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Somatic symptoms and depression.

W Katon1, J Russo

  • 1Department of Psychiatry and Behavioral Sciences, University of Washington Medical School, Seattle 98195.

The Journal of Family Practice
|July 1, 1989
PubMed
Summary
This summary is machine-generated.

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Many patients with psychiatric conditions present somatic symptoms. Major depression, not somatoform disorders, is linked to most somatization in medical clinics, impacting patient care.

Area of Science:

  • Psychiatry
  • Internal Medicine
  • Epidemiology

Background:

  • Patients with psychiatric conditions often report somatic complaints.
  • Few patients meet criteria for somatoform disorders despite these symptoms.

Purpose of the Study:

  • To investigate the association between major depression and somatization in medical patients.
  • To determine if major depression is a significant factor in somatization within medical settings.

Main Methods:

  • Utilized the Diagnostic Interview Schedule for interviews with 197 medical patients.
  • Assessed patients for Diagnostic and Statistical Manual of Mental Disorders-Third Edition (DSM-III) criteria for somatization disorder and an abridged notion of somatization.
  • Compared somatic symptom totals between patients with major depression and controls without psychiatric disorders.

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Main Results:

  • Only 7.1% of patients met DSM-III criteria for somatization disorder.
  • Nearly one-third met criteria for an abridged notion of somatization.
  • Patients with major depression exhibited significantly higher somatic symptom totals.
  • Nearly half of patients with a history of depressive episodes met abridged somatization criteria.

Conclusions:

  • Major depression is strongly associated with somatization in medical patients.
  • Somatization in medical clinics may be more closely linked to major depression than to formal somatoform disorders.
  • Findings suggest a need to consider depressive disorders when evaluating somatic complaints in primary care settings.