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Somatic disease and psychological disorder

¹Netherlands Institute of Primary Health Care, Utrecht, The Netherlands. p.verhaak@nivel.nl

Journal of Psychosomatic Research

|March 1, 1997

Summary

Physical and psychological disorders are linked, especially in neurological conditions and gastric ulcers. These patients more often receive psychological diagnoses from their general practitioners (GPs).

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Area of Science:

General Medicine
Psychiatry
Epidemiology

Background:

The link between physical and psychological conditions is well-established.
Existing research often focuses on specific diseases and mental distress measures.
A comprehensive investigation into various somatic diseases and psychological distress indicators is needed.

Purpose of the Study:

To investigate the relationship between a range of somatic diseases and psychological distress.
To compare distress experiences, help-seeking behaviors, and general practitioner (GP) diagnoses in patients with somatic diseases against the general population.

Main Methods:

A study population was analyzed to identify patients with various somatic diseases.
Data collected included patient-reported mental distress, GP consultation requests for psychological symptoms, and GP diagnoses.
Comparisons were made between patients with somatic diseases and the overall study population.

Main Results:

A significant association was found between psychological distress and common physical disorders.
Patients with neurological diseases (Parkinson's, epilepsy, multiple sclerosis) and gastric ulcers exhibited higher psychological distress and more frequent psychological diagnoses by GPs.
Patients with serious somatic diseases like diabetes, cancer, and arthritis did not show distinct patterns of psychological distress.

Conclusions:

Specific somatic diseases, particularly neurological conditions and gastric ulcers, are strongly associated with psychological distress and diagnoses.
General practitioners may be more likely to diagnose psychological disorders in patients with certain somatic conditions.
The findings highlight the complex interplay between physical health, mental well-being, and healthcare utilization.

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