Wie wirken sich somatoforme und depressive Symptome und Syndrome auf die Lebenszufriedenheit aus? Ergebnisse einer bevölkerungsrepräsentativen Befragung in Deutschland

 

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Zusammenfassung

Hintergrund:

Die differenzielle Bedeutung depressiver und somatoformer Symptome/Syndrome für die Lebenszufriedenheit in der Allgemeinbevölkerung wird untersucht.

Material und Methoden:

In einer bevölkerungsrepräsentativen Stichprobe (N=2 510) werden somatische und depressive Symptome mit dem Patient Health Questionnaire (PHQ) und Lebenszufriedenheit mit den Fragen zur Lebenszufriedenheit (FLZ^M) erhoben.

Ergebnisse:

Sowohl depressive und somatoforme Syndrome als auch subklinische depressive und somatische Symptome beeinflussen die Lebenszufriedenheit negativ. Während depressive Symptome/Syndrome alle Bereiche der Lebenszufriedenheit einschränken, zeigen somatische Symptome/somatoforme Syndrome ein differenziertes Zusammenhangsmuster.

Schlussfolgerung:

Unter Berücksichtigung komorbider depressiver Symptome/Syndrome wirken sich somatische Symptome und somatoforme Syndrome nur auf einige Bereiche der Lebenszufriedenheit negativ aus. Eine dimensionale Auswertung ist sinnvoll, um den Einfluss subklinischer Symptome zu beschreiben.

Abstract

Objectives:

The aim of this study is to investigate the differential impact of somatoform and depressive symptoms/syndromes on life satisfaction.

Methods:

In a representative population survey in Germany (N=2 510) depressive and somatic symptoms are screened with the Patient Health Questionnaire (PHQ), Life satisfaction is assessed with the Questions on Life Satisfaction (FLZ^M).

Results:

Both subclinical depressive/somatic symptoms and clinically relevant depressive/somatoform syndromes are associated with decreased life satisfaction. Depressive symptoms/syndromes result in lower satisfaction in all areas of life, whereas somatic symptoms/somatoform syndromes only affect certain domains of life ­satisfaction.

Conclusions:

Considering comorbid depressive symptoms/syndromes, somatic symptoms and somatoform syndromes show negative associations with only some of the subdimensions of life satisfaction. A dimensional approach is useful to consider the effects of subclinical symptoms on life satisfaction.

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