Abstract

Objective.

Although somatic symptoms are common among mental health patients, their association with symptom severity and inpatient treatment outcomes is not yet well understood.

Methods.

Using a pre–post design and latent class analysis (LCA), 641 inpatients (63.4% female) were classified based on their self-reported somatic symptoms. We examined how the resulting somatic symptom classes related to depression and anxiety symptom severity pre-treatment (T1) and to symptom reduction post-treatment (T2).

Results.

Our results suggest four somatic symptom classes, namely (1) unspecific/low somatic symptom burden, (2) sexual problems, (3) gastrointestinal symptoms with pain syndrome, and (4) cardiopulmonary symptoms. While class 1 indicated the lowest pre-treatment depression and anxiety symptom severity, class 2 reported high depressive symptoms coupled with low anxiety, class 3 reported moderate depressive and anxiety symptom severity, and class 4 reported the highest depressive and anxiety symptom burden. Somatic symptom classes, however, did not predict the degree of reduction in either depression or anxiety symptoms post-treatment.

Conclusions.

These findings demonstrate somatic heterogeneity in mental health patients and reveal the relationship of somatic symptom patterns to affective symptom severity. Clinical implications are discussed.

中文翻译：

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躯体症状与治疗前抑郁和焦虑症状严重程度相关，但与住院治疗结果无关

摘要

客观的。

尽管躯体症状在心理健康患者中很常见，但它们与症状严重程度和住院治疗结果之间的关系尚不清楚。

方法。

使用事前事后设计和潜在类别分析 (LCA)，根据自我报告的躯体症状对 641 名住院患者（63.4% 为女性）进行分类。我们检查了由此产生的躯体症状类别如何与治疗前抑郁和焦虑症状严重程度 (T1) 以及治疗后症状减轻 (T2) 相关。

结果。

我们的结果表明有四种躯体症状类别，即 (1) 非特异性/低躯体症状负担，(2) 性问题，(3) 伴有疼痛综合征的胃肠道症状，以及 (4) 心肺症状。1 级表示治疗前抑郁和焦虑症状的严重程度最低，2 级报告了高抑郁症状伴有低度焦虑，3 级报告了中度抑郁和焦虑症状严重程度，4 级报告了最高的抑郁和焦虑症状负担。然而，躯体症状类别并不能预测治疗后抑郁或焦虑症状的减轻程度。

结论。

这些发现证明了心理健康患者的躯体异质性，并揭示了躯体症状模式与情感症状严重程度之间的关系。讨论了临床意义。