caa a22 4500 606179518 CHVBK 20210128100801.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s11136-015-0984-9 doi (NATIONALLICENCE)springer-10.1007/s11136-015-0984-9 Anxiety and insomnia as modifiable risk factors for somatic symptoms in Chinese: a general population-based study [Elektronische Daten] [Janet Wong, Daniel Fong, Kelvin Chan] Objective: This study aims at investigating the stressors that increased the risk of somatic symptoms in the general Chinese population. Methods: Chinese participants (n=202) were recruited in a population-based household survey. Somatic symptoms were measured by the Patient Health Questionnaire-15, while potential stressors that increased the risk of somatic symptoms were measured by the Perceived Stress Scale, Hospital Anxiety and Depression Scale, Insomnia Severity Index and ENRICHD Social Support Instrument. Results: Structured multiphase regression modeling showed that female gender (estimated coefficient=1.47, 95% CI .7-2.24, p<.001), history of childhood adversities (estimated coefficient=.41, 95% CI .06-.76, p=.023), employed (estimated coefficient=.87, 95% CI .003-1.74, p=.049), a high level of anxiety (estimated coefficient=.26, 95% CI .17-.36, p<.001) and severe insomnia (estimated coefficient=.11, 95% CI .04-.18, p=.003) are significant stressors for increasing the risks of somatic symptoms in the Chinese population. Conclusion: Physical and psychological symptoms are intertwined. It was recommended that reducing anxiety and improving sleep quality would be helpful to reduce somatic symptoms. These findings help in early identification and treatment of Chinese adults with persisting somatization. Springer International Publishing Switzerland, 2015 Somatic symptoms nationallicence Risk factors nationallicence Anxiety nationallicence Insomnia nationallicence Chinese nationallicence Wong Janet School of Nursing, LKS Faculty of Medicine, The University of Hong Kong, 4/F William MW Mong Building, 21 Sassoon Road, Pokfulam, Hong Kong SAR aut Fong Daniel School of Nursing, LKS Faculty of Medicine, The University of Hong Kong, 4/F William MW Mong Building, 21 Sassoon Road, Pokfulam, Hong Kong SAR aut Chan Kelvin Division of Cardiology, Department of Medicine, Queen Mary Hospital, Pokfulam, Hong Kong SAR aut Quality of Life Research Springer International Publishing 24/10(2015-10-01), 2493-2498 0962-9343 24:10<2493 2015 24 11136 https://doi.org/10.1007/s11136-015-0984-9 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 brief-communication jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s11136-015-0984-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Wong Janet School of Nursing, LKS Faculty of Medicine, The University of Hong Kong, 4/F William MW Mong Building, 21 Sassoon Road, Pokfulam, Hong Kong SAR aut NATIONALLICENCE 700 1- Fong Daniel School of Nursing, LKS Faculty of Medicine, The University of Hong Kong, 4/F William MW Mong Building, 21 Sassoon Road, Pokfulam, Hong Kong SAR aut NATIONALLICENCE 700 1- Chan Kelvin Division of Cardiology, Department of Medicine, Queen Mary Hospital, Pokfulam, Hong Kong SAR aut NATIONALLICENCE 773 0- Quality of Life Research Springer International Publishing 24/10(2015-10-01), 2493-2498 0962-9343 24:10<2493 2015 24 11136