Somatoform disorders in general practice

British Journal of Psychiatry - Tập 184 Số 6 - Trang 470-476 - 2004
Margot W. M. de Waal1, Ingrid Arnold1, Just Eekhof1, Albert M. van Hemert2
1Department of General Practice and Nursing Home Medicine, Leiden #N#University Medical Centre
2Department of Psychiatry, Leiden University Medical Centre, Leiden, the Netherlands

Tóm tắt

BackgroundGeneral practitioners play a pivotal part in the recognition and treatment of psychiatric disorders. Identifying somatoform disorders is important for the choice of treatment.AimsTo quantify the prevalence of, and functional impairment associated with, somatoform disorders, and their comorbidity with anxiety/depressive disorders.MethodTwo-stage prevalence study: a set of questionnaires was completed by 1046 consecutive patients of general practitioners (aged 25–80 years), followed by a standardised diagnostic interview (SCAN 2.1).ResultsThe prevalence of somatoform disorders was 16.1% (95% CI 12.8-19.4). When disorders with only mild impairment were included, the prevalence increased to 21.9%. Comorbidity of somatoform disorders and anxiety/depressive disorders was 3.3 times more likely than expected by chance. In patients with comorbid disorders, physical symptoms, depressive symptoms and functional limitations were additive.ConclusionsOur findings underline the importance of a comprehensive diagnostic approach to psychiatric disorders in general practice.

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Thông tin
Thông tin xuất bản

British Journal of Psychiatry

Tập 184 Số 6

470-476

Thông tin tác giả