Somatization, Psychological Distress, and Quality of Life in Rural and Urban Russians

 
PIIS020595920023648-8-1
DOI10.31857/S020595920023648-8
Publication type Article
Status Published
Authors
Occupation: Senior Lecturer of the School of Psychology, Senior Research Fellow of the International Laboratory of Positive Psychology of Personality and Motivation
Affiliation: HSE University
Address: Moscow, Myasnickaya str., b., 20
Occupation: Department of Pedagogy and Medical Psychology
Affiliation: First Moscow State Medical University named after I.M. Sechenov
Address: Russian Federation, Moscow
Affiliation: National Research University Higher School of Economics
Address: Russian Federation, Moscow
Journal namePsikhologicheskii zhurnal
EditionVolume 43 Issue 6
Pages94-104
Abstract

The aim of this study was to examine symptoms of anxiety, depression, and somatization as potential risk factors for poor quality of life among rural and urban Russians. The participants were 319 rural (N = 158) and urban (N = 161) residents who completed measures assessing somatization, anxiety, depression, and health-related quality of life. Results showed that urban residents experienced more frequent and intense somatization (53.4% vs. 37.3%), anxiety (38.5% vs. 17.1%), and depressive symptoms (50.3% vs. 19.6%) than did rural residents. Both urban and rural residents complained equally about physical health (68.9% vs. 63.3%), but not mental health (18.1% vs. 17.7%). The relationship between quality of life and psychosomatic status is more complex among rural residents than among urban residents, as it depends on more potential risk factors. In conclusion, these patterns need further empirical testing, after which they can be used to develop medical and psychological assistance programs for the Russian population.

Keywordssomatization, psychological distress, quality of life, rural residents, urban residents, psychosomatic medicine, Russia
Publication date22.12.2022
Number of characters18381
Cite  
100 rub.
When subscribing to an article or issue, the user can download PDF, evaluate the publication or contact the author. Need to register.

Number of purchasers: 0, views: 233

Readers community rating: votes 0

1. Zolotareva A.A. Faktornaja struktura russkojazychnoj versii shkaly somaticheskih simptomov (Somatic Symptom Scale-8, SSS-8). Konsul'tativnaja psihologija i psihoterapija. 2022. V. 30. № P. (In Russian).

2. Lebedeva A.A. Teoreticheskie podhody i metodologicheskie problemy izuchenija kachestva zhizni v naukah o cheloveke. Psihologija. Zhurnal Vysshej shkoly jekonomiki. 2012. V. 9. № 2. P. 3–19. (In Russian).

3. Novik A.A., Ionova T.I. Rukovodstvo po issledovaniju kachestva zhizni v medicine. Moscow: OLMA-PRESS, 2002. (In Russian).

4. Batterham P.J., Kazan D., Banfield M., Brown K. Differences in mental health service use between urban and rural areas of Australia. Australian Psychologist. 2020. V. 55. № 4. P. 327–335. doi: 10.1111/ap.12449

5. Chen J., Chen S., Landry P., Davis D. How Dynamics of Urbanization Affect Physical and Mental Health in Urban China. The China Quarterly. 2014. V. 220. P. 988–1011. doi: 10.1017/S0305741014001465

6. Connolly C., Keil R., Ali S.H. Extended urbanisation and the spatialities of infectious disease: demoghraphic change, infrastructure and governance. Urban Studies. 2021. V. 58. № 2. P. 245–263. doi: 10.1177/0042098020910873

7. Duboz P., Boëtsch G., Gueye L., Macia E. Self-rated health in Senegal: a comparison between urban and rural areas. PLoS One. 2017. V. 12. № 9. e0184416. doi: 10.1371/journal.pone.0184416

8. García-Campayo J., Ayuso-Mateos J.L., Caballero L., Romera I., Aragonés E., Rodríguez-Artalejo F., Quail D., Gilaberte I. Relationship of somatic symptoms with depression severity, quality of life, and health resources utilization in patients with major depressive disorder seeking primary health care in Spain. The Primary Care Companion to The Journal of Clinical Psychiatry. 2008. V. 10. № 5. P. 355–362. doi: 10.4088/pcc.v10n0502

9. Gassasse Z., Smith D., Finer S., Gallo V. Association between urbanisation and type 2 diabetes: an ecological study. BMJ Global Health. 2017. V. 2. e000473. doi: 10.1136/ bmjgh-2017-000473

10. Gierk B., Kohlmann S., Kroenke K., Spangenberg L., Zenger M., Brähler E., Löwe B. (2014). The Somatic Symptom Scale–8 (SSS-8): a brief measure of somatic symptom burden. JAMA Internal Medicine. 2014. V. 174. № 3. P. 399–407. doi: 10.1001/jamainternmed.2013.12179

11. Guo B., Xie X., Wu Q., Zhang X., Cheng H., Tao S., Quan H. Inequality in the health services utilization in rural and urban China. A horizontal inequality analysis. Medicine. 2020. V. 99. № 2. E18625. doi: 10.1097/MD.0000000000018625

12. Hu L.T., Bentler P.M. Cutoff criteria for fit indexes in covariance structure analysis: сonventional criteria versus new alternatives. Structural Equation Modeling. 1999. V. 6. № 1. P. 1–55. doi: 10.1080/10705519909540118

13. Hui L. Quantifying the effects of aging and urbanization on major gastrointestinal diseases to guide preventative strategies. BMC Gastroenterology. 2018. V. 18. P. 145. doi: 10.1186/s12876-018-0872-1

14. Jenaro C., Verdugo M.A., Caballo C., Balboni G., Lachapelle Y., Otrebski W., Schalock R.L. Cross-cultural study of person-centred quality of life domains and indicators: a replication. Journal of Intellectual Disability Research. 2005. V. 49. № 10. P. 734–739. doi: 10.1111/j.1365-2788.2005.00742.x

15. Johnson S.U., Ulvenes P.G., Øktedalen T., Hoffart A. Psychometric properties of the General Anxiety Disorder 7-item (GAD-7) scale in a heterogeneous psychiatric sample. Frontiers in Psychology. 2019. V. 10. P. 1713. doi: 10.3389/fpsyg.2019.01713

16. Kline P. Handbook of Psychological Testing (2nd ed.). London: Routledge, 1999.

17. Kroenke K., Spitzer R.L., Williams J.B.W. The PHQ-9. Validity of a brief depression severity measure. Journal of General Internal Medicine. 2001. V. 16. № 9. P. 606–613. doi: 10.1046/j.1525-1497.2001.016009606.x

18. Kuddus M.A., Tynan E., McBryde E. Urbanization: a problem for the rich and the poor? Public Health Reviews. 2020. V. 41. P. 1. doi: 10.1186/s40985-019-0116-0

19. Levis B., Sun Y., He C., Wu Y., Krishnan A., Bhandari P.M., Neupane D., Imran M., Brehaut E., Negeri Z., Fischer F.H., Benedetti A., Thombs B.D., Depression Screening Data (DEPRESSD) PHQ Collaboration. Accuracy of the PHQ-2 alone and in combination with the PHQ-9 for screening to detect major depression: systematic review and meta-analysis. JAMA. 2020. V. 323. № 22. P. 2290–2300. doi: 10.1001/jama.2020.6504

20. Liao S.-C., Ma H.-M., Lin Y.-L., Huang W.-L. Functioning and quality of life in patients with somatic symptom disorder: the association with comorbid depression. Comprehensive Psychiatry. 2019. V. 90. P. 88–94. doi: 10.1016/j.comppsych.2019.02.004

21. Mahrer N.E., Montaño Z., Gold J.I. Relations between anxiety sensitivity, somatization, and health-related quality of life in children with chronic pain. Journal of Pediatric Psychology. 2012. V. 37. № 7. P. 808–816. doi: 10.1093/jpepsy/jss054

22. Miele C.H., Jaganath D., Miranda J.J., Bernabe-Ortiz A., Gilman R.H., Johnson C.M., Diette G.B., Wise R.A., Checkley W., CRONICAS Cohort Study Group. Urbanization and daily exposure to biomass fuel smoke both contribute to chronic bronchitis risk in a population with low prevalence of daily tobacco smoking. COPD: Journal of Chronic Obstructive Pulmonary Disease. 2016. V. 13. № 2. P. 186–195. doi: 10.3109/15412555.2015.1067765

23. Oguzturk O. Differences in quality of life in rural and urban populations. Clinical and Investigative Medicine. Médecine Clinique et Experimentale. 2008. V. 31. № 6. P. 346–350. doi: 10.25011/cim.v31i6.4920

24. Onuh J.C., Mbah P.O., Ajaero C.K., Orjiakor C.T., Igboeli E.E., Ayogu C.K. Rural-urban appraisal of the prevalence and factors of depression status in South Africa. Journal of Affective Disorder Reports. 2021. V. 4. ID 100082. doi: 10.1016/j.jadr.2021.100082

25. Pinchoff J., Mills C.W., Balk D. Urbanization and health: The effects of the built environment on chronic disease risk factors among women in Tanzania. PLoS ONE. 2020. V. 15. № 11. e0241810. doi: 10.1371/journal.pone.0241810

26. Ribeiro C.G., Ferretti F.S., Clodoaldo A. Quality of life based on level of physical activity among elderly residents of urban and rural areas. Revista Brasileira de Geriatria e Gerontologia. 2017. V. 20. № 3. P. 330–339. doi: 10.1590/1981-22562017020.160110

27. Sepp T., Ujvari B., Ewald P.W., Thomas F., Giraudeau, M. Urban environment and cancer in wildlife: available evidence and future research avenues. Proceedings of the Royal Society. Biological Sciences. 2019. V. 286. ID 20182434. doi: 10.1098/rspb.2018.2434

28. Shi L., Wu F., Ye L., Zhu G., Lu Z., Liu Y. Psychometric evaluation of somatic and psychological health report: a sample from Chinese adolescents. Twin Research and Human Genetics. 2017. V. 20. № 2. P. 147–149. doi: 10.1017/thg.2017

29. Sompolska-Rzechula A., Kurdys-Kujawska A. Quality of life of rural and urban population in Poland: evaluation and comparison. European Research Studies Journal. 2020. V. 23. № 3. P. 645–656. doi: 10.35808/ersj/1660

30. Spitzer R.L., Kroenke K., Williams J.B.W., Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of Internal Medicine. 2006. V. 166. № 10. P. 1092–1097. doi: 10.1001/archinte.166.10.1092.

31. Swartz M., Landerman R., Blazer D., George L. Somatization symptoms in the community: a rural/urban comparison. Psychosomatics. 1989. V. 30. № 1. P. 44–53. doi: 10.1016/S0033-3182(89)72316-1

32. Tobiasz-Adamczyk B., Zawisza K. Urban-rural differences in social capital in relation to self-rated health and subjective well-being in older residents of six regions in Poland. Annals of Agricultural and Environmental Medicine. 2017. V. 24. № 2. P. 162–170. doi: 10.26444/aaem/74719

33. Ventriglio A., Torales J., Castaldelli-Maia J.M., De Berardis D., Bhugra D. Urbanization and emerging mental health issues. CNS Spectrums. 2021. V. 26. № 1. P. 43–50. doi: 10.1017/S1092852920001236

34. Ware J., Kosinski M., Keller S. SF-12: how to score the SF-12 physical and mental summary scales. 2nd ed. Boston, MA: The Health Institute, New England Medical Center, 1995.

35. Willis C., Chalder T. Concern for COVID-19 cough, fever and impact on mental health. What about risk of Somatic Symptom Disorder? Journal of Mental Health. 2021. V. 30. № 5. P. 551–555. doi: 10.1080/09638237.2021.1875418

36. Wuorela M., Lavonius S., Salminen M., Vahlberg T., Viitanen M., Viikari L. Self-rated health and objective health status as predictors of all-cause mortality among older people: a prospective study with a 5-, 10-, and 27-year follow-up. BMC Geriatrics. 2020. V. 20. P. 120. doi: 10.1186/s12877-020-01516-9

37. Zhang J., Zhu L., Li S., Huang J., Ye Z., Wei Q., Du C. Rural-urban disparities in knowledge, behaviors, and mental health during COVID-19 pandemic: a community-based cross-sectional survey. Medicine. 2021. V. 100. № 13. E25207. doi: 10.1097/MD.0000000000025207

38. Zhang N. Urban-rural disparities in cardiovascular disease risks among middle-aged and older Chinese: two decades of urbanization. Ageing and Society. 2020. V. 40. P. 1405–1427. doi: 10.1017/S0144686X18001794

Система Orphus

Loading...
Up