Whether medically unexplained or not, three or more concurrent somatic symptoms predict psychopathology and service use in community populations.
Whether medically unexplained or not, three or more concurrent somatic symptoms predict psychopathology and service use in community populations.
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DOI：
10.1016/j.jpsychores.2010.01.001
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发表时间：
2010-07
影响因子：
4.7
通讯作者：
Diaz, Esperanza
中科院分区：
文献类型：
--
作者：
Escobar, Javier I.;Cooke, Benjamin;Chen, Chi-Nan;Gara, Michael A.;Alegria, Margarita;Interian, Alejandro;Diaz, Esperanza
检查不同种族背景的社区人口中躯体症状的频率，并确定这些症状的相关因素，如精神病理学、服务使用情况和个人痛苦。使用14种症状问卷和面试者对躯体症状的探查，我们确定了4864名白人、拉丁裔和亚裔美国社区受访者中一般身体症状(GPS)的存在。医学上“编辑”的逐字访谈回答被用来决定身体症状是否被定义为医学上无法解释的身体症状(MUP)。然后，我们在未经调整的和多元回归分析中，评估了GPS和MUP与精神障碍、心理困扰和服务使用之间的联系。三分之一(33.6%)的受访者报告至少有一次全球定位系统，11.1%的人报告在过去一年内至少有一次MUP。10.7%的受访者有3个或更多的全球定位系统，1.5%的受访者有3个或更多的MUP。在未调整的比较中，3个或3个以上的GPS和MUP与抑郁、焦虑和物质使用障碍、服务使用和心理痛苦呈正相关。在多变量回归中，GPS仍然是一个显著的预测因子，但在控制GPS和其他协变量后，MUP没有显著的独立效应。无论是否有医学解释，身体症状都是抑郁症和焦虑症等常见精神障碍的重要组成部分，并预测社区人口使用服务的情况。这些结果表明，可以使用三个或更多当前的全球定位系统来指定“病例”，而旨在确定身体症状是否医学上无法解释的详细探查和程序可能不是分类目的所必需的。
To examine the frequency of somatic symptoms in a community population of various ethnic backgrounds and to identify correlates of these symptoms such as psychopathology, use of services and personal distress. Using a 14 symptom inventory with interviewer probes for somatic symptoms, we determined the presence of general physical symptoms (GPS) in a sample of 4864 White, Latino and Asian US community respondents. Medically “edited” verbatim interview responses were used to decide whether or not physical symptoms would qualify as medically unexplained physical symptoms (MUPS). We then assessed the association between GPS and MUPS and psychiatric disorders, psychological distress, and use of services, in both unadjusted and multivariate regression analyses. One-third (33.6%) of the respondents reported at least one GPS and 11.1% reported at least one MUPS within the last year. 10.7% of respondents had 3 or more GPS and 1.5% had 3 or more MUPS. 3 or more GPS and MUPS were positively associated with depressive, anxiety and substance use disorders, service use and psychological distress in unadjusted comparisons. In multivariate regressions, GPS persisted as a significant predictor, but there was no significant independent effect of MUPS, after controlling for GPS and other covariates. Regardless of the presence or absence of medical explanations, physical symptoms are an important component of common mental disorders such as depression and anxiety and predict service use in community populations. These results suggest that three or more current GPS can be used to designate a “case” and that detailed probes and procedures aimed at determining whether or not physical symptoms are medically unexplained may not be necessary for classification purposes.
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影响因子：
10.5
作者：
Escobar, JI;Gara, M;Compton, W
通讯作者：
Compton, W
影响因子：
1.7
作者：
ESCOBAR, JI
通讯作者：
ESCOBAR, JI
影响因子：
3.3
作者：
Interian, A;Gara, MA;Manetti-Cusa, J
通讯作者：
Manetti-Cusa, J
影响因子：
--
作者：
KROENKE, K;ARRINGTON, ME;MANGELSDORFF, AD
通讯作者：
MANGELSDORFF, AD
影响因子：
1.9
作者：
ESCOBAR, JI;RUBIOSTIPEC, M;KARNO, M
通讯作者：
KARNO, M