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Symptoms without Medical Explanation associated with depression and anxiety in the general population

  • 30-44
  • 09/02/2023
  • 09/02/2023
de Melo Filho JT;
Coêlhoa BM;
Siua ER;
Santanaa GL;
Wanga Y;
Vianab MC;
Benseñorc IJM;
Bivanco-Limad D;
Andradea LH

Jamil Torquato de Melo Filho

Bruno Mendonça Coêlhoa

Erica Rosanna Siua

Geilson Lima Santanaa

Yuan-Pang Wanga

Maria Carmen Vianab

Isabela Judith Martins Benseñorc

Danielle Bivanco-Limad

Laura Helena Andradea

Keywords

Common mental disorders
Medically unexplained symptoms
Epidemiology
Somatization
Cross-sectional studies
Irritable bowel syndrome
Dyspepsia
Chronic fatigue
Dizziness
Depression
Anxiety

Abstract

Unexplained Symptoms (MUS) and depressive and anxious conditions, named Common Mental Disorders (CMD) has been studied, but there are few studies in Brazil. Aims: To estimate prevalence of four MUS (irritable bowel, dyspepsia, chronic fatigue, and dizziness), its relationship with sociodemographic characteristics and co-occurrence with CMD. Method: The sample consists of 764 individuals, a subsample clinically evaluated by physicians, from the population survey 'São Paulo Megacity Mental Health Survey'. Psychiatric diagnoses were obtained through the SCID interview, according to DSM-IV. Information on the presence of MUS were obtained from validated scales in our country. Multivariable logistic regression model was used to study association of MUS and CMD. Results: Half of the sample presented at least one MUS, being more frequent in women, those aged between 35-49 years, 'low average' income and among married people. Chronic fatigue was the most frequent symptom (30.4% in the total sample; 22.9% women; 7.5% men), followed by dyspepsia (26.8%; 19.3% in women and 7.5% in men), vertigo (19.6%; 15% in women and 4.5% in men), and irritable bowel (6%; 4.5% in women and 1.3% in men). There was an association between SEM and depression (RC 3.4; 95% CI, 2.4-4.8) and anxiety (RC 2.2; 95% CI, 1.5-3.0). The likelihood of these common mental disorders increased with increasing numbers of Mus. Conclusion: We confirm the association between MUS and CMD in this sample of the largest Brazilian city, indicating the need of a comprehensive approach in treatment.

 

DOI: https://doi.org/10.56238/colleinternhealthscienv1-004

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Copyright (c) 2023 Jamil Torquato de Melo Filho, Bruno Mendonça Coêlhoa, Erica Rosanna Siua , Geilson Lima Santanaa, Yuan-Pang Wanga, Maria Carmen Vianab, Isabela Judith Martins Benseñorc, Danielle Bivanco-Limad , Laura Helena Andradea
Chapter 4

Author(s)

  • Jamil Torquato de Melo Filho
  • Bruno Mendonça Coêlhoa
  • Erica Rosanna Siua
  • Geilson Lima Santanaa
  • Yuan-Pang Wanga
  • Maria Carmen Vianab
  • Isabela Judith Martins Benseñorc
  • Danielle Bivanco-Limad
  • Laura Helena Andradea