Exploring somatization types among patients in Indonesia: latent class analysis using the Adult Symptom Inventory
 
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Submission date: 2014-09-24
 
 
Final revision date: 2014-12-02
 
 
Acceptance date: 2014-12-02
 
 
Online publication date: 2014-12-24
 
 
Publication date: 2014-12-08
 
 
Current Issues in Personality Psychology 2014;2(4):208-216
 
KEYWORDS
TOPICS
ABSTRACT
Background
The aim of this study was to explore somatization types by reducing patient complaints to their most basic and parsimonious characteristics. We hypothesized that there were latent groups representing distinct types of somatization.

Participants and procedure
Data were collected from patients undergoing both inpatient and outpatient treatment at two hospitals in Yogyakarta, Indonesia (N = 212).

Results
Results from latent class analysis revealed four classes of somatization: two classes (Classes 1 and 2) referring to levels of somatization and two classes (Classes 3 and 4) referring to unique types of somatization. The first two classes (Classes 1 and 2; low and high levels of somatization, respectively) corresponded to the number of different symptoms that patients reported out of the list of physical symptoms in the Adult Symptom Inventory. The second two classes (Classes 3 and 4; non-serious and critical complaints, respectively) corresponded to two different sets of symptoms. Patients in Class 3 tended to report temporary mild complaints that are common in daily life, such as dizziness, nausea, and stomach pain. Patients in Class 4 tended to report severe complaints and medical problems that require serious treatment or medication, such as deafness or blindness.

Conclusions
The present study do confirm somatization as a unidimensional experience reflecting a general tendency to report somatic symptoms, but rather support the understanding of somatization as a multidimensional construct.
REFERENCES (32)
1.
Barsky, A. J. (1992). Amplification, somatization, and the somatoform disorders. Psychosomatics, 33, 28-34. DOI: 10.1016/S0033-3182(92)72018-0.
 
2.

Barsky, A. J., Peekna, H. M., & Borus, J. F. (2001). Somatic symptom reporting in women and men. Journal of General Internal Medicine, 16, 266-275. DOI: 10.1046/j.1525-1497.2001.016004266.x.
 
3.

Bernstein, G. A., Massie, E. D., Thuras, P. D., Perwien, A. R., Borchardt, C. M., & Crosby, R. D. (1997). Somatic symptoms in anxious-depressed school refusers. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 661-668.
 
4.

Bruno, F. J. (2002). Psychology A Self-Teaching Guide. Hoboken, NJ: John Wiley & Sons, Inc.
 
5.

Davison, C. D., & Neale, M. J. (2001). Abnormal Psychology. New York: John Wiley and Sons, Inc.
 
6.

Derogatis, L. R. (1994). Symptom Checklist-90-Revised: administration, scoring and procedures manual. National Computer Systems, Inc.: Minneapolis.
 
7.

Dornelas, E. A. (2004). Personality-guided therapy for treating medical patients. In: J. J. Magnavita (ed.), Handbook of Personality Disorders: Theory and Practice. Hoboken, NJ: John Wiley & Sons, Inc.
 
8.

Duhe, S. (2009). What’s your type? Using the Myers-Briggs Personality Inventory to improve team performance. Communication Teacher, 23, 142-147. DOI: 10.1080/17404620903218775.
 
9.

Eid, M., & Zickar, M. J. (2007). Detecting response styles and faking in personality and organizational assessments by mixed Rasch models. In:.
 
10.
M. Von Davier, & C. Carstensen (eds.), Multivariate and Mixture Distribution Rasch Models. New York: Springer.
 
11.

Escobar, J. I., Burnam, M., Karno, M., Forsythe, A.,.
 
12.
& Golding, J. M. (1987). Somatization in the community. Archives of General Psychiatry, 44, 713-718. DOI: 10.1001/archpsyc.1987.01800200039006.
 
13.

Ford, C. V. (1983). The Somatizing Disorder. Illness as A Way of Life. New York: Elsevier Science Publishing Co. Inc.
 
14.

Garber, J., Walker, L. S., & Zeman, J. (1991). Somatization symptoms in a community sample of children and adolescents: Further validation of the Children’s Somatization Inventory [Empirical Study]. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 3, 588-595. DOI: 10.1037/1040-3590.3.4.588.
 
15.

Jung, T., & Wickrama, K. A. S. (2008). An introduction to latent class growth analysis and growth mixture modeling. Social and Personality Psychology Compass, 2, 302-317. DOI: 10.1111/j.1751-9004.2007.00054.x.
 
16.

Kaplan, H. I., & Sadock, B. J. (1991). Synopsis of Psychiatry. Maryland: William and Wilkins.
 
17.

Kato, K., Sullivan, P. F., & Pedersen, N. L. (2010). Latent class analysis of functional somatic symptoms in a population-based sample of twins. Journal of Psychosomatic Research, 68, 447-453. DOI: http://dx.doi.org/10.1016/j.jp....
 
18.

Katon, W., Berg, A., Robins, A., & Risse, S. (1986). Depression: Pattern of medical utilization and somatization in primary care. In: S. McHugh, & T. M. Val­lis (eds.), Illness behavior: a multidisciplinary model. New York: Plenum Press.
 
19.

Kirmayer, L. J., & Robbins, J. M. (1991). Three forms of somatization in primary care: prevalence, co-occurrence, and sociodemographic characteristics. Journal of Nervous & Mental Disease, 179, 647-655. DOI: 10.1097/00005053-199111000-00001.
 
20.

Kroenke, K., Spitzer, R. L., deGruy III, F. V., Hahn, S. R.,Linzer, M., Williams, J. B. W., Brody, D., & Davies, M. (1997). Multisomatoform disorder: An alternative to undifferentiated somatoform disorder for the somatizing patient in primary care. Archives of General Psychiatry, 54, 352-358. DOI: 10.1001/archpsyc.1997.01830160080011.
 
21.

Lanza, S. T., Collins, L. M., Lemmon, D. R., & Schafer, J. L. (2007). PROC LCA: A SAS Procedure for Latent Class Analysis. Structural Equation Modeling: A Multidisciplinary Journal, 14, 671-694. DOI: 10.1080/10705510701575602.
 
22.

Liu, G., Clark, M. R., & Eaton, W. W. (1997). Structural factor analyses for medically unexplained somatic symptoms of somatization disorder in the Epidemiologic Catchment Area Study. Psychological Medicine, 27, 617-626. DOI: 10.1017/S0033291797004844.
 
23.

Mayou, R. (1993). Somatization. Psychotherapy and Psychosomatics, 59, 69-83. DOI: 10.1159/000288650.
 
24.

Nylund, K. L., Asparouhov, T., & Muthén, B. O. (2007). Deciding on the number of classes in latent class analysis and growth mixture modeling: a Monte Carlo simulation study. Structural Equation Modeling: A Multidisciplinary Journal, 14, 535-569. DOI: 10.1080/10705510701575396.
 
25.

Rosen, G., Kleinman, A., & Katon, W. (1982). Somatization in family-practice – a biopsychosocial approach. Journal of Family Practice, 14, 493-502.
 
26.

Skrondal, A., & Rabe-Hesketh, S. (2007). Latent variable modelling: a survey. Scandinavian Journal of Statistics, 34, 712-745. DOI: 10.1111/j.1467-9469.2007.00573.x.
 
27.

Taylor, D. C., Szatmari, P., Boyle, M. H., & Offord, D. R. (1996). Somatization and the vocabulary of everyday bodily experiences and concerns: a community study of adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 35, 491-499. DOI: http://dx.doi.org/10.1097/0000....
 
28.

Tokuda, Y., Okubo, T., Ohde, S., Jacobs, J., Takahashi, O., Omata, F., Yanai, H., Hinohara, S., & Fukui, T. (2009). Assessing Items on the SF-8 Japanese version for health-related quality of life: a psychometric analysis based on the nominal categories model of item response theory. Value in Health, 12, 568-573. DOI: 10.1111/j.1524-4733.2008.00449.x.
 
29.

Trimble, M. (2004). Somatoform Disorders: A Medicolegal Guide. Cambridge: Cambridge University Press.
 
30.

Walker, L. S., Beck, J. E., Garber, J., & Lambert, W. (2009). Childrens Somatization Inventory: Psychometric Properties of the Revised Form (CSI-24). Journal of Pediatric Psychology, 34, 430-440. DOI: 10.1093/jpepsy/jsn093.
 
31.

World Health Organization. (1992). The ICD 10 Classification of Mental and Behavioural Disorders. Geneva: World Health Organization.
 
32.

Yang, C.-C. (2006). Evaluating latent class analysis models in qualitative phenotype identification. Computational Statistics & Data Analysis, 50, 1090-1104. DOI: http://dx.doi.org/10.1016/j.cs....
 
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