Abstract
To study whether patients who consult because of feeling sick present more often with anxiety and depression disorders than the other patients using a rural emergency primary care service. Transversal descriptive study with paired control group. A questionnaire with clinical and social-demographic questions and the Goldberg Anxiety-Depression Scale (GADS) were administered, with uni- and bi-variate statistical analysis (P< .05). Intensive Care and Emergency Unit, Baena, Córdoba, Spain. Sample of 166 patients aged between 15 and 65; 83 in the study group (SG = feeling sick) and 83 in the control group (CG = not feeling sick). The SG was positive on the GADS in 80.7% of cases, against the CG with 54.2% (P< .0001). Anxiety sub-scale: 61.4% positive in SG and 42.2% in CG (P=.013). Depression sub-scale: 73.5% positive in SG and 47% in CG (P< .0001); 89.1% of women gave positive in the SG, against 64.3% of men (P=.007). Patients feeling sick who had consulted in the previous month (P=.039) and with a psychiatric history (P=.017) also showed a higher percentage of psychiatric disorders than those who did not feel sick. Patients feeling sick as their main symptom have higher prevalence of anxiety and depression than other patients at a rural PC emergency service. Being a woman, having a psychiatric history and having consulted in the previous month are related with these disorders.
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