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ArticleEuropean archives of psychiatry and clinical neuroscience2026

Validity of the Chinese version of the somatic symptom disorder-B criteria scale among patients with chronic cough.

Nadire Wubulikasimu, Tongyangzi Zhang, Jashin In, Bingxian Sha, Andreas Heinz, Yang Tong, Felicia Boma Lazaridou, Xianghuai Xu, Li Yu, Heng Wu

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Article in European archives of psychiatry and clinical neuroscience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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10 authors.

Nadire WubulikasimuSchool of Medicine, Tongji Hospital, Department of Psychosomatic Medicine, Tongji University, No. 389 Xincun Road, Shanghai, 200065, China.
Tongyangzi ZhangSchool of Medicine, Tongji Hospital, Department of Pulmonary and Critical Care Medicine, Tongji University, No. 389 Xincun Road, Shanghai, 200065, China.
Jashin InSchool of Medicine, Tongji Hospital, Department of Psychosomatic Medicine, Tongji University, No. 389 Xincun Road, Shanghai, 200065, China.
Bingxian ShaSchool of Medicine, Tongji Hospital, Department of Pulmonary and Critical Care Medicine, Tongji University, No. 389 Xincun Road, Shanghai, 200065, China.
Andreas HeinzDepartment of Psychiatry and Psychotherapy, University of Tübingen, German Center for Mental Health, Tübingen Site, Tübingen, Baden-Württemberg, Germany.
Yang TongSchool of Medicine, Tongji Hospital, Department of Psychosomatic Medicine, Tongji University, No. 389 Xincun Road, Shanghai, 200065, China.
Felicia Boma LazaridouDepartment of Clinical Child and Adolescent Psychology and Psychotherapy, Free University Berlin, Berlin, Germany.
Xianghuai XuSchool of Medicine, Tongji Hospital, Department of Pulmonary and Critical Care Medicine, Tongji University, No. 389 Xincun Road, Shanghai, 200065, China. 05849@tongji.edu.cn.
Li YuSchool of Medicine, Tongji Hospital, Department of Pulmonary and Critical Care Medicine, Tongji University, No. 389 Xincun Road, Shanghai, 200065, China. 96778@tongji.edu.cn.
Heng WuSchool of Medicine, Tongji Hospital, Department of Psychosomatic Medicine, Tongji University, No. 389 Xincun Road, Shanghai, 200065, China. hengwu@tongji.edu.cn.

Funding

the Clinical Research Cultivation Program of Tongji Hospital, Shanghai, China ITJ(QN)2303the National Natural Science Foundation of China No. 82570146the National Natural Science Foundation of China No. 82270114
6 · The paper itself

Abstract

objectiveThis study aimed to test the validity of the Chinese Version of the Somatic Symptom Disorder-B Criteria Scale (SSD-12) for identifying Somatic Symptom Disorder (SSD) among Chinese patients with chronic cough, in accordance with Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) diagnostic criteria.

methodsParticipants completed the Chinese Version of SSD-12, a general information questionnaire, the Patient Health Questionnaire-9 (PHQ-9), the Generalized Anxiety Disorder-7 (GAD-7), the Patient Health Questionnaire-15 (PHQ-15), and the Leicester Cough Questionnaire (LCQ). The Structured Clinical Interview for DSM-5, Research Version (SCID-5-RV) served as the reference standard for SSD diagnosis, and the validity of SSD-12 was analyzed.

resultsA total of 371 patients were included. The SSD-12 demonstrated excellent internal consistency (Cronbach's α = 0.95, Spearman-Brown split-half coefficient = 0.95), with a three-factor structure explaining 78.7% of the total variance (KMO = 0.95, p < 0.001). With SCID-5-RV as the gold standard (48 SSD cases, 323 non-SSD cases), the SSD-12 exhibited excellent diagnostic accuracy (AUC = 0.969), with an optimal cut-off of 13.5 (sensitivity = 0.98, specificity = 0.94). The SSD-12 sum score was significantly correlated with PHQ-15 (r = 0.67), GAD-7 (r = 0.70), PHQ-9 (r = 0.66), and LCQ (r = -0.52, all p < 0.001), and showed significant incremental validity beyond PHQ-15 in predicting LCQ (ΔF = 45.90, p < 0.001).

conclusionsThe Chinese Version of SSD-12 demonstrates excellent reliability, validity and diagnostic performance among patients with chronic cough, thus serving as an effective and efficient tool for SSD screening in respiratory care.

trial registrationThis study was registered in the Chinese Clinical Trials Register ( http://www.chictr.org.cn/ ) (ChiCTR2400079808).

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Chinese version of the somatic symptom disorder-B criteria scaleChronic coughDSM-5 somatic symptom disorderValidity

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.