Dehoust Maria Christina, Schulz Holger, Härter Martin, Volkert Jana, Sehner Susanne, Drabik Anna, Wegscheider Karl, Canuto Alessandra, Weber Kerstin, Crawford Mike, Quirk Alan, Grassi Luigi, DaRonch Chiara, Munoz Manuel, Ausin Berta, Santos-Olmo Anna, Shalev Arieh, Rotenstein Ora, Hershkowitz Yael, Strehle Jens, Wittchen Hans-Ulrich, Andreas Sylke
Department of Medical Psychology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Department of Medical Biometry and Epidemiology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Int J Methods Psychiatr Res. 2017 Mar;26(1). doi: 10.1002/mpr.1550. Epub 2017 Feb 1.
Somatoform disorders have rarely been addressed in epidemiological and health care services studies of the elderly. The few existing studies vary considerably in their methodologies limiting comparability of findings. Data come from the MentDis_ICF65+ study, in which a total of 3142 community-dwelling respondents aged 65-84 years from six different countries were assessed by the Composite International Diagnostic Interview adapted to the needs of the elderly (CIDI65+). The 12-month prevalence rate for any somatoform disorders was found to be 3.8, whereby the prevalence for somatization disorder according to DSM-IV was 0%, the prevalence for abridged somatization was 1.7% and the rate for 12-months somatoform pain disorder was 2.6%. We found a significant variation by study centre (p < 0.005). There was a significant gender difference for pain disorder, but not for abridged somatization. Significant age-related effects revealed for both disorder groups. Somatoform disorders were found to be associated with other mental disorders [odds ratio (OR) anxiety =4.8, OR affective disorders 3.6], as well as with several impairments and disabilities. Somatoform disorders are prevalent, highly impairing conditions in older adults, which are often associated with other mental disorders and should receive more research and clinical attention.
躯体形式障碍在老年人群的流行病学和医疗服务研究中很少被涉及。现有的少数研究在方法上差异很大，限制了研究结果的可比性。数据来自MentDis_ICF65 +研究，该研究通过根据老年人需求改编的综合国际诊断访谈（CIDI65 +）对来自六个不同国家的3142名年龄在65 - 84岁的社区居住受访者进行了评估。发现任何躯体形式障碍的12个月患病率为3.8%，其中根据《精神疾病诊断与统计手册》第四版（DSM-IV）的躯体化障碍患病率为0%，简略躯体化患病率为1.7%，12个月的躯体形式疼痛障碍患病率为2.6%。我们发现各研究中心存在显著差异（p < 0.005）。疼痛障碍存在显著的性别差异，但简略躯体化不存在。两个障碍组均显示出与年龄相关的显著影响。发现躯体形式障碍与其他精神障碍相关[优势比（OR）：焦虑症 = 4.8，情感障碍 = 3.6]，以及与多种损伤和残疾相关。躯体形式障碍在老年人中普遍存在且损害严重，常与其他精神障碍相关，应得到更多的研究和临床关注。
