Exploring maladaptive cognitions and behaviors as perpetuating factors in patients with persistent somatic symptoms : a longitudinal study
Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved..
OBJECTIVE: Maladaptive cognitions and behaviors may influence symptoms and impairment in patients with persistent somatic symptoms (PSS). Aims of this study were to examine: (i) whether maladaptive cognitions and behaviors are associated with symptom severity and functional health over time; (ii) if these associations are the result of changes within individuals over time or of differences between individuals; (iii) directions of changes within individuals over time.
METHODS: Longitudinal data of a heterogeneous sample of patients with PSS were analyzed (n = 322 patients enrolled in the PROSPECTS cohort study). Cognitive and behavioral responses to symptoms (CBRQ), symptom severity (PHQ-15) and physical and mental functioning (RAND-36 PCS and MCS) were assessed seven times over a five-year period (0, 6 months, 1, 2, 3, 4, 5 year). Longitudinal mixed model and hybrid model analysis with and without time-lag were applied.
RESULTS: Maladaptive cognitions and behaviors were associated with more severe symptoms and reduced physical and mental functioning over time. Both changes within individuals over time and differences between individuals were associated with higher symptom severity and reduced physical and mental functioning. The between-subject component was about twice the effect size of the within-subject component. Changes in several specific maladaptive cognitions and behaviors were associated with more severe symptoms and reduced physical and mental functioning later in time and vice versa.
CONCLUSION: This study shows that maladaptive cognitions and behaviors are associated with symptom severity and reduced physical and mental functioning over time in patients with PSS.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2023 |
|---|---|
| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:170 |
|---|---|
| Enthalten in: |
Journal of psychosomatic research - 170(2023) vom: 01. Juli, Seite 111343 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Barends, Hieke [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Cognitions and behavior |
|---|
| Anmerkungen: |
Date Completed 06.06.2023 Date Revised 16.06.2023 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1016/j.jpsychores.2023.111343 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM357038312 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM357038312 | ||
| 003 | DE-627 | ||
| 005 | 20231226071731.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231226s2023 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1016/j.jpsychores.2023.111343 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1190.xml |
| 035 | |a (DE-627)NLM357038312 | ||
| 035 | |a (NLM)37201294 | ||
| 035 | |a (PII)S0022-3999(23)00200-3 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Barends, Hieke |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Exploring maladaptive cognitions and behaviors as perpetuating factors in patients with persistent somatic symptoms |b a longitudinal study |
| 264 | 1 | |c 2023 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 06.06.2023 | ||
| 500 | |a Date Revised 16.06.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved. | ||
| 520 | |a OBJECTIVE: Maladaptive cognitions and behaviors may influence symptoms and impairment in patients with persistent somatic symptoms (PSS). Aims of this study were to examine: (i) whether maladaptive cognitions and behaviors are associated with symptom severity and functional health over time; (ii) if these associations are the result of changes within individuals over time or of differences between individuals; (iii) directions of changes within individuals over time | ||
| 520 | |a METHODS: Longitudinal data of a heterogeneous sample of patients with PSS were analyzed (n = 322 patients enrolled in the PROSPECTS cohort study). Cognitive and behavioral responses to symptoms (CBRQ), symptom severity (PHQ-15) and physical and mental functioning (RAND-36 PCS and MCS) were assessed seven times over a five-year period (0, 6 months, 1, 2, 3, 4, 5 year). Longitudinal mixed model and hybrid model analysis with and without time-lag were applied | ||
| 520 | |a RESULTS: Maladaptive cognitions and behaviors were associated with more severe symptoms and reduced physical and mental functioning over time. Both changes within individuals over time and differences between individuals were associated with higher symptom severity and reduced physical and mental functioning. The between-subject component was about twice the effect size of the within-subject component. Changes in several specific maladaptive cognitions and behaviors were associated with more severe symptoms and reduced physical and mental functioning later in time and vice versa | ||
| 520 | |a CONCLUSION: This study shows that maladaptive cognitions and behaviors are associated with symptom severity and reduced physical and mental functioning over time in patients with PSS | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a Cognitions and behavior | |
| 650 | 4 | |a Course | |
| 650 | 4 | |a Functional health | |
| 650 | 4 | |a Medically unexplained symptoms | |
| 650 | 4 | |a Persistent somatic symptoms | |
| 700 | 1 | |a Dekker, Joost |e verfasserin |4 aut | |
| 700 | 1 | |a van Dessel, Nikki Claassen- |e verfasserin |4 aut | |
| 700 | 1 | |a Twisk, Jos W R |e verfasserin |4 aut | |
| 700 | 1 | |a van der Horst, Henriëtte E |e verfasserin |4 aut | |
| 700 | 1 | |a van der Wouden, Johannes C |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Journal of psychosomatic research |d 1956 |g 170(2023) vom: 01. Juli, Seite 111343 |w (DE-627)NLM000032972 |x 1879-1360 |7 nnns |
| 773 | 1 | 8 | |g volume:170 |g year:2023 |g day:01 |g month:07 |g pages:111343 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.jpsychores.2023.111343 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 170 |j 2023 |b 01 |c 07 |h 111343 | ||