INTRODUCTION Diagnostic Criteria for Psychosomatic Research (DCPR) serve as an instrument for identifying and classifying specific psychosomatic syndromes that are not adequately encompassed in standard nosography. The present study aimed at measuring the prevalence of DCPR syndromes in different clinical settings and exploring factors associated to such diagnoses. METHODS A cross-sectional and nationwide study recruited 6,647 patients in different clinical settings: 306 were diagnosed with fibromyalgia (FM), 333 with irritable bowel syndrome, 1,109 with migraine, 2,550 with coronary heart disease (CHD), and 2,349 with type 2 diabetes (T2D). Participants underwent DCPR diagnostic interview and were assessed for depression (Patient Health Questionnaire-9), anxiety (Generalized Anxiety Disorder 7-Item Scale), and subjective well-being (World Health Organization-5 Well-Being Index). The PsychoSocial Index was used to evaluate global well-being, stress, and abnormal illness behavior. The prevalence of DCPR diagnoses was calculated, and factors associated to such diagnoses were analyzed by logistic regression. RESULTS Alexithymia (64.47%), irritable mood (20.55%), and demoralization (15.60%) were the most prevalent psychosomatic syndromes, with demoralization being most common in FM (49.02%). The factors associated to DCPR diagnoses encompassed high anxiety or abnormal illness behavior, and poor well-being. Notably, stress was found to be associated specifically to FM and T2D, with OR of 1.24 (95% CI: 1.06-1.46) and 1.26 (95% CI: 1.18-1.36), respectively. CONCLUSION DCPR is a clinically helpful complementary assessment tool in need of being widely implemented in clinical settings in order to have a comprehensive picture of the patients.

中文翻译：

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使用心身学研究诊断标准在不同临床环境中评估与心身综合征相关的发生率和因素的研究。


引言 心身研究诊断标准 （DCPR） 作为识别和分类标准鼻影学中未充分包含的特定心身综合征的工具。本研究旨在测量不同临床环境中 DCPR 综合征的患病率，并探讨与此类诊断相关的因素。方法 一项横断面和全国性研究招募了 6,647 名不同临床环境的患者： 306 名被诊断为纤维肌痛 （FM），333 名被诊断为肠易激综合征，1,109 名被诊断为偏头痛，2,550 名被诊断为冠心病 （CHD），2,349 名被诊断为 2 型糖尿病 （T2D）。参与者接受了 DCPR 诊断访谈，并接受了抑郁 （患者健康问卷 9 ）、焦虑 （广泛性焦虑症 7 项量表） 和主观幸福感 （世界卫生组织 5 幸福指数） 的评估。社会心理指数用于评估整体幸福感、压力和异常疾病行为。计算 DCPR 诊断的患病率，并通过 logistic 回归分析与此类诊断相关的因素。结果 述情障碍 （64.47%） 、易激惹情绪 （20.55%） 和士气低落 （15.60%） 是最普遍的心身综合征，其中士气低落在 FM 中最为常见 （49.02%）。与 DCPR 诊断相关的因素包括高度焦虑或异常疾病行为以及健康状况不佳。值得注意的是，发现压力与 FM 和 T2D 特别相关，OR 分别为 1.24 （95% CI： 1.06-1.46） 和 1.26 （95% CI： 1.18-1.36）。结论 DCPR 是一种临床上有用的补充评估工具，需要在临床环境中广泛实施，以便全面了解患者。