Somatized mental disorder among primary care Arab patients: I. Prevalence and clinical and sociodemographic characteristics
Author: El Rufaie OE, Al Sabosy MA, Bener A, Abuzeid MS.
Source:
Journal of psychosomatic research, 46(6), 549-555.
The aims of this study were to estimate the prevalence of somatized mental
disorder (SMD) in comparison to psychologized mental disorder (PMD) among a
sample of primary health care (PHC) Arab patients, and to investigate the
clinical and sociodemographic characteristics of SMD. The first stage of study
was conducted by general practitioners (GPs), using the 12-item General Health
Questionnaire (GHQ-12). The second stage was carried out by a psychiatrist using
the Clinical Interview Schedule (CIS) and an inquiry schedule. Specific
operational criteria were used to identify SMD and PMD. The estimated prevalence
rate of SMD among the total screened sample was 12%. SMD patients constituted 48%
of the psychiatric patients identified, whereas, for the PMD group, this figure
was 42%. Educational level was significantly lower in the SMD group. Headache,
backache, and abdominal pain were the most commonly presented somatic symptoms.
The symptoms pursued a chronic and persistent course and most patients
experienced multiple symptoms. The most common ICD-10 psychiatric diagnoses among
both SMD and PMD patients were mixed anxiety and depressive disorder, generalized
anxiety disorder, and mood and adjustment disorders. Recurrent depressive
disorder and dysthymia were significantly more prevalent in the PMD group. The
severity of psychiatric illness identified was greater among psychologizers than
the somatizers of mental disorder.