شیوع اختلالات شبه جسمی در میان بیماران بستری پزشکی داخلی

To find the prevalence of somatoform disorders (SDs) among internal medical inpatients and to study the comorbidity with other psychiatric disorders. Methods Of 392 eligible consecutive medical inpatients, 294 (75%) accepted to participate and, using a two-phase design, were assessed for ICD and DSM-IV somatoform diagnoses and for ICD-10 psychiatric diagnoses.

atients presenting functional somatic symptoms (i.e., medically unexplained symptoms) are common in all types of medical settings [1], [2], [3] and [4]. In general medicine, these patients are diagnosed using a broad spectrum of labels depending on the specialty or beliefs of the treating physician [5]. In research, the term somatisation has been widely used on these patients, but somatisation has been defined in various ways. Only a few studies have used the DSM-IV and ICD-10 (or earlier) criteria for somatoform disorders (SDs), and these studies have investigated a few diagnostic categories only, mostly the somatisation disorder and the hypochondriasis diagnosis. One of the reasons for this is that the commonly used standardized diagnostic interviews, e.g., the CIDI [6], explore only a few of the somatoform diagnoses. To our knowledge, no studies exist on the prevalence of SDs among internal medical inpatients according to ICD-10 or DSM-IV criteria. The aims of this study were to find the prevalence of somatoform and related disorders among consecutively admitted internal medical inpatients and their comorbidity with other psychiatric disorders. In a series of articles other aspects of this patient sample have been described and linked to mental and SDs, such as use of health services [7] and [8], complexity of inpatient care [9], and health perception [8] and [10].