Although somatic complains are the predominant reasons for seeking general medical care, there has been limited research on the clinical presentation of somatic symptoms in primary care settings in developing countries. The frequency of somatic symptoms in primary care in Qatar and its relationship to comorbidities of mental disorders is presented here. A total of 2,320 Arab patients were approached, of whom 76% agreed to participate for the survey conducted among primary healthcare (PHC) centre patients. The study was conducted with the help of general practitioners (GPs), using the General Health Questionnaire (GHQ-12), Patient Health Questionnaire (PHQ)-8 for depression, the Generalized Anxiety Disorder Scale (GAD)-7 for anxiety, PHQ-15 for somatic symptoms and the Psychological Stress Measure (PSM)-9 for stress. Of the subjects with somatic symptoms (229 cases), most were Qataris (57.2%). Poor hearing (52.1%), palpitation (47.1%) and stomach pain (43.8%) were the most common in men, whereas constipation (54.6%), feeling depressed (50.9%), and poor hearing (50.6%) were the most common in women; 48.5% had more than four somatic symptoms. Somatic symptoms were severe in 31.9%. Somatic symptoms were associated with depression (15.3%), anxiety (8.7%) and stress disorders (19.2%). The study findings revealed that somatic symptoms were significantly associated with socio-economic status. Somatic symptoms were significantly associated with depression, anxiety and stress disorders.

译文

尽管躯体疾病是寻求一般医疗保健的主要原因,但在发展中国家的初级保健机构中,关于躯体症状的临床表现的研究有限。本文介绍了卡塔尔初级保健中躯体症状的发生频率及其与精神障碍合并症的关系。共接触了2,320名阿拉伯患者,其中76% 名同意参加在初级保健 (PHC) 中心患者中进行的调查。该研究是在全科医生 (GPs) 的帮助下进行的,使用一般健康问卷 (GHQ-12),患者健康问卷 (PHQ)-8用于抑郁症,广泛焦虑症量表 (GAD)-7用于焦虑,躯体症状的PHQ-15和压力的心理压力测量 (PSM)-9。在具有躯体症状的受试者中 (229例),大多数是卡塔尔人 (57.2% 例)。男性最常见的是听力差 (52.1%),心悸 (47.1%) 和胃痛 (43.8%),而女性最常见的是便秘 (54.6%),情绪低落 (50.9%) 和听力差 (50.6%); 48.5% 有四种以上的躯体症状。31.9% 的躯体症状严重。躯体症状与抑郁 (15.3%) 、焦虑 (8.7%) 和应激障碍 (19.2%) 相关。研究结果表明,躯体症状与社会经济地位显着相关。躯体症状与抑郁,焦虑和压力障碍显着相关。

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