Validation of the Chinese version bodily distress syndrome checklist in Chinese out-patients of general hospitals

Mingjin Huang; Ran Chen; Jing Wei; Kurt Fritzsche; Anne Christin Toussaint; Yaoyin Zhang; Hua Chen; Heng Wu; Xiquan Ma; Wentian Li; Jie Ren; Wei Lu; Anne-Maria Müller; Rainer Leonhart; Lan Zhang

doi:10.1016/j.jpsychores.2021.110702

Validation of the Chinese version bodily distress syndrome checklist in Chinese out-patients of general hospitals

J Psychosom Res. 2022 Feb:153:110702. doi: 10.1016/j.jpsychores.2021.110702. Epub 2021 Dec 21.

Authors

Mingjin Huang¹, Ran Chen², Jing Wei³, Kurt Fritzsche⁴, Anne Christin Toussaint⁵, Yaoyin Zhang⁶, Hua Chen⁷, Heng Wu⁸, Xiquan Ma⁹, Wentian Li¹⁰, Jie Ren¹¹, Wei Lu¹², Anne-Maria Müller¹³, Rainer Leonhart¹⁴, Lan Zhang¹⁵

Affiliations

¹ Mental Health Center, West China Hospital, Sichuan University, China; Sichuan Mental Health Center (The Third Hospital of Mianyang), Mianyang, China.
² Mental Health Center, West China Hospital, Sichuan University, China; University-town Hospital of Chongqing Medical University Mental Health Center, Chongqing, China.
³ Department of Psychological Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, China.
⁴ Department of Psychosomatic Medicine and Psychotherapy, University Medical Centre Freiburg, Germany.
⁵ Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Hamburg-Eppendorf, Germany.
⁶ Department of Psychosomatic Medicine, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, China.
⁷ Department of Psychological Medicine, Zhong Shan Hospital, Fudan University, China.
⁸ Department of Psychosomatic Medicine, Tongji Hospital, School of Medicine, Tongji University, China.
⁹ Department of Psychosomatic Medicine, Dongfang Hospital, School of Medicine, Tongji University, China.
¹⁰ Department of Clinic Psychology, Wuhan Mental Health Center, Wuhan, China.
¹¹ Department of Rehabilitation, General Hospital of Jincheng Anthracite Coal Mining Group Co. Ltd, China.
¹² Department of Psychosomatic Medicine, Beijing Hospital of Traditional Chinese Medicine, Capital University, China.
¹³ Center for Mental Health, Department of Psychosomatic Medicine and Psychotherapy, Faculty of Medicine, Medical Center, University of Freiburg, Germany.
¹⁴ Institute of Psychology, University of Freiburg, Germany.
¹⁵ Mental Health Center, West China Hospital, Sichuan University, China. Electronic address: huaxizhanglan@126.com.

PMID: 34998103
DOI: 10.1016/j.jpsychores.2021.110702

Abstract

Objective: The 25-item Bodily Distress Syndromes (BDS) checklist was developed to assess BDS symptoms with high validity and reliability. The aim of this study was to reveal the psychometric properties of the Chinese version of the BDS checklist in Chinese outpatients of general hospitals.

Method: A cross-sectional study was carried out in nine Chinese general hospitals, consisting of three different medicine settings: biomedicine, traditional medicine, and psychosomatic medicine. The 25-item BDS checklist was translated into the Chinese version and conducted on outpatients from all nine centers. We performed validity and reliability analyses, including test-retest reliability, construct validity, and internal consistency reliability, on the collected checklist data. The convergent validity of the BDS checklist was analyzed with Pearson's Coefficient vs. Patient Health Questionnaire-15 (PHQ-15). The discriminant validity of the BDS checklist was analyzed with Pearson's Coefficient vs. Patient Health Questionnaire-9 (PHQ-9), General Anxiety Disorder-7 (GAD-7) and Whiteley-8 (WI-8).

Results: A total of 699 patients were included in this study. The test-retest reliability, construct validity, and internal consistency reliability of the Chinese version of the BDS were satisfactory in our study. Factor analyses identified five distinct determining factors: cardiopulmonary, gastric, intestinal, musculoskeletal, and general symptoms. Pearson's coefficients were found to be high in both discriminant validity and convergent validity analyses.

Conclusion: The results provide empirical support for the Chinese version of the BDS checklist in patients in general hospitals. The Chinese version of the BDS checklist is potentially valuable for case finding in both clinical practice and research in Chinese.

Keywords: Chinese version BDS checklist; Outpatients; Psychometric property.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Checklist*
China
Cross-Sectional Studies
Hospitals, General
Humans
Outpatients*
Psychometrics / methods
Reproducibility of Results
Surveys and Questionnaires
Syndrome