Abstract：
OBJECTIVE:To develop and validate a brief screening tool for predicting functional somatic symptoms (FSS) based on clinical and non-clinical information from the general practitioner referral letter, and to assess its inter-rater reliability. METHODS:The derivation sample consisted of 357 consecutive patients referred to an internal outpatient clinic by their general practitioner. Referral letters were scored for candidate predictors for the main outcome measure, which was a final diagnosis of FSS made by the internist. Logistic regression identified the following independent predictors: type of symptoms, somatic and psychiatric comorbidity, absence of abnormal physical findings by the general practitioner, previous specialist consultation, and the use of illness terminology. Temporal validation was performed in a cohort of 94 consecutive patients in whom predictors were scored by two independent raters. RESULTS:In both the derivation and validation sample, the discriminatory power of the model was good with areas under the receiver operating characteristic curves of 0.84 (95%confidence interval: 0.80-0.88) after bootstrapping and 0.82 (95%confidence interval: 0.73-0.91), respectively. Calibration of the models was excellent in both samples and the interobserver agreement in the validation sample was very good (intraclass coefficient: 0.82 (95%confidence interval: 0.75-0.88)). Based on this model, we constructed the brief screening tool PROFSS (Predicted Risk Of Functional Somatic Symptoms). PROFSS identified patient groups with risks of FSS ranging from 17% (95%CI: 10-26%) to 92% (95%CI:86-96%). CONCLUSION:The presence of FSS can be predicted with the brief screening tool PROFSS, based on a limited set of items present in the general practitioner referral letter.
journal_name
J Psychosom Resjournal_title
Journal of psychosomatic researchauthors
Gol JM,Burger H,Janssens KA,Slaets JP,Gans RO,Rosmalen JGdoi
10.1016/j.jpsychores.2014.10.004subject
Has Abstractpub_date
2014-12-01 00:00:00pages
504-9issue
6eissn
0022-3999issn
1879-1360pii
S0022-3999(14)00356-0journal_volume
77pub_type
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/j.jpsychores.2006.07.016
更新日期：2006-09-01 00:00:00
abstract：:Individual and cross-spouse correlations of perceptions of family cohesiveness, emotional expressiveness and conflict with blood pressure and five dimensions of anger were examined in 85 couples. Wives' perceptions of family cohesiveness were negatively related to their diastolic blood pressure, whereas husbands' perc...
journal_title：Journal of psychosomatic research
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abstract：OBJECTIVE:The aim of the study was the determination of the relationships between neurophysiological and psychosocial factors within the pathogenesis of migraine. METHODS:The contingent negative variation (CNV), parent-child interactions and theirs relationship were investigated in 30 families with a migraine child an...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/s0022-3999(02)00299-4
更新日期：2002-04-01 00:00:00
abstract：:Forty-eight patients with rheumatoid arthritis were compared to 52 pain-free controls in terms of tolerance/avoidance and rated intensity of cold pressor pain. The patients had lower thresholds and tolerated the cold pressor pain for a shorter period, although not significantly so. However, the patients rated the nove...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/0022-3999(89)90065-2
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abstract：OBJECTIVE:Early age at menarche has been found to be associated with higher oestrogen levels among girls around the onset of puberty and in early adulthood. The role of oestrogen in depression is not clear, although it affects serotonergic functions in the central nervous system (CNS). We wanted to test the hypothesis ...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/j.jpsychores.2004.01.008
更新日期：2004-10-01 00:00:00
abstract：:Thirty-six subjects affected with hypersomnia associated with mood disorders, 31 with a diagnosis of dysthymia, 4 with a diagnosis of bipolar disorder and one with a diagnosis of major recurrent depression underwent standardized polysomnographic procedures including night 1, MSLT and night 2 (uninterrupted). 36.1% of ...
journal_title：Journal of psychosomatic research
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doi：10.1016/0022-3999(94)90134-1
更新日期：1994-01-01 00:00:00
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/0022-3999(90)90003-m
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abstract：OBJECTIVE:The current study focused on the role of trait mindfulness in asthma-related quality of life (QoL) and asthma control in adolescent asthma patients. Furthermore, potential underlying mechanisms (general and asthma-specific stress) of this relationship were investigated. METHODS:In this cross-sectional study,...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/j.jpsychores.2017.06.014
更新日期：2017-08-01 00:00:00
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更新日期：2018-01-01 00:00:00
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journal_title：Journal of psychosomatic research
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doi：10.1016/j.jpsychores.2013.02.002
更新日期：2013-05-01 00:00:00
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/j.jpsychores.2017.04.010
更新日期：2017-06-01 00:00:00
abstract：:To date therefore, no consistent hormonal abnormality has been linked with premenstrual affective, physical or behavioural changes and, in turn, no consistent adverse behaviour has been positively linked with any particular menstrual cycle phase. At the same time, the proportion of actively menstruating women reported...
journal_title：Journal of psychosomatic research
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doi：10.1016/0022-3999(85)90049-2
更新日期：1985-01-01 00:00:00
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更新日期：2019-09-01 00:00:00
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/j.jpsychores.2013.11.020
更新日期：2014-03-01 00:00:00
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doi：10.1016/0022-3999(81)90113-6
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doi：10.1016/s0022-3999(03)00013-8
更新日期：2003-10-01 00:00:00
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
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更新日期：2012-04-01 00:00:00
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doi：10.1016/j.jpsychores.2019.05.002
更新日期：2019-07-01 00:00:00
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pub_type： 杂志文章
doi：10.1016/s0022-3999(03)00024-2
更新日期：2003-10-01 00:00:00
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doi：10.1016/0022-3999(82)90013-7
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/0022-3999(92)90128-o
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/0022-3999(93)90059-o
更新日期：1993-09-01 00:00:00
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/j.jpsychores.2016.10.006
更新日期：2016-12-01 00:00:00
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/j.jpsychores.2004.06.001
更新日期：2005-01-01 00:00:00
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journal_title：Journal of psychosomatic research
pub_type： 杂志文章,随机对照试验
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更新日期：2010-08-01 00:00:00
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journal_title：Journal of psychosomatic research
pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：1992-01-01 00:00:00
abstract：OBJECTIVE:To examine the association of diabetes and prediabetes with suicide deaths in a Japanese working population. METHODS:A nested case-control study was conducted using data from the Japan Epidemiology Collaboration on Occupational Health Study. During 8 years of follow-up, we identified 56 registered cases of s...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
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更新日期：2020-11-01 00:00:00
abstract：:Impaired sexual functioning limits the quality of life of 34-75% of post-myocardial infarction (MI) patients. This study examined the effects of three factors: (a) beta-blocker intake, (b) psychological distress, and (c) information about safety of sexual activity, on post-MI decreased sexual functioning. Sixty-three ...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
doi：10.1016/0022-3999(94)90018-3
更新日期：1994-10-01 00:00:00
