Page 77 - JCBP-2-1

Journal of Clinical and

Basic Psychosomatics

CASE REPORT
Effective prediction of somatic symptom

disorder–B criteria in China: A case report

1
1
3
4
Jashin In , Yixiao Chen , Rainer Leonhart , Jing Wei , Lan Zhang ,
2
Yaoyin Zhang , Hua Chen , Xiquan Ma , Wentian Li , Jie Ren , Wei Lu ,
5
8
7
9
10
6
1 †
1†
11†
Kurt Fritzsche , Zheng Lu , and Heng Wu *
1 Department of Psychosomatic Medicine, Shanghai Tongji Hospital, Tongji University School of
Medicine, Shanghai, China
2 Institute of Psychology, University of Freiburg, Freiburg, Germany
3 Department of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy
of Medical Sciences & Peking Union Medical College, Beijing, China
4 Mental Health Centre, West China Hospital, Sichuan University, Chengdu, China
5 Department of Psychosomatic Medicine, Sichuan Provincial People’s Hospital, University of
Electronic Science and Technology of China, Chengdu, China
6 Department of Psychological Medicine, Zhong Shan Hospital, Fudan University, Shanghai, China
7 Department of Psychosomatic Medicine, School of Medicine, Dongfang Hospital, Tongji University,
Shanghai, China
8 Department of Clinical Psychology, Wuhan Mental Health Center, Wuhan, China
9 Department of Rehabilitation, General Hospital of Jincheng Anthracite Coal Mining Group Co. Ltd.,
Jincheng, China
10 Department of Psychosomatic Medicine, Beijing Hospital of Traditional Chinese Medicine, Capital
University, Beijing, China
11 Department of Psychosomatic Medicine and Psychotherapy, Faculty of Medicine, Medical Center,
† These authors contributed equally University of Freiburg, Freiburg, Germany
to this work.
*Corresponding author:
Heng Wu
(hengwu@tongji.edu.cn) Abstract
Citation: In J, Chen Y, Leonhart R,
et al., 2024, Effective prediction According to the diagnostic criteria for somatic symptom disorder (SSD) outlined
of somatic symptom disorder–B in the Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5), there is a
th
criteria in China: A case report. J
Clin Basic Psychosom, 2(1): 1813. necessity for a rapid, simple, and effective diagnostic tool in the outpatient setting
https://doi.org/10.36922/jcbp.1813 to predict the SSD–B criteria. This study aims to evaluate the screening diagnostic
Received: September 12, 2023 value of combining the duration of concern about physical discomfort per day with
the Whiteley Index-8 (WI-8) scale. In a previous multicenter cross-sectional study,
Accepted: November 23, 2023
patients were recruited from outpatient clinics in general hospitals (n = 699). In this
Published Online: January 17, comparative study, we recruited an additional 100 patients from a psychosomatic
2024
outpatient unit. Receiver operating curve (ROC) analysis was applied to obtain the
Copyright: © 2024 Author(s). optimal cutoff value for the time spent worrying about physical discomfort per day
This is an Open-Access article
distributed under the terms of the and the WI-8 scale. The analysis of both datasets reveals significant differences in the
Creative Commons Attribution amount of time spent on symptoms per day between the groups. In the previous
License, permitting distribution,
and reproduction in any medium, multicenter study, patients in the high-score group expressed more concern about
provided the original work is physical discomfort than those in the low-score group (4.5 ± 4.8 h/day [h/d] vs.
properly cited. 0.9 ± 1.9 h/d; t = 13.943; P < 0.01). In the current comparative study (n = 100), the
Publisher’s Note: AccScience high-score group spent 5.3 ± 4.2 h/d worrying about physical symptoms, while the
Publishing remains neutral with low-score group spent 2.3 ± 3.7 h/d. ROC curve analysis indicated that the cutoff
regard to jurisdictional claims in
published maps and institutional value for time in the previous multicenter study was 1.25 h (area under the ROC curve
affiliations. [AUC] = 0.839), and the WI-8 scale score was 19 (AUC = 0.907). Combining the two

Volume 2 Issue 1 (2024) 1 https://doi.org/10.36922/jcbp.1813