Somatisation in primary care in Spain. I : Estimates of prevalence and clinical characteristics.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0161525
Code Inist : 002B18C10. Création : 199608.