JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2014, Vol. 52 ›› Issue (9): 90-94.doi: 10.6040/j.issn.1671-7554.0.2014.289

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Characteristics and relevant factors of somatization symptoms in patients with “medically unexplained symptoms” in general hospital

MAO Xueqin1, ZHANG RUI2, WANG Mengxin1   

  1. 1. Department of Psychology, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China;
    2. Department of Pharmacology, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China
  • Received:2014-05-04 Revised:2014-09-05 Online:2014-09-10 Published:2014-09-10
  • Contact: 毛雪琴。E-mail:m_xqin@126.com E-mail:m_xqin@126.com

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Abstract: Objective To explore the characteristics of somatization symptoms and the relevant factors in patients with medically unexplained symptoms (MUS) in general hospitals. Methods A total of 50 patients with MUS and 30 healthy controls were assessed with the Somatic Self-rating Scale (SSS), Trait Coping Style Questionnaire(TCSQ) and Short Explanatory Model Interview (SEMI). Results Compared with the controls, 90% of the patients had severe degree of somatization symptoms, and all patients had significantly higher scores of somatization symptoms and negative coping (NC), but significantly lower scores of positive coping (PC) (P<0.01); as many as 68% of the patients had been chronically ill for more than 6 months (ranging from 6 months to 5 years), with more than 5 symptoms and 6 or more doctor-visits over the past half a year. Up to 96% of the patients expressed significant illness worries, believing that their symptoms indicated serious diseases, and showing obvious fear for death or paralysis. There was significant relation among somatization symptoms, coping styles, illness perception model, and doctor-visits in patients with MUS. Conclusion The MUS patients present distinctive somatization symptoms and illness perception model. Illness perception model and doctor-visits are the important predicting factors for somatization symptoms.

Key words: Medically unexplained symptoms, Somatization symptoms, Illness perception model

CLC Number: 

  • R395.6
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