From a total sample of 1,448 psychiatric outpatients, 175 (12.1%) received a diagnosis of a somatoform disorder according to DSM-III-R criteria.
One hundred twenty-two (70%) of these patients had another current axis I diagnosis, and this rate increased to 79% (139 of 175) when lifetime psychiatric diagnoses were recorded.
The most frequent comorbid diagnoses were depressive disorders, i.e., dysthymia and major depression, and then anxiety disorders, mainly panic disorder.
One hundred ten (63%) of the somatoform patients met the criteria for a personality disorder, significantly higher than the rate (52%) for the rest of the total sample (n=1,273), who were used as a control group.
The most frequent comorbid personality disorders were histrionic, dependent, and personalities of cluster B in general.
Hypochondriasis was the only somatoform disorder that was additionally significantly related to obsessive-compulsive personality disorder.
Somatoform patients with a concomitant personality disorder manifested more severe overall psychopathology as measured by the Minnesota Multiphasic Personality Inventory (MMPI) and a worse level of functioning than those without.
The results of the present study show that (1) patients with somatoform disorders have a high rate of comorbidity with other clinical syndromes and personality disorders, and (2) the presence of a personality disorder is related to more severe overall psychopathology and a worse level of functioning. (...)
Mots-clés Pascal : Trouble somatoforme, Association morbide, Trouble psychiatrique, Diagnostic and Statistical Manual III, Version revisée, Classification, Nosologie, Diagnostic, Santé mentale, Environnement social, Grèce, Europe, Homme
Mots-clés Pascal anglais : Somatoform disorder, Concomitant disease, Mental disorder, Diagnostic and Statistical Manual III, Revised drafting, Classification, Nosology, Diagnosis, Mental health, Social environment, Greece, Europe, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0388664
Code Inist : 002B18C10. Création : 22/03/2000.