Impacting fators of somatoform disorder and combidity with depressive-anxiety disorders in general hospital patients

Abstract

Objective To Investigate the influencing fators of somatoform disorder and combidity with depressive-anxiety disorders in general hospital patients. Methods A multi-center, hospital-based cross-sectional study was conducted. A total of 2044 subjects were screened by using general questionnaire, self-made investing scale related somatoform disorder, Hospital Anxiety and Depression Scale (HADS) and General health condition survey. Hamilton anxiety scale(HAMA), Hamilton depression scale (HAMD), Mini International Neuropsychiatric Interview (MINI) was used to evaluate by psychiatrists for the subjects who scored ≥9 on HADS. Results 16.24% of all the patients with stamic have been diagnosed and confirmed with depression and anxiety. Possible causes for depression and anxiety include family depression history(P<0.001, OR=83.481), past incidence of the disease(P=0.012, OR=4.758), weak ability in handling it(P<0.001, OR=3.790), bad health condition(P<0.001, OR=5.283), aggravation of disease(P<0.001, OR=2.840), bad martial condition(P=0.009, OR=1.805), multiple intercurrent diseases(P=0.001, OR=2.051), and dissatisfaction of the salary(P<0.001, OR=2.362) and tiredness of workin(P=0.0054, OR=3.136)g. Conclusions The risk factor of somatic patients with the depression and anxiety include family depression history, past incidence of the disease, weak ability in handling it, bad health condition, aggravation of disease, bad martial condition, multiple intercurrent diseases, and dissatisfaction of the salary and tiredness of working. Key words: Depression; Anxiety; General hospital; Comorbidity