{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T04:00:55Z","timestamp":1792036855274,"version":"4.4.0"},"reference-count":28,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,12,29]],"date-time":"2023-12-29T00:00:00Z","timestamp":1703808000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Somatic Symptom Disorder is a psychiatric diagnosis that describes the experience of physical symptoms and associated distress, that is disproportionate to recognized organic pathology. Somatic symptom severity (SSS) may be associated with some surgical diagnoses; particularly the complex pain associated with pancreatitis, or the diagnostic ambiguity of undifferentiated abdominal pain (UAP). We aimed to estimate the prevalence of SSS in different diagnostic groups in surgical inpatients with abdominal pain; and to estimate the magnitude and direction of any association of SSS, anxiety and depression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Cross sectional analysis (<jats:italic>n<\/jats:italic>\u2009=\u2009465) of adult admissions with non\u2010traumatic abdominal pain, at a tertiary hospital in Australia. We estimated SSS with the Patient Health Questionnaire\u201015 (PHQ\u201015), depression with the Patient Health Questionnaire (PHQ\u20109) and anxiety with the General Anxiety Disorder (GAD\u20107), at standard cut\u2010points\u2009\u2265\u200910; comparing acute pancreatitis (<jats:italic>n<\/jats:italic>\u2009=\u200920), chronic pancreatitis (<jats:italic>n<\/jats:italic>\u2009=\u200918) and UAP (<jats:italic>n<\/jats:italic>\u2009=\u200964) versus other causes of abdominal pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Somatic symptoms were common, 52% having moderate and 19.6% severe SSS. There was an association between moderate SSS and pancreatitis (OR 2.11, 95% CI 1.05\u20134.25) and depressive symptoms and chronic pancreatitis (OR\u2009=\u20093.47, 95% CI 1.31\u20139.24). There was no significant association between the four mental health categories and UAP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>SSS and psychological comorbidity were common in a surgical inpatients admitted for abdominal pain and equally represented across most diagnostic sub\u2010groups. However, the pancreatitis sub\u2010group had greater proportions with clinically significant SSS and depression, suggesting that they have a higher requirement for psychological assessment and intervention.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.18801","type":"journal-article","created":{"date-parts":[[2023,12,29]],"date-time":"2023-12-29T11:18:55Z","timestamp":1703848735000},"page":"634-639","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Somatic symptom severity, depression and anxiety associations with pancreatitis and undifferentiated abdominal pain in surgical inpatients"],"prefix":"10.1111","volume":"94","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8234-244X","authenticated-orcid":false,"given":"Melissa","family":"Stieler","sequence":"first","affiliation":[{"name":"College of Health, Medicine and Wellbeing, School of Medicine and Health Sciences University of Newcastle  Newcastle New South Wales Australia"},{"name":"Department of Surgery John Hunter Hospital  Newcastle New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8180-1798","authenticated-orcid":false,"given":"Gregory","family":"Carter","sequence":"additional","affiliation":[{"name":"College of Health, Medicine and Wellbeing, School of Medicine and Health Sciences University of Newcastle  Newcastle New South Wales Australia"},{"name":"Department Consultation\u2010Liaison Psychiatry Calvary Mater Newcastle  Newcastle New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2841-1536","authenticated-orcid":false,"given":"Matthew J.","family":"Spittal","sequence":"additional","affiliation":[{"name":"Melbourne School of Population and Global Health The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7257-8942","authenticated-orcid":false,"given":"Cassidy","family":"Campbell","sequence":"additional","affiliation":[{"name":"Department of Surgery John Hunter Hospital  Newcastle New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7648-4916","authenticated-orcid":false,"given":"Peter","family":"Pockney","sequence":"additional","affiliation":[{"name":"College of Health, Medicine and Wellbeing, School of Biological Sciences and Pharmacy University of Newcastle  Newcastle New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,12,29]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Diagnostic and Statistical Manual of Mental Health Disorder","author":"APA","year":"2013"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-007-0218-8"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5545.111448"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/00048674211044639"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.62.8.903"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(98)08320-2"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0033-3182(94)71723-0"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2017.04.011"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.158.21.2357"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.14309\/ajg.0000000000000782"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00534-009-0214-3"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1053\/gast.2001.22586"},{"key":"e_1_2_8_14_1","first-page":"718","article-title":"Chronic pancreatitis: negotiating the complexities of diagnosis and management","volume":"44","author":"Turner R","year":"2015","journal-title":"Aust. 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