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首页> 外文期刊>Psychosomatics >Complexity Assessed by the INTERMED in Patients With Somatic Symptom Disorder Visiting a Specialized Outpatient Mental Health Care Setting: A Cross-sectional Study
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Complexity Assessed by the INTERMED in Patients With Somatic Symptom Disorder Visiting a Specialized Outpatient Mental Health Care Setting: A Cross-sectional Study

机译：中间患者评估的复杂性患有躯体症状障碍的患者，参观专业门诊精神保健环境：横断面研究

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Background: Somatic symptom disorders (SSD), anew classification in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition is associated with problematic diagnostic procedures and treatment that lead to complex care. In somatic health care, the INTERMED has been used to assess levels of complexity; however, in SSD this instrument has not yet been applied. Objective: This study aims to explore complexity in patients with SSD using the INTERMED, hereby contributing to an increased comprehension of this new patient group. Method: In this cross-sectional study, the INTERMED was used to assess complexity in outpatients with SSD at the Clinical Centre of Excellence for Body, Mind, and Health (The Netherlands), along biologic, psychologic, social, and health care domains. This was done retrospectively with patient files from consecutive patients from 2011 until 2015. Results: In the total SSD sample (N = 187), 63% was female, the mean age (standard deviation) was 42 ( 12.4) years, with an average educational level. The mean INTERMED score was 23.5 indicating high overall complexity in this population. A high proportion of our sample (69%) scored as highly complex (>20). High complexity was associated with higher depression and anxiety scores, but not with a higher number of physical symptoms. Conclusions: This study demonstrates that patients with SSD form a high-complex group, with higher scores compared with literature about multiple sclerosis, rheumatoid arthritis, or patient waiting for a liver transplant. INTERMED outcomes indicate a need for extensive diagnostic procedures and integrated multidisciplinary care for patients with SSD. Attention should especially be paid to mental disorders (depression and anxiety), given their association with high complexity.
机译：背景：躯体症状紊乱（SSD），重组在精神障碍诊断和统计手册中的分类，第五版与有问题的诊断程序和治疗相关，导致复杂的护理。在体细胞保健中，Mover已被用来评估复杂程度;但是，在SSD中，该仪器尚未应用。目的：本研究旨在探讨使用中低管的SSD患者的复杂性，从而有助于对这一新患者群体的改善。方法：在这种横截面研究中，Mover用于评估在临床卓越卓越卓越卓越中心的SSD的门诊患者的复杂性，沿着生物，心理学，社会和医疗领域。这是从2011年开始的连续患者的患者文件进行了回顾性。结果：在总SSD样本（N = 187）中，63％是女性，平均年龄（标准偏差）为42（12.4）年，平均受教育程度。平均值分数为23.5，表明该人群的高总体复杂性。我们的样本高比例（69％）被评分为高度复杂（> 20）。高复杂性与较高的抑郁和焦虑分数有关，但没有较高的物理症状。结论：本研究表明，SSD患者形成高复杂的组，与多发性硬化症，类风湿性关节炎或等待肝移植的患者相比，评分更高。介质结果表明，需要对SSD患者进行广泛的诊断程序和集成多学科护理。鉴于他们与高复杂性的关联，尤其应该关注精神障碍（抑郁和焦虑）。

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