- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03513185
Assessment of SSD in Outpatients by Using SSS-CN (EARLY-MYO-SSS)
The EARLY Validation and Utility of Somatic Symptom Scale CHINA (SSS-CN) for Assessing Somatic Symptom Disorder in MYOcardial Outpatients of General Hospital
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
One of the most common medical conditions seen in general hospital is somatic symptoms disorder (SSD). As the disorder is characterized by the prominent attention to somatic concerns, patients mainly present initially in medical rather than mental health care settings. The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) is currently the "gold standard" for the diagnosis of SSD, but it is clinically hard to follow. Thus, It is more clinically practical to detect a disorder by self-administered questionnaires, that patients can score symptoms according to their own condition and severity in a short time. However, the current self-reporting questionnaires, such as the Patient Health Questionnaire-9 (PHQ-9), the Generalized Anxiety Disorder Scale-7 (GAD-7), and the Patient Health Questionnaire-15 (PHQ-15) are neither sufficiently considering companioned anxiety or depression nor validated for monitor the treatment efficacy of SSD patients.
The Somatic Symptom Scale-China (SSS-CN) is developed based on DSM-5 to assess SSD, and it is an abbreviated 20-item version of somatic symptoms that can be entirely self-administered by the patient, but its assessment value has not yet been widely tested. The study aims to investigate whether the SSS-CN could serve as a timely and practical instrument to detect SSD and assess the severity of the disorder.
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Contact
- Name: Jialiang Mao, MD
- Phone Number: 68383477 13311606283
- Email: maoji@aliyun.com
Study Locations
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Shanghai
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Shanghai, Shanghai, China, 200127
- Recruiting
- RenJi Hospital
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Contact:
- Xuan Su, postgraduate
- Phone Number: 68385925 18817560226
- Email: 18817560226@163.com
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Contact:
- Bingxu Chen, postgraduate
- Phone Number: 15800539513
- Email: zhyp0818@qq.com
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- age 18-80 years old;
- patients who have no previous diagnosed somatic disease;
- patients without systemic disease that can account the physical discomfort;
- patients who agree to take the checklists and undertake assessment from a physician.
Exclusion Criteria:
- patients who have lost their self-assessed abilities or refuse to participate in;
- patients who have been previously confirmed serious mental disorders, mental retardation or dementia;
- patients who are taking anti-anxiety agents or anti-depression agents;
- patients who are unable to complete at least 1 time follow-up.
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Patients with SSD
Patients are diagnosed with SSD by physician according to DSM-5,and will be treated with Deanxit, SSRI or SRNI on the basis of severity assessment by physician.
|
After recruiting participants and collecting the baseline data, the SSS-CN, PHQ-15, PHQ-9 and GAD-7 questionnaires will be carried out.
An independent diagnosis will be made by primary care physician using the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criterion standard.
Deanxit, selective serotonin reuptake inhibitors (SSRI) or serotonin-norepinephrine reuptake inhibitors (SNRI) will be selectively prescribed according to the severity category assessed by physician.
Two, 6,10 weeks after patients with correspondent medications, a face-to-face interview, telephone interview or mobile-apps survey will be underwent to follow-up using the SSS-CN, PHQ-15, PHQ-9 and GAD-7 checklists.
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Patients with non-SSD
No SSD is diagnosed by physician according to DSM-5
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The diagnosis accuracy of somatic burden assessment by SSS-CN
Time Frame: Within 24 hours after collecting the scale.
|
The primary objectives of this study are to test the diagnosis accuracy of somatic burden assessment by SSS-CN.
Investigators expect that somatic symptom disorder assessed by SSS-CN is as accurate as diagnoses made by the DSM-5 criterion standard
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Within 24 hours after collecting the scale.
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The assessment of treatment efficacy by SSS-CN
Time Frame: Two,6,10 weeks after patients with correspondent medications.
|
Investigators hypothesize that the SSS-CN is effective in monitoring treatment efficacy of SSD in primary care patients.
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Two,6,10 weeks after patients with correspondent medications.
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The advantage of SSS-CN
Time Frame: Baseline and 2,6,10 weeks after patients with correspondent medications.
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To explore whether SSS-CN is non-inferior compared with PHQ-15.
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Baseline and 2,6,10 weeks after patients with correspondent medications.
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SSD companioned with anxiety or depression
Time Frame: Baseline and 2,6,10 weeks after patients with correspondent medications.
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To evaluate how often does SSD companioned with anxiety or depression, or at which circumstance does SSD companioned with anxiety or depression.
|
Baseline and 2,6,10 weeks after patients with correspondent medications.
|
Collaborators and Investigators
Sponsor
Investigators
- Study Chair: Meng Jiang, MD, RenJi Hospital
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- SSSCN2018
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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