Somatisation Disorder and Its Associated Factors in Multiethnic Primary Care Clinic Attenders.
Background: Somatisation disorder (SD) has been reported as common in all ethnic groups, but the estimates of its prevalence have varied and the evidence for its associated factors has been inconsistent. Purpose: This study seeks to determine the prevalence of SD and its associated factors in multie...
| Publicado en: | International Journal of Behavioral Medicine Vol. 19; no. 2; pp. 165 - 174 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Jun2012
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104448533&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104448533 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10705503 7M2 jtl: International Journal of Behavioral Medicine issn: 10705503 maglogo: N pubinfo: dt: Jun2012 vid: 19 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 104448533 75448345 10.1007/s12529-011-9164-7 NLM21562781 104448533 ppf: 165 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Somatisation Disorder and Its Associated Factors in Multiethnic Primary Care Clinic Attenders. aug: au: Khoo, E. Mathers, N. McCarthy, S. Low, W. affil: Department of Primary Care Medicine, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur Malaysia sug: subj: Somatoform Disorders Ethnology Primary Health Care Community Health Services Human Descriptive Statistics Prevalence Cross Sectional Studies Purposive Sample Scales International Classification of Diseases Fisher's Exact Test Male Female Male Female ab: Background: Somatisation disorder (SD) has been reported as common in all ethnic groups, but the estimates of its prevalence have varied and the evidence for its associated factors has been inconsistent. Purpose: This study seeks to determine the prevalence of SD and its associated factors in multiethnic primary care clinic attenders. Methods: This cross-sectional study was on clinic attenders aged 18 years and above at three urban primary care clinics in Malaysia. The operational definition of SD was based on ICD-10 criteria for SD for research, frequent attendance, and excluded moderate to severe anxiety and depression. The instruments used were the ICD-10 symptom list, the Hospital Anxiety and Depression Scale, a semi-structured questionnaire, and SF-36. Results: We recruited 1,763 patients (response rate 63.8%). The mean age of respondents was 44.7 ± 15.8 years, 807 (45.8%) were male; there were 35.3% Malay, 30.1% Chinese and 34.6% Indian. SD prevalence was 3.7%; the prevalence in Malay was 5.8%, Indian 3.0% and Chinese 2.1%. Significant associations were found between SD prevalence and ethnicity, family history of alcoholism, blue-collar workers and the physical component summary (PCS) score of SF-36. Multivariate analysis showed that SD predictors were Malay ethnicity (OR 2.7, 95% CI 1.6, 4.6), blue-collar worker (OR 2.0, 95% CI 1.2, 3.5) and impaired PCS score of SF-36 (OR 0.92, 95% CI 0.90, 0.95). Conclusion: The prevalence of SD was relatively uncommon with the stringent operational criteria used. SD preponderance in blue-collar workers may be attributable to secondary gain from getting sickness certificates and being paid for time off work. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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