The level of recognition of physical symptoms in patients with a major depression episode in the outpatient psychiatric practice in Puerto Rico: An observational study

Tamayo, Jorge M.; Román, Karis; Fumero, Juan J.; Rivas, María
January 2005
BMC Psychiatry;2005, Vol. 5, p28
Academic Journal
Background: This study was designed to evaluate the psychiatrists' level of recognition of somatic symptoms associated to a major depressive episode (MDE) (DSM-IV-TR criteria) and the impact of those somatic symptoms on the treatment effectiveness. Methods: This non-interventional study was conducted in 25 medical offices in Puerto Rico from February to December 2003. It had 2 visits separated by 8 weeks. The level of recognition was determined by: the correlation between the physician clinical evaluation and their patients' self-evaluations through different validated instruments using kappa statistics. Chi-square test was used to evaluate the impact of somatic symptoms on treatment antidepressants' effectiveness. Results: All the 145 recruited patients reported the presence of at least one somatic symptom associated with their current MDE. In the two visits covered by the study, a fair agreement between the psychiatrists' and the patients' reports was noted for headache, abdominal pain and upper limb pains (0.4003 = ? = 0.6594). For other painful symptoms and painless somatic symptoms, the Kappa values obtained were non-significant. Slight but significant reductions in depression and painful symptoms severity were observed after 8 weeks of treatment. A proportional relationship between the pain and depression severity was observed (p < 0.0001). Conclusion: The study results show that somatic symptoms: are very common in depressed Puerto Rican patients; are significant under-reported by psychiatrists; and have a significant impact on the antidepressant effectiveness.


Related Articles

  • Somatization in the dental setting. Newton, J T // British Dental Journal;8/9/2003, Vol. 195 Issue 3, p145 

    This article presents a first attempt to derive an estimate of the likely incidence of somatization-specific behaviour in a dental setting and its relationship with both somatic symptoms and symptoms of depression. Somatization-specific behaviour was operationalized as reporting of inexplicable...

  • The role of comorbidity in the detection of psychiatric disorders with checklists for mental and physical symptoms in primary care. Waal, Margot; Arnold, Ingrid; Spinhoven, Philip; Eekhof, Just; Assendelft, Willem; Hemert, Albert // Social Psychiatry & Psychiatric Epidemiology;Jan2009, Vol. 44 Issue 1, p78 

    To examine the contribution of a mental and physical symptom count to the detection of single or comorbid anxiety, depressive and somatoform disorders. In primary care 1,046 consulting patients completed the Hospital Anxiety and Depression Scale (HADS) and the Physical Symptom Checklist...

  • SOMATOFORM DISORDERS. TATUM IV, WILLIAM O.; KAPLAN, PETER W.; JALLON, PIERRE // Epilepsy A to Z: A Concise Encyclopedia;2009, p312 

    An encyclopedia entry for "somatoform disorders" is presented. It is noted that patients with psychogenic nonepileptic seizures (PNES) usually suffer from somatoform disorders. It is asserted that these disorders are a reflection of an unconscious mental conflict or repressed painful thought...

  • Somatic symptoms and depression: diagnostic confusion and clinical neglect. Dowrick, Christopher; Katona, Cornelius; Peveler, Robert; Lloyd, Huw // British Journal of General Practice;Nov2005, Vol. 55 Issue 520, p829 

    This article reflects on the complexities about the distinctions between mind and body due to experiences of physical symptoms and depression. It offers information on areas of diagnostic and therapeutic concern that are the confusion between depressive and somatic symptoms. It presents the most...

  • Depressive symptoms and one year mortality among elderly patients discharged from a rehabilitation ward after orthopaedic surgery of the lower limbs. Guerini, Fabio; Morghen, Sara; Lucchi, Elena; Bellelli, Giuseppe; Trabucchi, Marco // Behavioural Neurology;2010, Vol. 23 Issue 3, p117 

    The objective of the present prospective observational study is to evaluate the effect of depressive symptoms on 1-year mortality in a population of elderly patients discharged from a rehabilitation unit after orthopaedic surgery of the lower limbs. A total of 222 elderly inpatients were...

  • A follow-up and family study of Briquet's syndrome. Guze, S. B.; Cloninger, C. R.; Martin, R. L.; Clayton, P. J. // British Journal of Psychiatry;Jul86, Vol. 149, p17 

    The study began with the systematic clinical evaluation of a cross-section of 500 of the clinic's patients. This was followed by a 'blind' follow-up of the index subjects and a 'blind' study of first-degree relatives. The present report deals with the diagnosis of Briquet's syndrome (hysteria,...

  • Parental Neglect, Negative Self-Esteem, Emotional Instability and Depressive Symptoms in Adolescents with Somatic Symptoms. Naz, Fauzia; Kausar, Rukhsana // Pakistan Journal of Social Sciences (PJSS);2015, Vol. 35 Issue 1, p25 

    Present study aimed to explore relationship between parental neglect, negative self-esteem, emotional instability and depressive symptoms in adolescents with somatic symptoms. Hypotheses were based on two models i.e., (a) parental neglect, negative self-esteem, emotional instability will likely...

  • The Hypochondriac's Handbook. Sullivan, Dana // Real Simple;Apr2007, Vol. 8 Issue 4, p6 

    The article includes information about a practical guide that contains facts regarding the symptoms of various diseases. It states that excessive concern about health leads to illness, resulting in a diagnosis of hypochondria. It is reported that this book incorporates details of some health...

  • Conscious and Preconscious Uses of Memory in Patients with Depressive and Somatoform Disorders. Dohrenbusch, Ralf; Scholz, O.; Ott, Ralf // Journal of Psychopathology & Behavioral Assessment;Jun2006, Vol. 28 Issue 2, p69 

    This study investigated whether conscious and preconscious memory features contribute to discrimination between depressive and somatoform disorders. Thirty-one participants fulfilling the diagnostic criteria for a somatoform disorder and 28 participants fulfilling the criteria for depression...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics