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A study of worry and functional somatic symptoms in generalized anxiety disorder
K G Vijay1, Ajit Avasthi2, Sandeep Grover2
1Department of Psychiatry, NIMHANS, India.
Objective:
To study the phenomenon of worry and functional somatic symptoms in Generalized Anxiety Disorder (GAD).
Method:
40 subjects with the diagnosis of GAD were assessed by using Penn State Worry Questionnaire (PSWQ) and Bradford Somatic Inventory (BSI). Severity of GAD was rated on Generalized Anxiety Disorder -7 (GAD-7) scale.
Results:
The mean total score on PSWQ was 59.62. All patients had somatic symptoms and the minimum number of somatic symptoms noted in a patient was 11 and maximum was 38. Seventy-five percent of the patients had more than 22 somatic symptoms as per BSI. Majority of the patients (90%) scored more than 10 on GAD-7 scale.
Conclusion:
Future nosological systems should not limit assessment of somatic symptoms to a list of 6 symptoms only in patients with GAD and should try to operationalise the definition of excessive worry by taking into consideration the common types of worries.
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