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Somatoform disorders in general practice: Prevalence, functional impairment and comorbidity with anxiety and depressive disorders
Open accessAbstract
Background: General practitioners play a pivotal part in the recognition and treatment of psychiatric disorders. Identifying somatoform disorders is important for the choice of treatment. Aims: To quantify the prevalence of, and functional impairment associated with, somatoform disorders, and their comorbidity with anxiety/depressive disorders. Method: Two-stage prevalence study: a set of questionnaires was completed by 1046 consecutive patients of general practitioners (aged 25–80 years), followed by a standardised diagnostic interview (SCAN 2.1). Results: The prevalence of somatoform disorders was 16.1% (95% CI 12.8-19.4). When disorders with only mild impairment were included, the prevalence increased to 21.9%. Comorbidity of somatoform disorders and anxiety/depressive disorders was 3.3 times more likely than expected by chance. In patients with comorbid disorders, physical symptoms, depressive symptoms and functional limitations were additive. Conclusions: Our findings underline the importance of a comprehensive diagnostic approach to psychiatric disorders in general practice.
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Metadata
- Authors
- De Waal, M. W. M., Arnold, I. A., Eekhof, J. A. H., & Van Hemert, A. M.
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2004-06
- Volume
- 184
- Issue
- 6
- Pages
- 470-476
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2130726089
- Cited by
- 533
- References
- 9
- FWCI
- 10.61
- Type
- journal article
- Language
- en
- Open access
- bronze
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