The implications of [SSD] on the impairment of daily life are greater in post-COVID syndrome than in asthma or COPD... 2025 Schneider et al

Discussion in 'Psychosomatic research - ME/CFS and Long Covid' started by Andy, Apr 7, 2025.

  1. Andy

    Andy Retired committee member

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    Full title: The implications of somatic symptom disorder on the impairment of daily life are greater in post-COVID syndrome than in asthma or COPD - results of a cross-sectional study in a rehabilitation clinic

    Abstract

    The aim was to compare the relationship between somatic symptom disorder (SSD), anxiety, depression, clinical symptoms, and daily life impairment (DLI) in post-COVID syndrome (PCS), asthma and chronic obstructive pulmonary disease (COPD).

    In a cross-sectional study, 371 patients (161 PCS, 121 asthma, 89 COPD) of a pulmonary rehabilitation clinic received the questionnaires PHQ-15 (Patient Health Questionnaire-15) and SSD-12 (Somatic Symptom Disorder-12) to determine SSD, GAD-7 (Generalized Anxiety Disorder-7) to determine anxiety disorder, and PHQ-9 (Patient Health Questionnaire-9) to determine depression. Lung function was estimated using whole-body plethysmography. Predictors for DLI were assessed by regression models and ROC analyses.

    Association of SSD with DLI was stronger in PCS (odds ratio 13.8; 95% confidence interval 1.7-109.9) than in asthma (8.5; 2.4–30.1), and was not significant in COPD (1.9; 0.5–7.5). In asthma and COPD, strongest predictors were GAD-7 (15.0; 1.9-116.8) and PHQ-9 (8.9; 1.1–71.8), respectively. Diffusion capacity was predictive in COPD (0.947; 0.916–0.979) and asthma (0.967; 0.943–0.993), but not in PCS.

    To conclude, SSD appears to have greater impact on DLI in PCS than asthma or COPD patients. This should be recognized appropriately during rehabilitation. Furthermore, increased psychological comorbidity should also be considered and adequately treated in asthma and COPD if necessary.

    Open access
     
  2. Utsikt

    Utsikt Senior Member (Voting Rights)

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  3. Trish

    Trish Moderator Staff Member

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    Surely all the so called association between SSD and LC is simply an overlap in questionnaires.
     
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  4. Utsikt

    Utsikt Senior Member (Voting Rights)

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    It looks like it.

    PHQ-15 asks ‘During the past 4 weeks, how much have you been bothered by any of the following problems?’ - and lists different symptoms.

    This is SSD-12, my opinion is that it’s highly problematic.
    From here: https://www.s4me.info/threads/neuro...oss-sectional-study-2025-shimizu-et-al.43234/
     
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  5. Trish

    Trish Moderator Staff Member

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    Yes, all perfectly rational responses to having LC. Nothing to do with a made up disorder called SSD.
     
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  6. rvallee

    rvallee Senior Member (Voting Rights)

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    One day, they will find their philosopher's stone. You'll see, you'll see. Well, they won't, but it could still happen. What's sure to happen is that as long as they keep obsessing over it, they won't be working on the problem, and therefore forever perpetuate the eternal quest for the magical artefact that assures them they are the prettiest in the land.
     
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