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Assessment of Somatization and Medically Unexplained Symptoms in Later Life
The assessment of medically unexplained symptoms and “somatic symptom disorders” in older adults is challenging due to somatic multimorbidity, which threatens the validity of somatization questionnaires. In a systematic review study, the Patient Health Questionnaire–15 (PHQ-15) and the somatization...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5865474/ https://www.ncbi.nlm.nih.gov/pubmed/28745072 http://dx.doi.org/10.1177/1073191117721740 |
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author | van Driel, T. J. W. Hilderink, P. H. Hanssen, D. J. C. de Boer, P. Rosmalen, J. G. M. Oude Voshaar, R. C. |
author_facet | van Driel, T. J. W. Hilderink, P. H. Hanssen, D. J. C. de Boer, P. Rosmalen, J. G. M. Oude Voshaar, R. C. |
author_sort | van Driel, T. J. W. |
collection | PubMed |
description | The assessment of medically unexplained symptoms and “somatic symptom disorders” in older adults is challenging due to somatic multimorbidity, which threatens the validity of somatization questionnaires. In a systematic review study, the Patient Health Questionnaire–15 (PHQ-15) and the somatization subscale of the Symptom Checklist 90-item version (SCL-90 SOM) are recommended out of 40 questionnaires for usage in large-scale studies. While both scales measure physical symptoms which in younger persons often refer to unexplained symptoms, in older persons, these symptoms may originate from somatic diseases. Using empirical data, we show that PHQ-15 and SCL-90 SOM among older patients correlate with proxies of somatization as with somatic disease burden. Updating the previous systematic review, revealed six additional questionnaires. Cross-validation studies are needed as none of 46 identified scales met the criteria of suitability for an older population. Nonetheless, specific recommendations can be made for studying older persons, namely the SCL-90 SOM and PHQ-15 for population-based studies, the Freiburg Complaint List and somatization subscale of the Brief Symptom Inventory 53-item version for studies in primary care, and finally the Schedule for Evaluating Persistent Symptoms and Somatic Symptom Experiences Questionnaire for monitoring treatment studies. |
format | Online Article Text |
id | pubmed-5865474 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-58654742018-04-04 Assessment of Somatization and Medically Unexplained Symptoms in Later Life van Driel, T. J. W. Hilderink, P. H. Hanssen, D. J. C. de Boer, P. Rosmalen, J. G. M. Oude Voshaar, R. C. Assessment Articles The assessment of medically unexplained symptoms and “somatic symptom disorders” in older adults is challenging due to somatic multimorbidity, which threatens the validity of somatization questionnaires. In a systematic review study, the Patient Health Questionnaire–15 (PHQ-15) and the somatization subscale of the Symptom Checklist 90-item version (SCL-90 SOM) are recommended out of 40 questionnaires for usage in large-scale studies. While both scales measure physical symptoms which in younger persons often refer to unexplained symptoms, in older persons, these symptoms may originate from somatic diseases. Using empirical data, we show that PHQ-15 and SCL-90 SOM among older patients correlate with proxies of somatization as with somatic disease burden. Updating the previous systematic review, revealed six additional questionnaires. Cross-validation studies are needed as none of 46 identified scales met the criteria of suitability for an older population. Nonetheless, specific recommendations can be made for studying older persons, namely the SCL-90 SOM and PHQ-15 for population-based studies, the Freiburg Complaint List and somatization subscale of the Brief Symptom Inventory 53-item version for studies in primary care, and finally the Schedule for Evaluating Persistent Symptoms and Somatic Symptom Experiences Questionnaire for monitoring treatment studies. SAGE Publications 2017-07-26 2018-04 /pmc/articles/PMC5865474/ /pubmed/28745072 http://dx.doi.org/10.1177/1073191117721740 Text en © The Author(s) 2017 http://www.creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Articles van Driel, T. J. W. Hilderink, P. H. Hanssen, D. J. C. de Boer, P. Rosmalen, J. G. M. Oude Voshaar, R. C. Assessment of Somatization and Medically Unexplained Symptoms in Later Life |
title | Assessment of Somatization and Medically Unexplained Symptoms in Later Life |
title_full | Assessment of Somatization and Medically Unexplained Symptoms in Later Life |
title_fullStr | Assessment of Somatization and Medically Unexplained Symptoms in Later Life |
title_full_unstemmed | Assessment of Somatization and Medically Unexplained Symptoms in Later Life |
title_short | Assessment of Somatization and Medically Unexplained Symptoms in Later Life |
title_sort | assessment of somatization and medically unexplained symptoms in later life |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5865474/ https://www.ncbi.nlm.nih.gov/pubmed/28745072 http://dx.doi.org/10.1177/1073191117721740 |
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