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Prevalence of somatoform disorders in a psychiatric population: an Italian nationwide survey
Authors:A. C. Altamura  M. G. Carta  G. Tacchini  A. Musazzi  M. R. Pioli
Affiliation:(1) Institute of Psychiatry, University of Milan, Ospedale “L. Sacco”, Via G. B. Grassi 74, I-20157 Milan, Italy, IT;(2) Institute of Psychiatry, University of Cagliari, Via Liguria 13, I-90127 Cagliari, Italy, IT;(3) Department of Psychiatry, Policlinico, Via F. Sforza 35, I-20122 Milan, Italy, IT;(4) IRCCS, Centro S. Giovanni di Dio-Fatebenefratelli, Via Pilastroni 4, I-25125 Brescia, Italy, IT
Abstract:
The survey involved 50 centres comprising both hospital and community psychiatric care services throughout Italy. Overall, 2620 patients were recruited, and of those 2002 (76%) completed the Somatoform Disorders Schedule (SDS), a CIDI-derived interview. The NOS somatoform disorders (SDs) diagnosis appeared to be the most common (60%) (and they showed the highest number of co-morbid diagnoses), followed by pain disorders (8%). The prevalence of undifferentiated somatoform and hypochondriactal disorders was 1.6%: older age groups showed a tendency towards higher rates of the latter. In general, the study found that a significant percentage of patients with SDs are referred to psychiatric services, but mainly because of other psychopathological problems: in fact, somatic complaints are cross-sectionally present in different psychiatric nosological categories. This study also emphasizes some limitations of the current classification of SDs. Received: 9 August 1996 / Accepted: 14 July 1998
Keywords:Somatoform disorders  Epidemiology  Co-morbidity  Somatoform Disorders Schedule
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