TITLE

Temporal relationships between physical symptoms and psychiatric disorder. Results from a national birth cohort

AUTHOR(S)
Hotopf, Matthew; Mayou, Richard; Wadsworth, Michael; Wessely, Simon; Hotopf, M; Mayou, R; Wadsworth, M; Wessely, S
PUB. DATE
September 1998
SOURCE
British Journal of Psychiatry;Sep98, Vol. 173, p255
SOURCE TYPE
Academic Journal
DOC. TYPE
journal article
ABSTRACT
Background: Physical symptoms and psychiatric disorder are associated. We aimed to investigate which comes first.Methods: Data from the Medical Research Council National Survey of Health and Development, a population-based birth cohort study were used at two time points: 36 and 43 years. Six physical symptoms were reported at both time points. The Present State Examination and Psychiatric Symptom Frequency interviews were administered at 36 and 43 years respectively. Odds ratios corrected for a variety of confounders were used to describe the associations between physical symptoms and psychiatric disorder across these two time points.Results: Psychiatric disorder increased the odds of reporting symptoms 3-7-fold. The relationship strengthened when the outcome was defined as suffering from multiple symptoms. Population attributable risk of psychiatric disorder and subsyndromal disorder in causing multiple somatic symptoms was 40.3%. Prospectively, psychiatric disorder at 36 years was a predictor for five of the six physical symptoms. Three physical symptoms at 36 years predicted new onset of psychiatric symptoms at 43 years.Conclusions: Psychiatric disorder is strongly related to physical symptoms. The direction of causality may operate in both directions. Assuming a causal relationship, psychiatric disorder (including sub-threshold disorders) could account for at most 40% of cases of multiple physical symptoms.
ACCESSION #
24882471

 

Related Articles

  • Limitations of the symptom-oriented approach to psychiatric research. Mojtabai, Ramin; Rieder, Ronald O. // British Journal of Psychiatry;Sep98, Vol. 173, p198 

    Background We critically reviewed the arguments of the symptom-oriented researchers who propose to replace syndromes and diagnostic categories with symptoms as units of analysis in psychiatric research. Method Three central arguments were examined: (a) current diagnostic categories lack...

  • The influence of type and severity of mental illness on receipt of screening mammography. Carney, Caroline P.; Jones, Laura E. // JGIM: Journal of General Internal Medicine;Oct2006, Vol. 21 Issue 10, p1097 

    Background: Women with mental illness may be at risk for failure to receive recommended preventive services such as mammography. Little is known about whether the type or severity of mental illness influences receipt of preventive services.Objective: To measure the...

  • Specific fears and phobias. Curtis, G. C.; Magee, W. J.; Eaton, W. W.; Wittchen, H.-U.; Kessler, R. C. // British Journal of Psychiatry;Sep98, Vol. 173, p212 

    Background Data on eight specific fears representing DSM—III—R simple phobia were analysed to evaluate: (a) their prevalence and (b) the validity of subtypes of specific phobia defined by DSM—IV Method A modified version of the Composite International Diagnostic Interview...

  • Long-term course of acute brief psychosis in a developing country setting. Susser, E.; Varma, V. K.; Mattoo, S. K.; Finnerty, M.; Mojtabai, R.; Tripathi, B. M.; Misra, A. K.; Wig, N. N. // British Journal of Psychiatry;Sep98, Vol. 173, p226 

    Background: This study in North India compared acute brief psychosis--defined by acute onset, brief duration and no early relapse--with other remitting psychoses, over a 12-year course and outcome.Method: In a cohort of incident psychoses, we identified 20 cases of...

  • Caregiver burden and coping. Chadda, Rakesh K.; Singh, Tej B.; Ganguly, Kalyan K. // Social Psychiatry & Psychiatric Epidemiology;Nov2007, Vol. 42 Issue 11, p923 

    Caregivers of patients of schizophrenia and bipolar affective disorder (BAD) experience considerable burden while caring their patients. They develop different coping strategies to deal with this burden. Longitudinal studies are required to assess the relationship between caregiver burden and...

  • Two psychological treatments for hypochondriasis. Clark, D. M.; Salkovskis, P. M.; Hackmann, A.; Wells, A.; Fennell, M.; Ludgate, J.; Ahmad, S.; Richards, H. C.; Gelder, M. // British Journal of Psychiatry;Sep98, Vol. 173, p218 

    Background Hypochondriasis is generally considered difficult to manage. This study aimed to assess the effectiveness of cognitive therapy and to compare it with an equally credible, alternative treatment. Method Forty-eight patients with hypochondriasis were initially randomly assigned to either...

  • SOMATIZATION DISORDER IN ADOLESCENTS -CASE PRESENTATION-. CAMPEAN, Marcela // Romanian Journal of Child & Adolescent Psychiatry;Jan-Jun2015, Vol. 3 Issue 1, p39 

    The common feature of somatoform disorders is the presence of physical symptoms that suggest a physical disorder that was either not found or does not match the level of functional impairment. Somatoform disorder studies are based on DSM criteria and apply mainly to adults, although some of...

  • 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,...

  • Somatoform disorders: severe psychiatric illnesses neglected by psychiatrists. Bass, Christopher; Peveler, Robert; House, Allan; Bass, C; Peveler, R; House, A // British Journal of Psychiatry;Jul2001, Vol. 179, p11 

    Background: Somatoform disorders have few peers in terms of personal morbidity and cost to the health service, yet many psychiatrists train without any experience of them.Aims: To review the prevalence, disability and economic burden of somatoform disorders, and to...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

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

Try another library?
Sign out of this library

Other Topics