Somatized mental disorder among primary care Arab patients: I. Prevalence and clinical and sociodemographic characteristics
Somatized mental disorder among primary care Arab patients: I. Prevalence and clinical and sociodemographic characteristics
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DOI：
10.1016/s0022-3999(98)00101-9
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发表时间：
1999-06-01
影响因子：
4.7
通讯作者：
Abuzeid, MSO
中科院分区：
文献类型：
--
作者：
El-Rufaie, OEF;Al-Sabosy, MMA;Abuzeid, MSO
本研究的目的是估计躯体化精神障碍（SMD）的患病率相比，心理化精神障碍（PMD）之间的样本初级卫生保健（PHC）阿拉伯患者，并调查SMD的临床和社会人口学特征。研究的第一阶段由全科医生（GP）使用12项一般健康问卷（GHQ-12）进行。第二阶段由精神科医生使用临床访谈时间表（CIS）和询问时间表进行。使用特定的操作标准来识别SMD和PMD。在总筛查样本中，SMD的估计患病率为12%。SMD患者占确定的精神病患者的48%，而对于PMD组，这一数字为42%。SMD组受教育程度明显较低。头痛、背痛和腹痛是最常见的躯体症状。这些症状呈慢性持续性，大多数患者出现多种症状。SMD和PMD患者中最常见的ICD-10精神病诊断是混合性焦虑和抑郁障碍、广泛性焦虑障碍以及情绪和适应障碍。复发性抑郁症和恶劣心境在PMD组中明显更普遍。精神疾病的严重程度确定是更大的心理比躯体化的精神障碍。(C)1999 Elsevier Science Inc.
The aims of this study were to estimate the prevalence of somatized mental disorder (SMD) in comparison to psychologized mental disorder (PMD) among a sample of primary health care (PHC) Arab patients, and to investigate the clinical and sociodemographic characteristics of SMD. The first stage of study was conducted by general practitioners (GPs), using the 12-item General Health Questionnaire (GHQ-12). The second stage was carried out by a psychiatrist using the Clinical Interview Schedule (CIS) and an inquiry schedule. Specific operational criteria were used to identify SMD and PMD. The estimated prevalence rate of SMD among the total screened sample was 12%. SMD patients constituted 48% of the psychiatric patients identified, whereas, for the PMD group, this figure was 42%. Educational level was significantly lower in the SMD group. Headache, backache, and abdominal pain were the most commonly presented somatic symptoms. The symptoms pursued a chronic and persistent course and most patients experienced multiple symptoms. The most common ICD-10 psychiatric diagnoses among both SMD and PMD patients were mixed anxiety and depressive disorder, generalized anxiety disorder, and mood and adjustment disorders. Recurrent depressive disorder and dysthymia were significantly more prevalent in the PMD group. The severity of psychiatric illness identified was greater among psychologizers than the somatizers of mental disorder. (C) 1999 Elsevier Science Inc.