Please use this identifier to cite or link to this item: https://hdl.handle.net/1822/19902

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dc.contributor.authorMatalon, André-
dc.contributor.authorKotliroff, Andy-
dc.contributor.authorBlumberg, Gari-
dc.contributor.authorYaphe, John-
dc.contributor.authorKitai, Eliezer-
dc.date.accessioned2012-07-16T15:52:46Z-
dc.date.available2012-07-16T15:52:46Z-
dc.date.issued2011-
dc.identifier.issn1471-2296por
dc.identifier.urihttps://hdl.handle.net/1822/19902-
dc.description.abstractBackground: Somatic symptoms are a common reason for visits to the family physician. The aim of this study was to examine the relation between non-specific symptoms and changes in emotional well-being and the degree to which the physician considers the possibility of mental distress when faced with such patients. Methods: Patients who complained of two or more symptoms including headache, dizziness, fatigue or weakness, palpitations and sleep disorders over one year were identified from the medical records of a random sample of 45 primary care physicians. A control group matched for gender and age was selected from the same population. Emotional well-being was assessed using the MOS-SF 36 in both groups. Results: The study group and the control group each contained 110 patients. Completed MOS questionnaires were obtained from 92 patients, 48 patients with somatic symptoms and 44 controls. Sixty percent of the patients with somatic symptoms experienced decreased emotional well being compared to 25% in the control group (p =0.00005). Symptoms of dizziness, fatigue and sleep disturbances were significantly linked with mental health impairments. Primary care physicians identified only 6 of 29 patients (21%) whose responses revealed functional limitations due to emotional problems as suffering from an emotional disorder and only 6 of 23 patients (26%) with a lack of emotional well being were diagnosed with an emotional disorder. Conclusions: Non-specific somatic symptoms may be clues to changes in emotional well-being. Improved recognition and recording of mental distress among patients who complain of these symptoms may enable better follow up and treatment.por
dc.language.isoengpor
dc.publisherBioMed Central (BMC)por
dc.rightsopenAccesspor
dc.subjectSomaticpor
dc.subjectNon-specific symptomspor
dc.subjectDepressionpor
dc.subjectAnxietypor
dc.titleNon-specific symptoms as clues to changes in emotional well-beingpor
dc.typearticlepor
dc.peerreviewedyespor
dc.relation.publisherversionhttp://www.biomedcentral.com/por
sdum.publicationstatuspublishedpor
oaire.citationIssue77por
oaire.citationTitleBMC Family Practicepor
oaire.citationVolume12por
dc.identifier.doi10.1186/1471-2296-12-77-
dc.identifier.pmid21791042por
dc.subject.wosScience & Technologypor
sdum.journalBMC Family Practicepor
Appears in Collections:ICVS - Artigos em revistas internacionais / Papers in international journals

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