing","authors":"Xiang-yun Yang, Zhanjiang Li, Pengchong Wang, L. Tan, Xiaoqi Li, Yongdong Hu, Xueqing Han, Jianhua He, Jian Gao, Ruixiang Cao, Yi Zhang, Si Zu, F. Cui, Shaojuan Cui, Jing Sun","doi":"10.3760/CMA.J.ISSN.1006-7884.2019.04.004","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1006-7884.2019.04.004","url":null,"abstract":"Objective \u0000To explore the detection rate and clinical characteristics of multiple somatic symptoms among adult outpatients in cardiology, neurology and GI clinics. \u0000 \u0000 \u0000Methods \u0000The general demographic data and disease-related information of 1 497 patients in Beijing Chaoyang Hospital, Beijing Anzhen Hospital and Beijing Tongren Hospital were collected through continuous inquiry and screening. Physical symptoms and depressive symptoms were assessed by Patient Health Questionnaire-15 (PHQ-15) and Patient Health Questionnaire-9 (PHQ-9). The patients were divided into multiple somatic symptoms group (SOM+group, PHQ-15≥10) and non-multiple somatic symptoms group (SOM-group, PHQ-15<10). The detection rate of multiple somatic symptoms was calculated. Partial correlation analysis was used to analyze the correlation of PHQ-15 with the demographic, course of disease, cumulative number of visits, and the total score of PHQ-9. \u0000 \u0000 \u0000Results \u0000The overall detection rate of multiple somatic symptoms was 32.67% (489/1 497) in the three hospitals, and the highest was found in the department of digestive medicine (37.74%, 191/506). There were significant differences in gender (χ2=36.85, P<0.01), working status (χ2=19.78, P<0.01), visiting department (χ2=9.64, P<0.01), first visiting/repeated visiting (χ2=6.67, P<0.01), and the total score of PHQ-9 (χ2=231.52, P<0.01). The detection rate of female patients was higher than that of male patients. The detection rates of retired patients and patients who had no daily stable work were higher than patients who had daily stable work.The detection rate of re-visited patients was higher than that of first-visited patients. The illness duration (r=0.07, P<0.05, Bonferroni correction) and the total score of PHQ-9 (r=0.66, P<0.05, Bonferroni correction) were positively correlated with the severity of somatic symptoms measured by PHQ-15. \u0000 \u0000 \u0000Conclusions \u0000The detection rate of multiple somatic symptoms was high in general hospitals, especially highest in digestive outpatient clinics, and significantly higher in female, retired, unemployed, re-visited and patients who have depressive symptoms. Depressive symptoms and the illness duration were positively correlated with the severity of somatic symptoms. \u0000 \u0000 \u0000Key words: \u0000Somatoform disorders; Questionnaires; Outpatients; Hospitals, General","PeriodicalId":10258,"journal":{"name":"中华精神科杂志","volume":"52 1","pages":"253-260"},"PeriodicalIF":0.0,"publicationDate":"2019-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45221390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-08-05DOI: 10.3760/CMA.J.ISSN.1006-7884.2017.04.008
Yueheng Liu, Jiang Long, J. Billieux, Chang Qi, Haoyu He, Shubao Chen, Qiuxia Wu, Yifan Xiong, Tieqiao Liu
Objective To investigate the differences of socio-demographics and smartphone use features among Chinese college students between problematic smartphone user (PSU) and non-PSU, and to clarify the link between PSU and psychopathological symptoms (anxiety and depression). Methods A total of 1 205 undergraduates from 35 classes of 8 universities or colleges, stratified with different school levels, were selected using the cluster random sampling strategy. The Problematic Cellular Phone Use Questionnaire (PCPUQ) was used to identify problematic use of smartphone use, and Zung Self-Rating Anxiety Scale (SAS) and Zung Self-Rating Depression Scale (SDS) were used to measure anxiety and depression symptoms. Results The prevalence of PSU among undergraduates was estimated to be 20.6%(207/1 006). There were significant differences between PSU and non-PSU on their major of either science category or humanities category (χ2=11.424, P<0.01), grade (χ2=5.868, P<0.05), monthly living expense supported by their family (χ2=12.713, P<0.01), daily time spent on their smartphones (χ2=20.052, P<0.01),frequency of changing the mobile phones (χ2=14.511, P<0.01) and monthly smartphone bill (χ2=13.107, P<0.01). Furthermore, the self rated anxiety (34.8% (72/207) vs. 14.6% (117/799), χ2=43.704, P<0.01) and depression (36.2% (75/207) vs. 15.4% (123/799), χ2=45.159, P<0.01) were both found more elevated in PSU than non-PSU. Conclusion Some common sociodemographic variables and smartphone usage patterns were identified in undergraduates displaying PSU. Moreover, PSU is associated with more elevated anxiety and depression symptoms. Key words: Behavior, addiction; Anxiety; Depression; Problematic smartphone use
{"title":"Problematic smartphone use and its relation with anxiety and depression: a survey in a large sample of undergraduates","authors":"Yueheng Liu, Jiang Long, J. Billieux, Chang Qi, Haoyu He, Shubao Chen, Qiuxia Wu, Yifan Xiong, Tieqiao Liu","doi":"10.3760/CMA.J.ISSN.1006-7884.2017.04.008","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1006-7884.2017.04.008","url":null,"abstract":"Objective \u0000To investigate the differences of socio-demographics and smartphone use features among Chinese college students between problematic smartphone user (PSU) and non-PSU, and to clarify the link between PSU and psychopathological symptoms (anxiety and depression). \u0000 \u0000 \u0000Methods \u0000A total of 1 205 undergraduates from 35 classes of 8 universities or colleges, stratified with different school levels, were selected using the cluster random sampling strategy. The Problematic Cellular Phone Use Questionnaire (PCPUQ) was used to identify problematic use of smartphone use, and Zung Self-Rating Anxiety Scale (SAS) and Zung Self-Rating Depression Scale (SDS) were used to measure anxiety and depression symptoms. \u0000 \u0000 \u0000Results \u0000The prevalence of PSU among undergraduates was estimated to be 20.6%(207/1 006). There were significant differences between PSU and non-PSU on their major of either science category or humanities category (χ2=11.424, P<0.01), grade (χ2=5.868, P<0.05), monthly living expense supported by their family (χ2=12.713, P<0.01), daily time spent on their smartphones (χ2=20.052, P<0.01),frequency of changing the mobile phones (χ2=14.511, P<0.01) and monthly smartphone bill (χ2=13.107, P<0.01). Furthermore, the self rated anxiety (34.8% (72/207) vs. 14.6% (117/799), χ2=43.704, P<0.01) and depression (36.2% (75/207) vs. 15.4% (123/799), χ2=45.159, P<0.01) were both found more elevated in PSU than non-PSU. \u0000 \u0000 \u0000Conclusion \u0000Some common sociodemographic variables and smartphone usage patterns were identified in undergraduates displaying PSU. Moreover, PSU is associated with more elevated anxiety and depression symptoms. \u0000 \u0000 \u0000Key words: \u0000Behavior, addiction; Anxiety; Depression; Problematic smartphone use","PeriodicalId":10258,"journal":{"name":"中华精神科杂志","volume":"50 1","pages":"270-275"},"PeriodicalIF":0.0,"publicationDate":"2017-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45922201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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