Title Sex differences in residual somatic symptoms in patients with first-episode depression after acute-phase treatment
Authors Shi, Jingjing
Wang, Xiaohong
Zhao, Na
Kang, Chuanyi
Yang, Liying
Zheng, Yue
Liu, Jiacheng
Feng, Lei
Zhu, Xuequan
Ma, Caina
Wu, Wenyuan
Wang, Gang
Hu, Jian
Affiliation Harbin Med Univ, Affiliated Hosp 1, Dept Psychiat, 23 Youzheng St, Harbin 150001, Heilongjiang, Peoples R China
Peking Univ, Inst Mental Hlth, Hosp 6, Beijing, Peoples R China
Peking Univ, Natl Clin Res Ctr Mental Disorders, Beijing, Peoples R China
Peking Univ, NHC Key Lab Mental Hlth, Beijing, Peoples R China
Capital Med Univ, Natl Clin Res Ctr Mental Disorders, Beijing, Peoples R China
Capital Med Univ, Beijing Key Lab Mental Disorders, Beijing, Peoples R China
Capital Med Univ, Beijing Anding Hosp, Beijing, Peoples R China
Harbin First Specialized Hosp, Harbin, Heilongjiang, Peoples R China
Tongji Univ, Tongji Hosp, Dept Psychiat, Shanghai, Peoples R China
Keywords QUALITY-OF-LIFE
FUNCTIONAL DISABILITY
GENDER-DIFFERENCES
PHYSICAL SYMPTOMS
AMERICAN PATIENTS
DISORDER
ASSOCIATION
PREVALENCE
REMISSION
ILLNESS
Issue Date 22-Feb-2023
Publisher BMC PSYCHIATRY
Abstract BackgroundResidual somatic symptoms (RSS) are common in depressed patients, predicting treatment effectiveness. However, sex differences in RSS have received little systematic study. This study was conducted to compare sex differences of RSS in patients with first-episode depression (FED).MethodsNine hundred eighty-two patients with FED were selected and treated for 8 to 12 weeks. We evaluated the subjects' socio-demographic characteristics and residual depressive symptoms. Using the Patient Health Questionnaire-15 (PHQ-15) scale to assess residual somatic symptoms, the Sheehan Disability Scale (SDS) for the assessment of patients' function, the Quality of Life Enjoyment and Satisfaction Questionnaire-Short Form (Q-LES-Q-SF) for quality of life.ResultsThe incidence of RSS with FED was 46.4%. For patients with residual symptoms, the age and age of onset in females were higher than males, but males had more years of education than females. The degree of "stomach pain" in females was more severe than in males, while "trouble sleeping" in males was more severe than that in females. Multiple regression analysis showed that the total Q-LES-Q-SF score was an independent influencing factor of RSS in both males and females, while the total SDS score only affected female RSS.ConclusionsThe prevalence of RSS in FED after acute-phase treatment is high. The symptom of "stomachache" is more pronounced in females, while "trouble sleeping" is more severe in males. Quality of life plays an essential role in RSS in both genders. Thus, sex needs to be considered when assessing the relationship between RSS and therapeutic effect in depression.
URI http://hdl.handle.net/20.500.11897/672774
DOI 10.1186/s12888-023-04612-3
Indexed SCI(E)
Appears in Collections: 第六医院

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