Psychotic symptoms in Chinese patients with somatic symptom disorder: prevalence, risk factors, and associated conditions
Psychotic symptoms are prevalent in individuals with various mental health disorders and frequently lead to adverse outcomes. In this study, we assessed the prevalence of psychotic symptoms and its associated conditions in a large sample of Chinese patients with somatic symptom disorder (SSD), which...
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Frontiers Media S.A.
2025-02-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1519492/full |
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| author | Jiamei Yuan Yunhui Zhong Yibo Li Yuanping Liao Hong Tang |
| author_facet | Jiamei Yuan Yunhui Zhong Yibo Li Yuanping Liao Hong Tang |
| author_sort | Jiamei Yuan |
| collection | DOAJ |
| description | Psychotic symptoms are prevalent in individuals with various mental health disorders and frequently lead to adverse outcomes. In this study, we assessed the prevalence of psychotic symptoms and its associated conditions in a large sample of Chinese patients with somatic symptom disorder (SSD), which has not been examined systemically. We recruited 899 patients with SSD. We used the positive subscale of the Positive and Negative Syndrome Scale to assess psychotic symptoms in the participants. We evaluated the participants using the Hamilton Depression Rating Scale (HAMD), Hamilton Anxiety Rating Scale (HAMA) and Perceived Stress Scale (PSS).The prevalence of psychotic symptoms in participants was 10.2%. Compared with participants without psychotic symptoms, participants with psychotic symptoms had higher scores on the HAMD, HAMA and PSS scales and a shorter sleep duration. Based on the results of stepwise binary logistic regression analysis, the HAMA, HAMD and PSS were significantly associated with psychotic symptoms in the participants. Our findings suggest that psychotic symptoms are common in patients with SSD in the Chinese Han population. In addition, greater levels of anxiety, depression, and stress are potentially useful markers for predicting a greater risk of psychotic symptoms. |
| format | Article |
| id | doaj-art-73697dbab78a49c49f486dcf0352e80d |
| institution | DOAJ |
| issn | 1664-0640 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj-art-73697dbab78a49c49f486dcf0352e80d2025-08-20T03:12:47ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-02-011610.3389/fpsyt.2025.15194921519492Psychotic symptoms in Chinese patients with somatic symptom disorder: prevalence, risk factors, and associated conditionsJiamei Yuan0Yunhui Zhong1Yibo Li2Yuanping Liao3Hong Tang4College of Humanities and Social Sciences, Gannan Medical University, Ganzhou, ChinaDepartment of Psychology, The Third People’s Hospital of Ganzhou, Ganzhou, ChinaDepartment of Psychiatry and Psychology, College of Basic Medical Sciences, Tianjin Medical University, Tianjin, ChinaDepartment of Geriatric, The Third People’s Hospital of Ganzhou, Ganzhou, ChinaCollege of Humanities and Social Sciences, Gannan Medical University, Ganzhou, ChinaPsychotic symptoms are prevalent in individuals with various mental health disorders and frequently lead to adverse outcomes. In this study, we assessed the prevalence of psychotic symptoms and its associated conditions in a large sample of Chinese patients with somatic symptom disorder (SSD), which has not been examined systemically. We recruited 899 patients with SSD. We used the positive subscale of the Positive and Negative Syndrome Scale to assess psychotic symptoms in the participants. We evaluated the participants using the Hamilton Depression Rating Scale (HAMD), Hamilton Anxiety Rating Scale (HAMA) and Perceived Stress Scale (PSS).The prevalence of psychotic symptoms in participants was 10.2%. Compared with participants without psychotic symptoms, participants with psychotic symptoms had higher scores on the HAMD, HAMA and PSS scales and a shorter sleep duration. Based on the results of stepwise binary logistic regression analysis, the HAMA, HAMD and PSS were significantly associated with psychotic symptoms in the participants. Our findings suggest that psychotic symptoms are common in patients with SSD in the Chinese Han population. In addition, greater levels of anxiety, depression, and stress are potentially useful markers for predicting a greater risk of psychotic symptoms.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1519492/fullpsychotic symptomssomatic symptom disorderrisk factorsanxietydepressionstress |
| spellingShingle | Jiamei Yuan Yunhui Zhong Yibo Li Yuanping Liao Hong Tang Psychotic symptoms in Chinese patients with somatic symptom disorder: prevalence, risk factors, and associated conditions Frontiers in Psychiatry psychotic symptoms somatic symptom disorder risk factors anxiety depression stress |
| title | Psychotic symptoms in Chinese patients with somatic symptom disorder: prevalence, risk factors, and associated conditions |
| title_full | Psychotic symptoms in Chinese patients with somatic symptom disorder: prevalence, risk factors, and associated conditions |
| title_fullStr | Psychotic symptoms in Chinese patients with somatic symptom disorder: prevalence, risk factors, and associated conditions |
| title_full_unstemmed | Psychotic symptoms in Chinese patients with somatic symptom disorder: prevalence, risk factors, and associated conditions |
| title_short | Psychotic symptoms in Chinese patients with somatic symptom disorder: prevalence, risk factors, and associated conditions |
| title_sort | psychotic symptoms in chinese patients with somatic symptom disorder prevalence risk factors and associated conditions |
| topic | psychotic symptoms somatic symptom disorder risk factors anxiety depression stress |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1519492/full |
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