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Medically unexplained somatic symptoms and its association with functionality and childhood trauma in type-1 bipolar disorder

Published online by Cambridge University Press:  01 September 2022

N.G. Usta Saglam ,
B. Ayık ,
A. Baş  and
F. Izci
N.G. Usta Saglam*
Affiliation:
Istanbul Erenkoy Training and Research Hospital for Psychiatry and Neurological Diseases, Psychiatry, Istanbul, Turkey
B. Ayık
Affiliation:
Istanbul Erenkoy Training and Research Hospital for Psychiatry and Neurological Diseases, Psychiatry, Istanbul, Turkey
A. Baş
Affiliation:
Istanbul Erenkoy Training and Research Hospital for Psychiatry and Neurological Diseases, Psychiatry, Istanbul, Turkey
F. Izci
Affiliation:
Istanbul Erenkoy Training and Research Hospital for Psychiatry and Neurological Diseases, Psychiatry, Istanbul, Turkey
*
*Corresponding author.

Abstract

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Introduction

Somatic symptoms with the heterogeneous character that are not fully explained by a medical condition are common in bipolar disorder (BD) which might interfere with the choice of treatment, health care utilization, medical costs as well as functionality.

Objectives

The purpose of this study was to evaluate somatic symptoms in remitted type 1 BD and to examine the association of somatization, functionality, and childhood trauma which is a known mediator of adult somatization.

Methods

After excluding patients with medical comorbidities, 61 patients diagnosed with BD type-1 according to the Diagnostic and Statistical Manual of Mental Disorders-V (DSM-V) participated in the study. We required at least 8 weeks of remission and confirm it with Hamilton Depression Rating Scale (HDRS) and Young Mania Rating Scale (YMRS). Somatization Scale, Functioning Assessment Short Test (FAST) and Childhood Trauma Questionnaire (CTQ) were administered to the participants.

Results

Somatization scores were significantly correlated with CTQ (r=.310, p=.016), FAST- total (r=.307, p=.016), FAST-financial issues (r=.357, p=.005) and FAST-interpersonal relationships (r=.320, p=.012) subscale scores while inversely correlated with years in education (r=-,305, p=.017). When a partial correlation was run to determine the relationship between somatization and functioning whilst controlling for childhood trauma, there was no statistically significant correlation between somatization and functioning (p=.076).

Conclusions

Our study suggests childhood trauma may have a major influence on the relation between somatization and functionality in patients with type- 1 BD. When addressing physical symptoms in patients with type-1 BD, an integrated approach including childhood trauma should be considered.

Disclosure

No significant relationships.

Keywords

somatic symptomsChildhood Traumabipolar disorderfunctionality
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S360
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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