title: Subsyndromal psychosomatic concepts and personality traits in community adults.
abstract: To investigate the prevalence of features of the Diagnostic Criteria for Psychosomatic Research (DCPR) in the Taiwanese community and to explore their relationships with psychological states and personality traits.
  
  
  
  The participants were 153 individuals without a DSM-5 psychiatric diagnosis who were grouped according to whether they had a DCPR diagnosis (at least one DCPR diagnosis, DCPR(+): n=66; no DCPR diagnosis, DCPR(-): n=87). The groups were compared with respect to psychological states (measured with Patient Health Questionnaire-15 [PHQ-15], Health Anxiety Questionnaire [HAQ], Beck Depression Inventory-II [BDI-II], Beck Anxiety Inventory [BAI)]) and personality (measured with Tridimensional Personality Questionnaire). Multiple logistic and linear regressions were used to examine associations among demographic, personality, DCPR, and psychological states.
  
  
  
  The DCPR(+) group had higher BDI-II, BAI, PHQ-15 and HAQ scores than the DCPR(-) group and also had a higher anticipatory worry. The most common DCPR diagnoses were health anxiety (42.42%) and alexithymia (37.88%). Anticipatory worry was the variable most closely associated with all the DCPR diagnoses. Health anxiety was related to anticipatory worry and age, whereas alexithymia was associated with dependence and fatiguability. PHQ-15, HAQ, and BDI-II scores were related to health anxiety but not alexithymia.
  
  
  
  DCPR has clinical utility in the community samples without DSM-5 diagnoses. DCPR may be a valid mediator between psychological trait and state.
authors.affiliation: Department of Psychiatry, National Taiwan University Hospital, No.7, Zhongshan S. Rd., Zhongzheng Dist., Taipei City 100, Taiwan (R.O.C.); Department of Psychiatry, College of Medicine, National Taiwan University, No.1, Sec. 1, Ren'ai Rd., Zhongzheng Dist., Taipei City 100, Taiwan (R.O.C.).
authors.forename: Shih-Cheng
authors.initials: SC
authors.lastname: Liao
authors.affiliation: Department of Psychiatry, National Taiwan University Hospital, No.7, Zhongshan S. Rd., Zhongzheng Dist., Taipei City 100, Taiwan (R.O.C.); Institute of Health Policy and Management, College of Public Health, National Taiwan University, Rm. 651, 6F., No.17, Xuzhou Rd., Zhongzheng Dist., Taipei City 100, Taiwan (R.O.C.).
authors.forename: I-Ming
authors.initials: IM
authors.lastname: Chen
authors.affiliation: Department of Psychiatry, National Taiwan University Hospital, No.7, Zhongshan S. Rd., Zhongzheng Dist., Taipei City 100, Taiwan (R.O.C.); Department of Psychiatry, National Taiwan University Hospital, Yun-Lin Branch, No.579, Sec. 2, Yunlin Rd., Douliu City, Yunlin County 640, Taiwan (R.O.C.).
authors.forename: Chao-Ying
authors.initials: CY
authors.lastname: Tu
authors.affiliation: Department of Psychiatry, National Taiwan University Hospital, No.7, Zhongshan S. Rd., Zhongzheng Dist., Taipei City 100, Taiwan (R.O.C.).
authors.forename: Chih-Kang
authors.initials: CK
authors.lastname: Hsu
authors.affiliation: Department of Psychiatry, National Taiwan University Hospital, Yun-Lin Branch, No.579, Sec. 2, Yunlin Rd., Douliu City, Yunlin County 640, Taiwan (R.O.C.).
authors.forename: Huei-Mei
authors.initials: HM
authors.lastname: Ma
authors.affiliation: Department of Psychiatry, National Taiwan University Hospital, Yun-Lin Branch, No.579, Sec. 2, Yunlin Rd., Douliu City, Yunlin County 640, Taiwan (R.O.C.).
authors.forename: Min-Tzu
authors.initials: MT
authors.lastname: Lee
authors.affiliation: Department of Psychiatry, National Taiwan University Hospital, No.7, Zhongshan S. Rd., Zhongzheng Dist., Taipei City 100, Taiwan (R.O.C.); Department of Psychiatry, College of Medicine, National Taiwan University, No.1, Sec. 1, Ren'ai Rd., Zhongzheng Dist., Taipei City 100, Taiwan (R.O.C.); Department of Psychiatry, National Taiwan University Hospital, Yun-Lin Branch, No.579, Sec. 2, Yunlin Rd., Douliu City, Yunlin County 640, Taiwan (R.O.C.); Graduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, No.7, Zhongshan S. Rd., Zhongzheng Dist., Taipei City 100, Taiwan (R.O.C.). Electronic address: weiliehhuang@gmail.com.
authors.forename: Wei-Lieh
authors.initials: WL
authors.lastname: Huang
mesh_terms: D000328:Adult; D000342:Affective Symptoms / Q000453:epidemiology / Q000523:psychology*; D001007:Anxiety / Q000453:epidemiology / Q000523:psychology*; D005221:Fatigue / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000523:psychology*; D008875:Middle Aged; D010551:Personality; D015995:Prevalence; D011569:Psychiatric Status Rating Scales; D011602:Psychophysiologic Disorders / Q000453:epidemiology / Q000523:psychology*; D011795:Surveys and Questionnaires; D013624:Taiwan / Q000453:epidemiology