Somatic symptoms and associations with common psychological diagnoses: a retrospective cohort study from Norwegian urban general practice
| Autor: | Mette Brekke, Torleif Ruud, Ole Rikard Haavet, Jūratė Šaltytė-Benth, Mina P. Dahli |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty General Practice Mixed anxiety-depressive disorder Norwegian Social issues 03 medical and health sciences 0302 clinical medicine medicine Humans 030212 general & internal medicine Medical diagnosis Depression (differential diagnoses) Retrospective Studies business.industry Retrospective cohort study medicine.disease Anxiety Disorders Mental health language.human_language 030227 psychiatry Medically Unexplained Symptoms language Anxiety Female medicine.symptom Family Practice business |
| Zdroj: | Family Practice. |
| ISSN: | 1460-2229 0263-2136 |
| Popis: | Background Patients with mental health problems often present with somatic symptoms when visiting their general practitioner (GP). Somatic presentations may challenge correct diagnosing of mental health disorders in general practice, where most of these disorders are treated. Objective Explore the associations between common psychological diagnoses and somatic symptom diagnoses in Norwegian urban general practice. Methods A retrospective cohort study including electronic medical data from 15 750 patients aged 16–65 years from 35 GPs in six GP offices in Oslo, Norway, during 12 months in 2014–2015. We explored prevalences and associations between anxiety-, depression-, and stress-related diagnoses, and somatic symptom diagnoses. Results Patients with anxiety-, depression- and stress-related diagnoses had a mean number of 2.9±3.6 somatic symptom diagnoses during the 12 months, compared to 1.9±2.5 for patients without any psychological diagnoses (P < 0.001). The mean number of somatic symptoms was significantly higher for the different psychological diagnoses viewed separately, for both sexes and different age groups. There was an increase in probability for anxiety, depression, or stress-related diagnoses with an increasing number of somatic symptom diagnoses during the 12 months. We found a significant increase in somatic symptom diagnoses from ICPC-2 chapters: General and unspecified, digestive, cardiovascular, musculoskeletal, neurological, urological, female genital disorders and social problems. Associated symptom patterns were different for each of the included psychological diagnoses. Conclusions This study shows that patients with anxiety, depression- and stress-related diagnoses present with increased and characteristic somatic symptoms compared to patients without these diagnoses in general practice. |
| Databáze: | OpenAIRE |
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