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High Perceived Stress and Low Self-Efficacy are Associated with Functional Somatic Disorders: The DanFunD Study
Marie Weinreich Petersen1,2, Tina Birgitte Wisbech Carstensen1,2, Lisbeth Frostholm1,2
1Research Clinic for Functional Disorders and Psychosomatics, Aarhus University Hospital, Aarhus, Denmark.
Functional somatic disorders (FSD) are linked to higher perceived stress and lower self-efficacy. These findings highlight stress as a key component of FSD, emphasizing the need for resilience-focused interventions.
Area of Science:
- Psychiatry
- Psychology
- Epidemiology
Background:
- Functional somatic disorders (FSD) encompass conditions like irritable bowel syndrome, chronic widespread pain, and chronic fatigue.
- While psychological factors are implicated in FSD, large population-based studies are scarce.
- Understanding the interplay between psychological factors and FSD is crucial for effective management.
Purpose of the Study:
- To investigate the association between FSD and perceived stress and self-efficacy.
- To compare psychological factors in FSD patients with those in individuals with severe physical diseases.
- To explore the role of neuroticism in the relationship between FSD, stress, and self-efficacy.
Main Methods:
- A cross-sectional study of a random adult Danish population sample (n=9656).
- FSD were identified using self-reported questionnaires and diagnostic interviews.
- Perceived stress and self-efficacy were measured using validated scales; data analyzed with generalized linear and linear regression models.
Main Results:
- FSD showed a positive association with perceived stress and a negative association with self-efficacy.
- These associations were particularly pronounced in multi-organ FSD types and chronic fatigue.
- Neuroticism significantly influenced the association with self-efficacy, rendering it insignificant when controlled.
- Individuals with FSD reported higher perceived stress levels than those with severe physical diseases.
Conclusions:
- Perceived stress and self-efficacy are significantly associated with FSD.
- Stress may be an integral part of FSD symptomatology, underscoring the condition's severity.
- Resilience theory offers a valuable framework for understanding and addressing FSD.
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