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  1. Somatisation in primary care in Spain. I : Estimates of prevalence and clinical characteristics.

    Article - En anglais


    This is the first attempt to study the prevalence and clinical characteristics of somatisation (ST) in a representative primary care sample in Spain.


    The sample consisted of 1559 consecutive patients attending eight randomly selected health centres in Zaragoza, Spain, examined by two-phase screening.

    First phase (lay interviewers) :

    • Spanish versions of GHQ-28,

    • CAGE questionnaire, substance abuse,

    • Mini-Mental State Examination.

    Second phase (research clinicians and psychiatrists) : Standardised Polyvalent Psychiatric Interview, which permits the reliable coding of Bridges & Goldberg's ST criteria.


    The prevalence of somatisers was 9.4% (34.5% of the cases) and most patients (68.7%) were diagnosed in the depression or anxiety DSM-IV categories.

    The severity was moderate in 40.1% and 66.6% were chronic (six or more months).

    No significant demographic differences were found with non-cases.

    Backache was the most frequent somatic presentation (71.4%). Conclusions.

    ST in primary care is a much broader phenomenon than categories such as somatoform disorders reflect.

    It may be less influenced by sociodemographic factors, but more chronic than previously reported.

    Mots-clés Pascal : Trouble somatoforme, Prévalence, Epidémiologie, Espagne, Europe, Symptomatologie, Démographie, Statut social, Soin santé primaire, Santé publique, Homme

    Mots-clés Pascal anglais : Somatoform disorder, Prevalence, Epidemiology, Spain, Europe, Symptomatology, Demography, Social status, Primary health care, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0161525

    Code Inist : 002B18C10. Création : 199608.