Eva Ørnbøl

The unifying diagnostic construct of bodily distress syndrome (BDS) was confirmed in the general population

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The unifying diagnostic construct of bodily distress syndrome (BDS) was confirmed in the general population. / Petersen, Marie Weinreich; Schröder, Andreas; Jørgensen, Torben; Ørnbøl, Eva; Dantoft, Thomas Meinertz; Eliasen, Marie; Thuesen, Betina H; Fink, Per.

In: Journal of Psychosomatic Research, Vol. 128, 109868, 2020.

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Petersen, Marie Weinreich ; Schröder, Andreas ; Jørgensen, Torben ; Ørnbøl, Eva ; Dantoft, Thomas Meinertz ; Eliasen, Marie ; Thuesen, Betina H ; Fink, Per. / The unifying diagnostic construct of bodily distress syndrome (BDS) was confirmed in the general population. In: Journal of Psychosomatic Research. 2020 ; Vol. 128.

Bibtex

@article{1627498c8e7949c2968775a884855fcf,
title = "The unifying diagnostic construct of bodily distress syndrome (BDS) was confirmed in the general population",
abstract = "OBJECTIVES: Bodily distress syndrome (BDS) has been shown to encompass a range of functional somatic syndromes (FSS) such as irritable bowel syndrome (IBS), fibromyalgia (FM), and chronic fatigue syndrome (CFS) in clinical samples. This study aimed to explore symptom clusters and test classification of individuals with illness similar to the BDS criteria in a general population sample.METHODS: A stratified subsample of 1590 individuals from the DanFunD part two cohort was included. Symptoms were assessed with the Research Interview for Functional somatic Disorders, performed by trained physicians. In 44 symptoms pooled from criteria of IBS, FM, CFS, and BDS, symptom clusters were explored with explorative factor analysis. Confirmation of symptom clusters of BDS in the previously described 25- and 30-item BDS checklists was performed with confirmatory factor analysis. Classification of individuals into illness groups was investigated with latent class analysis.RESULTS: Four symptom clusters (cardiopulmonary, gastrointestinal, musculoskeletal, general symptoms/fatigue) corresponding to the BDS subtypes and their corresponding FSS were identified and confirmed. A three-class model including 25 BDS items had the best fit for dividing participants into classes of illness: One class with low probability, one class with medium probability, and one class with high probability of having ≥4 symptoms in all symptom clusters.CONCLUSION: The BDS concept was confirmed in the general population and constitutes a promising approach for improved FSS classification. It is highly clinical relevant being the only diagnostic construct defining the complex multi-organ type.",
keywords = "Bodily distress syndrome, Factor analysis, Functional somatic disorders, Latent class analysis, Somatic symptoms",
author = "Petersen, {Marie Weinreich} and Andreas Schr{\"o}der and Torben J{\o}rgensen and Eva {\O}rnb{\o}l and Dantoft, {Thomas Meinertz} and Marie Eliasen and Thuesen, {Betina H} and Per Fink",
note = "Copyright {\textcopyright} 2019 Elsevier Inc. All rights reserved.",
year = "2020",
doi = "10.1016/j.jpsychores.2019.109868",
language = "English",
volume = "128",
journal = "Journal of Psychosomatic Research",
issn = "0022-3999",
publisher = "Elsevier",

}

RIS

TY - JOUR

T1 - The unifying diagnostic construct of bodily distress syndrome (BDS) was confirmed in the general population

AU - Petersen, Marie Weinreich

AU - Schröder, Andreas

AU - Jørgensen, Torben

AU - Ørnbøl, Eva

AU - Dantoft, Thomas Meinertz

AU - Eliasen, Marie

AU - Thuesen, Betina H

AU - Fink, Per

N1 - Copyright © 2019 Elsevier Inc. All rights reserved.

PY - 2020

Y1 - 2020

N2 - OBJECTIVES: Bodily distress syndrome (BDS) has been shown to encompass a range of functional somatic syndromes (FSS) such as irritable bowel syndrome (IBS), fibromyalgia (FM), and chronic fatigue syndrome (CFS) in clinical samples. This study aimed to explore symptom clusters and test classification of individuals with illness similar to the BDS criteria in a general population sample.METHODS: A stratified subsample of 1590 individuals from the DanFunD part two cohort was included. Symptoms were assessed with the Research Interview for Functional somatic Disorders, performed by trained physicians. In 44 symptoms pooled from criteria of IBS, FM, CFS, and BDS, symptom clusters were explored with explorative factor analysis. Confirmation of symptom clusters of BDS in the previously described 25- and 30-item BDS checklists was performed with confirmatory factor analysis. Classification of individuals into illness groups was investigated with latent class analysis.RESULTS: Four symptom clusters (cardiopulmonary, gastrointestinal, musculoskeletal, general symptoms/fatigue) corresponding to the BDS subtypes and their corresponding FSS were identified and confirmed. A three-class model including 25 BDS items had the best fit for dividing participants into classes of illness: One class with low probability, one class with medium probability, and one class with high probability of having ≥4 symptoms in all symptom clusters.CONCLUSION: The BDS concept was confirmed in the general population and constitutes a promising approach for improved FSS classification. It is highly clinical relevant being the only diagnostic construct defining the complex multi-organ type.

AB - OBJECTIVES: Bodily distress syndrome (BDS) has been shown to encompass a range of functional somatic syndromes (FSS) such as irritable bowel syndrome (IBS), fibromyalgia (FM), and chronic fatigue syndrome (CFS) in clinical samples. This study aimed to explore symptom clusters and test classification of individuals with illness similar to the BDS criteria in a general population sample.METHODS: A stratified subsample of 1590 individuals from the DanFunD part two cohort was included. Symptoms were assessed with the Research Interview for Functional somatic Disorders, performed by trained physicians. In 44 symptoms pooled from criteria of IBS, FM, CFS, and BDS, symptom clusters were explored with explorative factor analysis. Confirmation of symptom clusters of BDS in the previously described 25- and 30-item BDS checklists was performed with confirmatory factor analysis. Classification of individuals into illness groups was investigated with latent class analysis.RESULTS: Four symptom clusters (cardiopulmonary, gastrointestinal, musculoskeletal, general symptoms/fatigue) corresponding to the BDS subtypes and their corresponding FSS were identified and confirmed. A three-class model including 25 BDS items had the best fit for dividing participants into classes of illness: One class with low probability, one class with medium probability, and one class with high probability of having ≥4 symptoms in all symptom clusters.CONCLUSION: The BDS concept was confirmed in the general population and constitutes a promising approach for improved FSS classification. It is highly clinical relevant being the only diagnostic construct defining the complex multi-organ type.

KW - Bodily distress syndrome

KW - Factor analysis

KW - Functional somatic disorders

KW - Latent class analysis

KW - Somatic symptoms

UR - http://www.scopus.com/inward/record.url?scp=85075063359&partnerID=8YFLogxK

U2 - 10.1016/j.jpsychores.2019.109868

DO - 10.1016/j.jpsychores.2019.109868

M3 - Journal article

C2 - 31759195

VL - 128

JO - Journal of Psychosomatic Research

JF - Journal of Psychosomatic Research

SN - 0022-3999

M1 - 109868

ER -