Table 1: Prevalence of psychiatric disorders in secondary care population Psychiatric disorders n (%) Depressive disorders 28(14) Moderate depressive disorder 7 (3.5) Mild depressive disorder 13 (6.5) Dysthymia 3 (1.5) Mixed anxiety depressive disorder 5 (2.5) Anxiety disorders 16 (8) Generalized anxiety disorder 9 (4.5) Panic disorder 6 (3) PTSD 1 (0.5) Somatoform disorders 4 (2) Somatization disorder
2 (1) Som autonomic dysfunction 2 (1) Substance use disorders 4 (2) Alcohol dependence 4 (2) PTSD: Post-traumatic stress disorder Figure 1: Incidence of psychiatric symptoms in secondary care population Index GHQ TOTAL <5 124, 62% 5 to 8 19, 9.5 9 to 11 19, 9.5% 12 to 15 19, 9.5% >15 19, 9.5% Note: Table made from pie chart.
The most common diagnostic categories of 39 patients who first visited the ED and then were followed up by the child and adolescent psychiatrist included conversion disorder with 17.9% (n=7), major depressive disorder with 15.3% (n=6), panic disorder with 15.3% (n=6), behavioral disorder with 12.8% (n=5), generalized anxiety disorder with 12.8% (n=5), and somatization disorder
with 10.2% (n=4), respectively.
When previous studies are considered, the most common psychiatric disorders that coexist with FMS are depression, somatization disorder
, bipolar disorder, anxiety and obsessive compulsive disorder (2-3).
The DSM-III gave up using the term "hysteria", being too imprecise and having various definitions, and the features of this pathology made up different diagnoses: dissociative disorders, somatoform disorders (conversion disorder and somatization disorder
), posttraumatic stress disorder in the anxiety disorders section, histrionic personality disorder and borderline personality disorder (1).
Krishna V, Sood M, Chadda RK, Caregiver burden and disability in somatization disorder
. J Psychosom Res 2013; 75: 376-80.
found that somatization disorder
patients reported significantly more family conflict and less family cohesion than comparison subjects.
Effectiveness of psychiatric intervention with somatization disorder
patients: Improved outcomes at reduced costs.
Brain dysfunction in fibromyalgia and somatization disorder
using proton magnetic resonance spectroscopy: a controlled study.
Anxiety and stress related disorders included generalized anxiety disorder, panic disorder, somatization disorder
, adjustment disorder and mixed anxiety depression which comprised 36% of the morbidity.
Naz and Kausar (2012) illustrated that adolescents with somatization disorder
had a perception of their parents being rejecting, hostile, neglecting and aggressive as compare to control group.
: One of the most prevalent psychiatric disorders, medically unexplained physical disorder of the template and the template is not specified.
Among which 164 participants (62%) were diagnosed with depression, 67 patients (25.2%) of chronic pain were diagnosed with anxiety disorders, 28 patients (11%) with adjustment disorder and 1.5% and 1.1% diagnosed with drug dependence and somatization disorder