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

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


Resumo

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


Creative Commons License

Este trabalho está licenciado sob uma licença 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

##plugins.themes.gdThemes.article.Authors##

  • 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