Referência:
LOBO, Antonio et al. Somatisation in primary care in Spain I: estimates of prevalence and clinical characteristics. BRITISH JOURNAL OF PSYCHIATRY. , v. 168, 344-348, 1996.
Outro(s) Autor(es):
GARCIA-CAMPAIO, Javier; CAMPOS, Ricardo; MARCOS Guillermo; PEREZ-ECHEVERRIA, Jesus
Colaborador(es):
--- não informado ---
Descritor(es):
Transtornos somatoformes; Epidemiologia; Entrevista psiquiatrica padronizada; Atencao primaria a saude
Termo(s) livre(s):
--- não informado ---
Resumo:
This is the first attempt to study the prevalence and clinical characteristics of somatisation (ST) in a representative primary care sample in Spain. METHOD. 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. RESULTS. The prevalence of somatiser 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 401% and 66.6% were chronic (six or more months). No significant demographic differences were found with non-cases. Back ache was the most frequent somatic presentation (71.4+%). CONCLUSIONS. ST in primary care is a much broader phenomenon that categories such as somatoform disorders reflect. It may be less influenced by sociodemographic factors, but more chronic than previously reported.[Nova Pesquisa]
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