Somatization symptoms among patients using primary health care facilities in a rural community in Nigeria
| Autor: | Jude U. Ohaeri, Olabisi Adebayo Odejide |
|---|---|
| Rok vydání: | 1994 |
| Předmět: |
Adult
Male Rural Population medicine.medical_specialty Adolescent media_common.quotation_subject Population Developing country Nigeria Sensitivity and Specificity Sex Factors Surveys and Questionnaires Health care medicine Ethnicity Prevalence Humans education Psychiatry Somatoform Disorders Developing Countries media_common Aged Community Health Workers Psychiatric Status Rating Scales education.field_of_study Primary Health Care business.industry Community Health Centers Middle Aged medicine.disease Mental health Psychiatry and Mental health Distress Feeling Female General Health Questionnaire business Somatization Clinical psychology |
| Zdroj: | The American journal of psychiatry. 151(5) |
| ISSN: | 0002-953X |
| Popis: | The somatic presentation of psychic distress among Africans is different from that in the West and the prevalence of somatization symptoms suggests that they could be usefully incorporated in screening instruments. This report examines the prevalence of somatization symptoms among users of health care facilities in a rural community in southwestern Nigeria. It also examines the correlation between the presence of these symptoms and scores on instruments that assess psychiatric morbidity. Over a 5-month period in 1991 865 adults using 5 primary health care facilities or seeking help for voluntary village health assistants were assessed with the 28-item General Health Questionnaire and 2 World Health Organization instruments the Self-Reporting Questionnaire and the Brief Disability Questionnaire. The somatization symptoms investigated included feelings of heat peppery and crawling sensations and numbness. About 20% of the subjects admitted experiencing at least one somatization symptom while 8.2% fulfilled operational criteria for probable psychiatric "caseness" on the basis of somatization alone. The rate of caseness according to the General Health Questionnaire was 6.4%. The presence of any of the somatization symptoms was significantly correlated with scores on the other test instruments. There were no sex differences in the pattern of somatization. These symptoms are reliable indexes of psychic distress. In this culture the sensitivity of standard screening instruments fashioned in the West can be improved by using these symptoms to replace the somatization symptoms contained in those instruments. (authors) |
| Databáze: | OpenAIRE |
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