PMID- 28917395 OWN - NLM STAT- MEDLINE DCOM- 20180515 LR - 20180602 IS - 1873-7714 (Electronic) IS - 0163-8343 (Linking) VI - 48 DP - 2017 Sep TI - Monitoring somatic symptoms in patients with mental disorders: Sensitivity to change and minimal clinically important difference of the Somatic Symptom Scale - 8 (SSS-8). PG - 51-55 LID - S0163-8343(17)30132-9 [pii] LID - 10.1016/j.genhosppsych.2017.07.002 [doi] AB - OBJECTIVE: The SSS-8 is a brief questionnaire for the assessment of somatic symptom burden. This study examines its sensitivity to change and the minimal clinically important difference (MCID) in patients with mental disorders. METHOD: 55 outpatients with mental disorders completed the SSS-8 and measures of anxiety, depression, and disability before and after receiving treatment. Effect sizes and correlations between the change scores were calculated. The MCID was estimated using a one standard error of measurement threshold and the change in disability as an external criterion. RESULTS: There was a medium decline in somatic symptom burden for the complete sample (n=55, d(z)=0.53) and a large decline in a subgroup with very high somatic symptom burden at baseline (n=11, d(z)=0.94). Decreases in somatic symptom burden were associated with decreases in anxiety (r=0.68, p<0.001), depression (r=0.62, p<0.001) and disability (r=0.51, p<0.001). The MCID was estimated as a 3-point decrease. CONCLUSION: The SSS-8 is sensitive to change. A 3-point decrease reflects a clinically important improvement. Due to its brevity and sound psychometric properties, the SSS-8 is useful for monitoring somatic symptom burden. CI - Copyright (c) 2017 Elsevier Inc. All rights reserved. FAU - Gierk, Benjamin AU - Gierk B AD - Department of Psychiatry and Psychotherapy, Asklepios Clinic North, Hamburg, Germany. Electronic address: benjamin.gierk@gmx.de. FAU - Kohlmann, Sebastian AU - Kohlmann S AD - University Medical Centre Hamburg-Eppendorf, Hamburg, Germany; Schon Clinic Hamburg Eilbek, Hamburg, Germany. FAU - Hagemann-Goebel, Marion AU - Hagemann-Goebel M AD - Department of Psychiatry and Psychotherapy, Asklepios Clinic North, Hamburg, Germany. FAU - Lowe, Bernd AU - Lowe B AD - University Medical Centre Hamburg-Eppendorf, Hamburg, Germany; Schon Clinic Hamburg Eilbek, Hamburg, Germany. FAU - Nestoriuc, Yvonne AU - Nestoriuc Y AD - University Medical Centre Hamburg-Eppendorf, Hamburg, Germany; Schon Clinic Hamburg Eilbek, Hamburg, Germany. LA - eng PT - Journal Article DEP - 20170718 PL - United States TA - Gen Hosp Psychiatry JT - General hospital psychiatry JID - 7905527 SB - IM MH - Adult MH - Female MH - Humans MH - Male MH - *Medically Unexplained Symptoms MH - Mental Disorders/*diagnosis/*therapy MH - Middle Aged MH - *Minimal Clinically Important Difference MH - Psychiatric Status Rating Scales/*standards MH - Sensitivity and Specificity OTO - NOTNLM OT - Minimal clinically important difference OT - SSS-8 OT - Sensitivity to change OT - Somatic symptom burden EDAT- 2017/09/18 06:00 MHDA- 2018/05/16 06:00 CRDT- 2017/09/18 06:00 PHST- 2017/03/29 00:00 [received] PHST- 2017/07/14 00:00 [revised] PHST- 2017/07/17 00:00 [accepted] PHST- 2017/09/18 06:00 [entrez] PHST- 2017/09/18 06:00 [pubmed] PHST- 2018/05/16 06:00 [medline] AID - S0163-8343(17)30132-9 [pii] AID - 10.1016/j.genhosppsych.2017.07.002 [doi] PST - ppublish SO - Gen Hosp Psychiatry. 2017 Sep;48:51-55. doi: 10.1016/j.genhosppsych.2017.07.002. Epub 2017 Jul 18.