Abstract

Objective

Three theoretically grounded hypotheses were tested that predict interactions between modern health worries (MHWs), somatic symptom distress, and negative affect.

Design

Cross-sectional.

Main outcome measures

Hypotheses were tested in a representative German sample (n = 2306) and a near-representative Swedish sample (n = 3406). Participants completed the 12-item Modern Health Worries Scale, the Patient Health Questionnaire 15-Item Somatic Symptom Severity Scale (both samples), the Patient Health Questionnaire 9-Item Depression Scale (German sample), and the Hospital Anxiety and Depression Scale (Swedish sample).

Results

According to the results obtained from the two samples, MHWs were only weakly associated with somatic symptoms and negative affectivity. Frequentist and Bayesian linear regression analyses showed an interaction only in one case. All other factors being equal, individuals high on somatic symptoms and MHWs did not experience disproportionately less anxiety or depression; those high on MHWs and negative affect were characterized by disproportionately more symptoms in the German sample but not in the Swedish sample; and high level of negative affect did not strengthen the positive association between somatic symptoms and MHWs.

Conclusion

Based on data from two large community samples, temporal stability of MHWs cannot be explained by somatic symptom distress and negative affectivity.

中文翻译：

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没有证据表明现代健康担忧、负面影响和一般人群的躯体症状困扰之间存在相互作用

摘要

客观的

测试了三个基于理论的假设，这些假设预测了现代健康担忧 (MHW)、躯体症状困扰和负面影响之间的相互作用。

设计

横截面。

主要观察指标

假设在具有代表性的德国样本 ( n  = 2306) 和近乎具有代表性的瑞典样本 ( n  = 3406) 中进行了测试。参与者完成了 12 项现代健康担忧量表、患者健康问卷 15 项躯体症状严重程度量表（两个样本）、患者健康问卷 9 项抑郁量表（德国样本）和医院焦虑和抑郁量表（瑞典语）样本）。

结果

根据从这两个样本中获得的结果，MHWs 与躯体症状和消极情感的相关性很弱。频率和贝叶斯线性回归分析仅在一种情况下显示相互作用。在所有其他因素相同的情况下，躯体症状高的个体和 MHW 的焦虑或抑郁并没有显着减少；在德国样本中，MHWs 和负面影响高的人的特征是不成比例地出现更多症状，而在瑞典样本中则不然；高水平的负面影响并没有加强躯体症状与MHW之间的正相关。

结论

根据来自两个大型社区样本的数据，MHW 的时间稳定性不能用躯体症状困扰和消极情感来解释。