Patients presenting with somatic complaints in general practice: depression, anxiety and somatoform disorders are frequent and associated with psychosocial stressors.

Détails

Ressource 1Télécharger: BIB_3762840EE96E.P001.pdf (803.17 [Ko])
Etat: Serval
Version: Final published version
ID Serval
serval:BIB_3762840EE96E
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Patients presenting with somatic complaints in general practice: depression, anxiety and somatoform disorders are frequent and associated with psychosocial stressors.
Périodique
BMC family practice
Auteur(s)
Haftgoli N., Favrat B., Verdon F., Vaucher P., Bischoff T., Burnand B., Herzig L.
ISSN
1471-2296 (Electronic)
ISSN-L
1471-2296
Statut éditorial
Publié
Date de publication
15/09/2010
Peer-reviewed
Oui
Volume
11
Pages
67
Langue
anglais
Notes
Publication types: Journal Article ; Multicenter Study ; Research Support, Non-U.S. Gov't
Publication Status: epublish
Résumé
Mental disorders in primary care patients are frequently associated with physical complaints that can mask the disorder. There is insufficient knowledge concerning the role of anxiety, depression, and somatoform disorders in patients presenting with physical symptoms. Our primary objective was to determine the prevalence of depression, anxiety, and somatoform disorders among primary care patients with a physical complaint. We also investigated the relationship between cumulated psychosocial stressors and mental disorders.
We conducted a multicentre cross-sectional study in twenty-one private practices and in one academic primary care centre in Western Switzerland. Randomly selected patients presenting with a spontaneous physical complaint were asked to complete the self-administered Patient Health Questionnaire (PHQ) between November 2004 and July 2005. The validated French version of the PHQ allowed the diagnosis of mental disorders (DSM-IV criteria) and the analyses of exposure to psychosocial stressors.
There were 917 patients exhibiting at least one physical symptom included. The rate of depression, anxiety, and somatoform disorders was 20.0% (95% confidence interval [CI] = 17.4% to 22.7%), 15.5% (95% CI = 13.2% to 18.0%), and 15.1% (95% CI = 12.8% to 17.5%), respectively. Psychosocial stressors were significantly associated with mental disorders. Patients with an accumulation of psychosocial stressors were more likely to present anxiety, depression, or somatoform disorders, with an increase of 2.2 fold (95% CI = 2.0 to 2.5) for each additional stressor.
The investigation of mental disorders and psychosocial stressors among patients with physical complaints is relevant in primary care. Psychosocial stressors should be explored as potential epidemiological causes of mental disorders.

Mots-clé
Anxiety/complications, Anxiety/epidemiology, Cross-Sectional Studies, Depression/complications, Depression/epidemiology, Female, Humans, Male, Mental Disorders/complications, Mental Disorders/epidemiology, Middle Aged, Prevalence, Primary Health Care, Somatoform Disorders/epidemiology, Stress, Psychological/complications, Surveys and Questionnaires, Switzerland/epidemiology
Pubmed
Web of science
Open Access
Oui
Création de la notice
04/11/2010 11:34
Dernière modification de la notice
08/05/2019 17:05
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