Complexity assessed by the intermed in patients with somatic symptom disorder visiting a specialized outpatient mental health care setting:

A cross sectional study complexity of patients with ssd

J.F. van Eck van der Sluijs, L. de Vroege, A.S. van Manen, C.A.Th. Rijnders, C.F. van der Feltz-Cornelis

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Background
Somatic symptom disorders (SSD), a new classification in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition is associated with problematic diagnostic procedures and treatment that lead to complex care. In somatic health care, the INTERMED has been used to assess levels of complexity; however, in SSD this instrument has not yet been applied.
Objective
This study aims to explore complexity in patients with SSD using the INTERMED, hereby contributing to an increased comprehension of this new patient group.
Method
In this cross-sectional study, the INTERMED was used to assess complexity in outpatients with SSD at the Clinical Centre of Excellence for Body, Mind, and Health (The Netherlands), along biologic, psychologic, social, and health care domains. This was done retrospectively with patient files from consecutive patients from 2011 until 2015.ResultsIn the total SSD sample (N = 187), 63% was female, the mean age (standard deviation) was 42 (±12.4) years, with an average educational level. The mean INTERMED score was 23.5 indicating high overall complexity in this population. A high proportion of our sample (69%) scored as highly complex (>20). High complexity was associated with higher depression and anxiety scores, but not with a higher number of physical symptoms.
Conclusions
This study demonstrates that patients with SSD form a high-complex group, with higher scores compared with literature about multiple sclerosis, rheumatoid arthritis, or patient waiting for a liver transplant. INTERMED outcomes indicate a need for extensive diagnostic procedures and integrated multidisciplinary care for patients with SSD. Attention should especially be paid to mental disorders (depression and anxiety), given their association with high complexity.
Original languageEnglish
Pages (from-to)427–436
JournalPsychosomatics
Volume58
Issue number4
DOIs
Publication statusPublished - 2017

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Mental Health
Outpatients
Cross-Sectional Studies
Delivery of Health Care
Depression
Medically Unexplained Symptoms
Healthcare
Diagnostic and Statistical Manual of Mental Disorders
Netherlands
Liver
Diagnostics
Mental Disorders
Anxiety

Cite this

@article{d66f14f64523486aa273a4da0a12ef15,
title = "Complexity assessed by the intermed in patients with somatic symptom disorder visiting a specialized outpatient mental health care setting:: A cross sectional study complexity of patients with ssd",
abstract = "BackgroundSomatic symptom disorders (SSD), a new classification in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition is associated with problematic diagnostic procedures and treatment that lead to complex care. In somatic health care, the INTERMED has been used to assess levels of complexity; however, in SSD this instrument has not yet been applied.ObjectiveThis study aims to explore complexity in patients with SSD using the INTERMED, hereby contributing to an increased comprehension of this new patient group.MethodIn this cross-sectional study, the INTERMED was used to assess complexity in outpatients with SSD at the Clinical Centre of Excellence for Body, Mind, and Health (The Netherlands), along biologic, psychologic, social, and health care domains. This was done retrospectively with patient files from consecutive patients from 2011 until 2015.ResultsIn the total SSD sample (N = 187), 63{\%} was female, the mean age (standard deviation) was 42 (±12.4) years, with an average educational level. The mean INTERMED score was 23.5 indicating high overall complexity in this population. A high proportion of our sample (69{\%}) scored as highly complex (>20). High complexity was associated with higher depression and anxiety scores, but not with a higher number of physical symptoms.ConclusionsThis study demonstrates that patients with SSD form a high-complex group, with higher scores compared with literature about multiple sclerosis, rheumatoid arthritis, or patient waiting for a liver transplant. INTERMED outcomes indicate a need for extensive diagnostic procedures and integrated multidisciplinary care for patients with SSD. Attention should especially be paid to mental disorders (depression and anxiety), given their association with high complexity.",
author = "{van Eck van der Sluijs}, J.F. and {de Vroege}, L. and {van Manen}, A.S. and C.A.Th. Rijnders and {van der Feltz-Cornelis}, C.F.",
year = "2017",
doi = "10.1016/j.psym.2017.02.008",
language = "English",
volume = "58",
pages = "427–436",
journal = "Psychosomatics: The journal of consultation and liaison psychiatry",
issn = "0033-3182",
publisher = "American Psychiatric Publishing Inc.",
number = "4",

}

Complexity assessed by the intermed in patients with somatic symptom disorder visiting a specialized outpatient mental health care setting: A cross sectional study complexity of patients with ssd. / van Eck van der Sluijs, J.F.; de Vroege, L.; van Manen, A.S.; Rijnders, C.A.Th.; van der Feltz-Cornelis, C.F.

In: Psychosomatics, Vol. 58, No. 4, 2017, p. 427–436.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Complexity assessed by the intermed in patients with somatic symptom disorder visiting a specialized outpatient mental health care setting:

T2 - A cross sectional study complexity of patients with ssd

AU - van Eck van der Sluijs, J.F.

AU - de Vroege, L.

AU - van Manen, A.S.

AU - Rijnders, C.A.Th.

AU - van der Feltz-Cornelis, C.F.

PY - 2017

Y1 - 2017

N2 - BackgroundSomatic symptom disorders (SSD), a new classification in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition is associated with problematic diagnostic procedures and treatment that lead to complex care. In somatic health care, the INTERMED has been used to assess levels of complexity; however, in SSD this instrument has not yet been applied.ObjectiveThis study aims to explore complexity in patients with SSD using the INTERMED, hereby contributing to an increased comprehension of this new patient group.MethodIn this cross-sectional study, the INTERMED was used to assess complexity in outpatients with SSD at the Clinical Centre of Excellence for Body, Mind, and Health (The Netherlands), along biologic, psychologic, social, and health care domains. This was done retrospectively with patient files from consecutive patients from 2011 until 2015.ResultsIn the total SSD sample (N = 187), 63% was female, the mean age (standard deviation) was 42 (±12.4) years, with an average educational level. The mean INTERMED score was 23.5 indicating high overall complexity in this population. A high proportion of our sample (69%) scored as highly complex (>20). High complexity was associated with higher depression and anxiety scores, but not with a higher number of physical symptoms.ConclusionsThis study demonstrates that patients with SSD form a high-complex group, with higher scores compared with literature about multiple sclerosis, rheumatoid arthritis, or patient waiting for a liver transplant. INTERMED outcomes indicate a need for extensive diagnostic procedures and integrated multidisciplinary care for patients with SSD. Attention should especially be paid to mental disorders (depression and anxiety), given their association with high complexity.

AB - BackgroundSomatic symptom disorders (SSD), a new classification in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition is associated with problematic diagnostic procedures and treatment that lead to complex care. In somatic health care, the INTERMED has been used to assess levels of complexity; however, in SSD this instrument has not yet been applied.ObjectiveThis study aims to explore complexity in patients with SSD using the INTERMED, hereby contributing to an increased comprehension of this new patient group.MethodIn this cross-sectional study, the INTERMED was used to assess complexity in outpatients with SSD at the Clinical Centre of Excellence for Body, Mind, and Health (The Netherlands), along biologic, psychologic, social, and health care domains. This was done retrospectively with patient files from consecutive patients from 2011 until 2015.ResultsIn the total SSD sample (N = 187), 63% was female, the mean age (standard deviation) was 42 (±12.4) years, with an average educational level. The mean INTERMED score was 23.5 indicating high overall complexity in this population. A high proportion of our sample (69%) scored as highly complex (>20). High complexity was associated with higher depression and anxiety scores, but not with a higher number of physical symptoms.ConclusionsThis study demonstrates that patients with SSD form a high-complex group, with higher scores compared with literature about multiple sclerosis, rheumatoid arthritis, or patient waiting for a liver transplant. INTERMED outcomes indicate a need for extensive diagnostic procedures and integrated multidisciplinary care for patients with SSD. Attention should especially be paid to mental disorders (depression and anxiety), given their association with high complexity.

U2 - 10.1016/j.psym.2017.02.008

DO - 10.1016/j.psym.2017.02.008

M3 - Article

VL - 58

SP - 427

EP - 436

JO - Psychosomatics: The journal of consultation and liaison psychiatry

JF - Psychosomatics: The journal of consultation and liaison psychiatry

SN - 0033-3182

IS - 4

ER -