A scoring system for subjective health complaints (SHC)

The aim of this study is to present a complete scoring system for subjective health complaints (SHC) as they are experienced by the lay population. The scoring system records the complaints, and does not map attributions or medical diagnoses. In all, 1,219 subjects (323 men, 896 women) from various occupations were tested with a scoring system, the SHC inventory, previously referred to as the Ursin Health Inventory (UHI). The SHC consists of 29 questions concerning severity and duration of subjective somatic and psychological complaints. The SHC inventory yields scores on single items and a total number of health complaints categorized into five factors: musculoskeletal pain (α=0.74), pseudoneurology (α=0.73), gastrointestinal problems (α=0.62), allergy (α=0.58) and flu (α=0.67). The SHC inventory is a systematic, easy, and reliable way to score subjective health complaints. The prevalence of these complaints is high, and should be considered before conclusions are reached about new diseases and new attributions of environmental hazards.

[1]  D. Goldberg,et al.  A scaled version of the General Health Questionnaire , 1979, Psychological Medicine.

[2]  B. Jonsson,et al.  Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. , 1987, Applied ergonomics.

[3]  H. Ursin,et al.  Psychological stress-factors and concentration of immunoglobulins and complement components in Norwegian nurses , 1987 .

[4]  D Bruusgaard,et al.  Incidence of sickness certification. Proposal for use as a health status indicator. , 1989, Scandinavian journal of primary health care.

[5]  S. Wessely Old wine in new bottles: neurasthenia and ‘ME’ , 1990, Psychological Medicine.

[6]  C. Bengtsson,et al.  Symptoms by age and sex. The population studies of men and women in Gothenburg, Sweden. , 1990, Scandinavian journal of primary health care.

[7]  H. Ursin,et al.  Health, job stress and psychological defense in physically active and inactive subjects , 1991 .

[8]  S. R. Bredkjaer Musculoskeletal disease in Denmark. The Danish Health and Morbidity Survey 1986-87. , 1991, Acta orthopaedica Scandinavica. Supplementum.

[9]  Soêren Rask Bredkjæ Musculoskeletal disease in Denmark. The Danish Health and Morbidity Survey 1986-87. , 1991 .

[10]  A. Bowling Measuring Health. A review of quality of life measurement scales , 1997 .

[11]  H. Ursin,et al.  Stress at work and psychological and immunological parameters in a group of Norwegian female bank employees , 1991 .

[12]  S. Bredkjær Musculoskeletal disease in Denmark , 1991 .

[13]  L. B. Augestad,et al.  Personality, health and job stress among employees in a Norwegian penitentiary and in a maximum security hospital , 1992 .

[14]  Grønningæter Hilde,et al.  Improved Health And Coping By Physical Exercise Or Cognitive Behavioral Stress Management Training In A Work Environment , 1992 .

[15]  Miranda Olff,et al.  Coping styles and health , 1993 .

[16]  Reidar J. Mykletun,et al.  Neuroticism, extraversion, anxiety and type a behaviour as mediators of neck, shoulder and lower back pain in female hospital staff , 1993 .

[17]  S. Wessely,et al.  Development of a fatigue scale. , 1993, Journal of psychosomatic research.

[18]  R. Mykletun,et al.  Assessment of musculoskeletal and other health complaints in female hospital staff. , 1994, Applied ergonomics.

[19]  Y. Løyning,et al.  Physical Exercise in Women with Intractable Epilepsy , 1994, Epilepsia.

[20]  O. Vassend,et al.  Negative affectivity, somatic complaints, and symptoms of temporomandibular disorders. , 1995, Journal of psychosomatic research.

[21]  J. M. Peterson,et al.  Medical histories and psychological profiles of middle-aged women with and without self-reported illness from environmental chemicals. , 1995, The Journal of clinical psychiatry.

[22]  Relationships between risk factors and treatment outcome in a group of patients with temporomandibular disorders. , 1996, Journal of orofacial pain.

[23]  A. Spurgeon,et al.  Modifiers of non-specific symptoms in occupational and environmental syndromes. , 1996, Occupational and environmental medicine.

[24]  O. Vassend,et al.  The reporting of pain, somatic complaints, and anxiety in a group of patients with TMD before and 2 years after treatment: sex differences. , 1996, Journal of orofacial pain.

[25]  H. Ursin,et al.  Musculoskeletal pain: concepts of disease, illness, and sickness certification in health professionals in Norway. , 1996, Scandinavian journal of rheumatology.

[26]  H Ursin,et al.  Psychological reactions during polar expeditions and isolation in hyperbaric chambers. , 1996, Aviation, space, and environmental medicine.

[27]  A. Unruh Gender variations in clinical pain experience , 1996, Pain.

[28]  Modifiers of non-specific symptoms in occupational and environmental syndromes. , 1996 .

[29]  R. Mykletun,et al.  Back pain, dysphoric versus euphoric moods and the experience of stress and effort in female hospital staff , 1997 .

[30]  T. C. Lindstrøm Immunity and Somatic Health in Bereavement. A Prospective Study of 39 Norwegian Widows , 1997 .

[31]  H. Ursin,et al.  Sensitization, somatization, and subjective health complaints , 1997, International journal of behavioral medicine.

[32]  H. Ursin,et al.  Health complaints and job stress in Norwegian physicians: the use of an overlapping questionnaire design. , 1997, Social science & medicine.

[33]  H Ursin,et al.  The CODE: a revised battery for coping and defense and its relations to subjective health. , 1997, Scandinavian journal of psychology.

[34]  T. C. Lindstrøm Immunity and health after bereavement in relation to coping. , 1997, Scandinavian journal of psychology.

[35]  Predictors for outcome of a functional restoration program for low back pain patients : A 12-month follow-up study , 1998 .

[36]  H. Ursin,et al.  Multimodal cognitive behavioral treatment of patients sicklisted for musculoskeletal pain: a randomized controlled study. , 1998, Scandinavian journal of rheumatology.

[37]  H. Ursin,et al.  Patients With Low Back Pain Not Returning to Work: A 12‐Month Follow‐up Study , 1998, Spine.

[38]  Giske Ursin,et al.  Prevalence of subjective health complaints in the Nordic European countries in 1993 , 1998 .

[39]  U. Moens,et al.  Antibodies to DNA--towards an understanding of their origin and pathophysiological impact in systemic lupus erythematosus. , 1998, Scandinavian journal of rheumatology.

[40]  G. Smith Measuring Health. A Review of Quality of Life Measurement Scales 2nd edn by Ann Bowling. Open University Press, Milton Keynes, 1997, 176 pages, £15·99, ISBN 0 335 19754 X. , 1999 .