To determine whether psychological symptoms and mental disorder are an intrinsic part of the chronic widespread pain syndrome or whether they have been observed in clinic attenders primarily because of their influence on the decision to seek a medical consultation.
A population survey of 1953 subjects was conducted in the Greater Manchester area of the United Kingdom.
The survey included a postal questionnaire, and in a subgroup of respondents with high levels of distress, the presence of mental disorder was assessed by a semistructured standardized interview.
Subjects with chronic widespread pain were classified according to whether they had sought a medical consultation for the reported pain ( « consulters ») or not ( « nonconsulters »). Results.
In all, 252 subjects (13%) satisfied American College of Rheumatology criteria for chronic widespread pain, and of these 72% reported having consulted a general practitioner about this pain.
There was a clear difference in levels of psychological distress, measured by the General Health Questionnaire (GHQ), between consulters, nonconsulters, and those with no pain.
Consulters did not differ from nonconsulters in terms of levels of fatigue, social dysfunction, or number of somatic symptoms reported.
Although consulters (among whom one in 4 had a mental disorder) were more likely to have a mental disorder than subjects without pain [OR=4.9. 95% CI (2.6,9. (...)
Mots-clés Pascal : Système ostéoarticulaire pathologie, Douleur, Chronique, Epidémiologie, Royaume Uni, Europe, Analyse corrélation, Comportement, Trouble psychiatrique, Symptomatologie, Homme, Milieu urbain, Facteur psychologique
Mots-clés Pascal anglais : Diseases of the osteoarticular system, Pain, Chronic, Epidemiology, United Kingdom, Europe, Correlation analysis, Behavior, Mental disorder, Symptomatology, Human, Urban environment
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0143785
Code Inist : 002B15I. Création : 16/11/1999.