Neuroticism, perceived stress, adverse life events and self-efficacy as predictors of the development of functional somatic disorders: longitudinal population-based study (DanFunD).
BJPsych Open
; 10(1): e34, 2024 Jan 25.
Article
en En
| MEDLINE
| ID: mdl-38268492
ABSTRACT
BACKGROUND:
Functional somatic disorder (FSD) is a unifying diagnosis that includes functional somatic syndromes such as irritable bowel, chronic widespread pain (CWP) and chronic fatigue. Several psychological factors are associated with FSD. However, longitudinal population-based studies elucidating the causal relationship are scarce.AIMS:
To explore if neuroticism, perceived stress, adverse life events (ALEs) and self-efficacy can predict the development of FSD over a 5-year period.METHOD:
A total of 4288 individuals who participated in the DanFunD baseline and 5-year follow-up investigations were included. FSD was established at both baseline and follow-up, with symptom questionnaires and diagnostic interviews. Neuroticism was measured with the short-form NEO Personality Inventory, perceived stress with the Cohen's Perceived Stress Scale, ALEs with the Danish version of the Cumulative Lifetime Adversity Measure and self-efficacy with the General Self-Efficacy Scale. Associations were investigated with multiple logistic regression models.RESULTS:
Perceived stress predicted incident FSD, irritable bowel, CWP and chronic fatigue (odds ratios 1.04-1.17). Neuroticism predicted incident FSD and chronic fatigue (odds ratios 1.03-1.16). ALEs predicted incident FSD, CWP and chronic fatigue (odds ratios 1.06-1.18). An increase in perceived stress from baseline to follow-up was associated with incident FSD, irritable bowel, CWP and chronic fatigue (odds ratios 1.05-1.22). Contrary, an increase in self-efficacy seemed to be a protective factor (odds ratios 0.89-0.99).CONCLUSIONS:
High neuroticism, high perceived stress and a high number of ALEs are risk factors for the development of FSD. Particularly perceived stress seems to be an important contributor to the onset of FSD.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Tipo de estudio:
Prognostic_studies
/
Risk_factors_studies
Idioma:
En
Revista:
BJPsych Open
Año:
2024
Tipo del documento:
Article
País de afiliación:
Dinamarca