Evidence map›Paper›PMID 42254730›Full record

ArticleFrontiers in psychiatry2026

Psychometric evaluation and community norms of the Somatic Symptom Scale-8 based on a representative German sample.

Sören Kliem, Anna Lohmann, Sebastian Fischer, Markus Zenger, Dirk Baier, Johannes Kruse, Elmar Brähler, Hanna Kampling

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Article in Frontiers in psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Sören KliemDepartment of Social Welfare, Ernst-Abbe University of Applied Sciences Jena, Jena, Germany.
Anna LohmannDepartment of Social Welfare, Ernst-Abbe University of Applied Sciences Jena, Jena, Germany.
Sebastian FischerDepartment of Social Welfare, Ernst-Abbe University of Applied Sciences Jena, Jena, Germany.
Markus ZengerFaculty of Applied Human Studies, University of Applied Sciences Magdeburg and Stendal, Stendal, Germany.
Dirk BaierInstitute of Delinquency and Crime Prevention, Zurich University of Applied Sciences, Zurich, Switzerland.
Johannes KruseDepartment of Psychosomatic Medicine and Psychotherapy, Justus Liebig University Giessen, Giessen, Germany.
Elmar BrählerDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Hanna KamplingDepartment of Psychosomatic Medicine and Psychotherapy, Justus Liebig University Giessen, Giessen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The Somatic Symptom Scale-8 (SSS-8) is a brief self-report instrument assessing somatic symptom burden derived from the PHQ-15. The aims of the present study were providing updated population norms for Germany based on a new representative sample and enabling a direct comparison with the original 2012 normative sample. In addition, the study aimed to examine the psychometric properties of the SSS-8, evaluate construct validity, and test factorial validity and measurement invariance. Methods: A representative German community sample was surveyed in 2021 ( Results: Internal consistency was high (ω = .922, 95% CI [.915,.929]). The higher-order model (CFI = .979, TLI = .966, SRMR = .046; RMSEA = .091, 90% CI [.083,.099]) showed better fit than the unidimensional model (CFI = .961, TLI = .945, SRMR = .054; RMSEA = .115, 90% CI [.108,.123]). Strict invariance was supported for depression and anxiety. For gender, age, and gender × age, partial scalar invariance was established after freeing one item intercept (headaches). Latent correlations supported convergent and discriminant validity with depression (r = .81), anxiety (r = .76), well-being (r = -.67), and loneliness (r = .57). Each one-point increase in SSS-8 scores was associated with a 9.7% increase in doctor visits (IRR = 1.097, 95% CI [1.082, 1.112]). A cross-cohort comparison with the original normative sample (2012; Conclusions: The SSS-8 demonstrates good psychometric properties in a representative German community sample. Updated population norms are provided for clinical use. The observed increase in somatic symptom burden underscores the necessity of updating population norms at regular intervals.

Indexed as

measurement invariancepopulation normspsychometric evaluationrepresentative samplesomatic symptomsSSS-8

Identifiers

PMID42254730
PMCPMC13236644

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