Psychotic symptoms in Chinese patients with somatic symptom disorder

Prevalence, risk factors, and associated conditions

Bibliographic Data

ID15528605
AuthorsJun Yuan (0000-0002-8265-0239, Gannan Medical University), Jiamei Yuan, Yunhui Zhong (0009-0006-0777-7009, Ganzhou People's Hospital), Yibo Li (0000-0003-0477-9229, Tianjin Medical University), Yuanping Liao (Ganzhou People's Hospital), Hong Tang (0000-0003-2410-9177, Gannan Medical University, corresponding author)
Year2025
Volume16
Pages1519492-1519492
Publication date2025-02-26
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2025.1519492
PMID40078530
OpenAlexW4407984100
LanguageEN
References cited64

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

Anxiety · Depression (economics · Hamd · Hamilton Anxiety Rating Scale · Logistic regression · Population · Psychiatry · Rating scale · Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes · Clinical Psychology · Fibromyalgia and Chronic Fatigue Syndrome Research · Medicine · Psychology · Psychosomatic Disorders and Their Treatments · Internal Medicine

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