RSS-Feed abonnieren
DOI: 10.1055/s-0032-1333303
Der Fragebogen zum Erleben von Körperbeschwerden (SSEQ): Ein neues Selbstbeurteilungsinstrument zur Erfassung der psychischen Merkmale somatoformer Störungen
The Somatic Symptoms Experiences Questionnaire (SSEQ): A New Self-report Instrument for the Assessment of Psychological Characteristics of Patients with Somatoform DisorderPublikationsverlauf
eingereicht 21. August 2012
akzeptiert 20. Dezember 2012
Publikationsdatum:
17. Juli 2013 (online)
![](https://www.thieme-connect.de/media/ppmp/20140304/lookinside/thumbnails/10.1055-s-0032-1333303-1.jpg)
Zusammenfassung
Psychischen Merkmalen somatoformer Störungen wird im DSM-5 eine besondere Bedeutung zuteil werden. Mit dem Fragebogen zum Erleben von Körperbeschwerden (Somatic Symptoms Experiences Questionnaire – SSEQ) wurde ein Selbstbeurteilungsinstrument entwickelt, welches viele relevante psychische Merkmale somatoformer Störungen erfasst. Die Itemselektion und Skalierung sowie eine erste Überprüfung der Reliabilität und Validität erfolgte an N=453 ambulanten psychosomatischen Patienten. Eine Hauptkomponentenanalyse mit Promax-Rotation ergab eine 4-Faktorenlösung (Gesundheitssorgen, Krankheitserleben, Interaktions-schwierigkeiten mit Ärzten, Krankheitsfolgen). Mittlere Zusammenhänge zwischen SSEQ und gesundheitsbezogener Lebensqualität geben erste Hinweise auf die Validität des Instruments. Obwohl weitere Untersuchungen der psychometrischen Güte ausstehen, erscheint das Instrument perspektivisch gut geeignet zur Erfassung relevanter psychischer Merkmale somatoformer Störungen.
Abstract
Psychological symptoms of somatoform disorders will be part of their new definition in DSM-5. We developed the Somatic Symptoms Experiences Questionnaire (SSEQ) as a self-report questionnaire to assess important psychological characteristics of patients with somatoform disorders. Item selection and identification of factor structure, as well as reliability and validity have been checked in a sample of N=453 psychsomatic outpatients. Results of a principal components analysis with Promax-rotation suggested 4 factors (health worries, illness experience, difficulties in interaction with doctors, impact of illness). Validity analyses confirmed associations between the SSEQ-Scores and the physical disability of patients. Although further assessments of psychometric qualities are needed, the questionnaire appears to be well-suited for future assessment of relevant psychological features of somatoform disorders.
Schlüsselwörter
Somatoforme Störungen - psychische Merkmale - Klassifizierung - Fragebogen - ValiditätKeywords
somatoform disorders - psychological characteristics - classification - questionnaire - validityErgänzendes Material
- Den Fragebogen zum Erleben von Körperbeschwerden finden Sie im Internet unter http://dx.doi.org/10.1055/s-0032-1333303
- Anhang
-
Literatur
- 1 Wittchen HU, Jacobi F, Rehm J et al. The size and burden of mental disorders and other disorders of the brain in Europe 2010. Eur Neuropsychopharmacol 2011; 21: 655-679
- 2 Hanel G, Henningsen P, Herzog W et al. Depression, anxiety, and somatoform disorders: Vague or distinct categories in primary care? Results from a large cross-sectional study. J Psychosom Res 2009; 67: 189-197
- 3 Steinbrecher N, Koerber S, Frieser D et al. The prevalence of medically unexplained symptoms in primary care. Psychosomatics 2011; 52: 263-271
- 4 Barsky AJ, Orav EJ, Bates DW. Somatization increases medical utilization and costs independent of psychiatric and medical comorbidity. Arch Gen Psychiatry 2005; 62: 903-910
- 5 Rief W, Broadbent E. Explaining medically unexplained symptoms-models and mechanisms. Clin Psychol Rev 2007; 27: 821-841
- 6 Rief W, Mewes R, Martin A et al. Are Psychological Features Useful in Classifying Patients With Somatic Symptoms?. Psychosom Med 2010; 72: 648-655
- 7 Kroenke K, Sharpe M, Sykes R. Revising the classification of somatoform disorders: key questions and preliminary recommendations. Psychosomatics 2007; 48: 277-285
- 8 Dimsdale J, Creed F. The proposed diagnosis of somatic symptom disorders in DSM-V to replace somatoform disorders in DSM-IV – a preliminary report. J Psychosom Res 2009; 66: 473-476
- 9 American Psychiatric Association . Somatic symptom disorder. http://www.dsm5.org/ProposedRevisions/Pages/proposedrevision.aspx?rid=368 27.4.2012
- 10 Rief W, Mewes R, Martin A et al. Are psychological features useful in classifying patients with somatic symptoms?. Psychosom Med 2010; 72: 648-655
- 11 Voigt K, Nagel A, Meyer B et al. Towards positive criteria: A systematic review of somatoform disorder diagnoses and suggestions for future classification. J Psychosom Res 2010; 68: 403-414
- 12 Gräfe K, Zipfel S, Herzog W et al. Screening psychischer Störungen mit dem „Gesundheitsfragebogen für Patienten (PHQ-D)“. Ergebnisse der deutschen Validierungsstudie. Diagnostica 2004; 50: 171-181
- 13 Noyes Jr R, Langbehn DR, Happel RL et al. Health Attitude Survey: A scale for assessing somatizing patients. Psychosomatics 1999; 40: 470-478
- 14 Pilowsky I, Spence N. Manual for the Illness Behaviour Questionnaire. Department of Psychiatry, University of Adelaide 1994;
- 15 Robbins JM, Kirmayer LJ. Attributions of common somatic symptoms. Psychol Med 1991; 21: 1029-1045
- 16 Weinman J, Petrie KJ, Moss-Morris R et al. The illness perception questionnaire: A new method for assessing the cognitive representation of illness. Psychol Health 1996; 11: 431-445
- 17 Hiller W, Rief W, Elefant S et al. Dysfunktionale Kognitionen bei Patienten mit Somatisierungssyndrom. Z Klin Psychol 1997; 26: 226-234
- 18 Pilowsky I. Dimensions of hypochondriasis. B J Psychiatry 1967; 113: 89-93
- 19 Kellner R. Abridged Manual of the Illness Attitude Scales. Albuquerque: Department of Psychiatry, University of New Mexico; 1987
- 20 Rief W, Ihle D, Pilger F. A new approach to assess illness behaviour. J Psychosom Res 2003; 54: 405-414
- 21 Kroenke K, Spitzer RL, Williams JB. The PHQ-15: Validity of a new measure for evaluating the severity of somatic symptoms. Psychosom Med 2002; 64: 258-266
- 22 Löwe B, Kroenke K, Herzog W et al. Measuring depression outcome with a brief self-report instrument: Sensitivity to change of the Patient Health Questionnaire (PHQ-9) 13. J Affect Disord 2004; 81: 61-66
- 23 Kroenke K, Spitzer RL, Williams JB. The PHQ-9. Validity of a brief depression severity measure. J Gen Intern Med 2001; 16: 606-613
- 24 Löwe B, Spitzer RL, Gräfe K et al. Comparative validity of three screening questionnaires for DSM-IV depressive disorders and physicians’ diagnoses. J Affect Disord 2004; 78: 131-140
- 25 Löwe B, Decker O, Müller S et al. Validation and standardization of the generalized anxiety disorder screener (GAD-7) in the general population. Med Care 2008; 46: 266-274
- 26 Spitzer RL, Kroenke K, Williams JB et al. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med 2006; 166: 1092-1097
- 27 Bullinger M, Kirchberger I. SF-36. Fragebogen zum Gesundheitszustand. Handanweisung. Göttingen: Hogrefe; 1998
- 28 Hu L, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Struct Equ Modeling 1999; 6: 1-55
- 29 Marsh HW, Hau KT, Balla JR et al. Is more ever too much? The number of indicators per factor in confirmatory factor analysis. Multivar Behav Res 1998; 33: 181-220
- 30 Hausteiner C, Bornschein S, Bubel E et al. Psychobehavioral predictors of somatoform disorders in patients with suspected allergies. Psychosom Med 2009; 71: 1004-1011