Departments of Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), 560029, Bengaluru, India.
Departments of Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), 560029, Bengaluru, India.
Asian J Psychiatr. 2019 Apr;42:24-27. doi: 10.1016/j.ajp.2019.03.015. Epub 2019 Mar 26.
Somatization Disorder (SD) is known to cause disability and impact the quality of life due to psychological and somatic distress. Though it is a Common Mental Disorder (CMD), the disorder tends to visit all levels of health care, among which prevalence of SD at tertiary care is 10.1%.
To estimate current prevalence and its correlates of socio-clinical factors in SD at a quaternary mental health centre (QMHC).
Total of 422 adult subjects were selected through systematic random sampling at first contact psychiatry outpatient clinic. Subjects were interviewed with Mini International Neuropsychiatric Interview Plus version 5.0.0, Clinical Global Impression Severity Scale and Sheehan Disability Scale.
Current prevalence of SD was 5%. Significant correlates are observed with median age of 40.5 years, female, married, <5 years of education, monthly income of <₹ 10,357(85.5%) and lower socioeconomic status (75%).
There is high prevalence of SD even at QMHC. The higher prevalence among adult population in this setup reflect the impairment of working population which invariably impact on national economy.
Poverty continues to be a major contributing factor to SD causing double impact on the economy by affecting the working population the most.
躯体化障碍（SD）由于心理和躯体痛苦而导致残疾和生活质量下降，是一种已知的常见精神障碍（CMD）。尽管如此，该疾病倾向于出现在各级医疗保健机构中，其中三级保健机构的 SD 患病率为 10.1%。
在一家四级精神卫生中心（QMHC）评估 SD 的当前患病率及其与社会临床因素的相关性。
通过在首次接触精神病门诊进行系统随机抽样，共选择了 422 名成年受试者。采用 Mini International Neuropsychiatric Interview Plus 版本 5.0.0、临床总体印象严重程度量表和 Sheehan 残疾量表对受试者进行访谈。
SD 的当前患病率为 5%。观察到与以下因素显著相关：中位数年龄为 40.5 岁、女性、已婚、受教育程度<5 年、月收入<₹10,357（85.5%）和较低的社会经济地位（75%）。
即使在 QMHC，SD 的患病率也很高。在该机构的成年人群中，患病率较高反映了工作人群的受损情况，这不可避免地对国民经济产生影响。
贫困仍然是 SD 的一个主要促成因素，对经济造成双重影响，对劳动人口的影响最大。
