A R T I C L E I N F O
A B S T R A C T
Article history:
Received 4 July 2013
Received in revised form 15 October 2013
Accepted 28 October 2013
Objective: The present study was conducted to assess disability, and its demographic and clinical
correlates in patients suffering from somatization disorder.
Method: Sixty-six patients, diagnosed as somatization disorder according to ICD 10 Diagnostic Criteria
for Research (ICD 10-DCR), were assessed for disability using the Indian Disability Evaluation and
Assessment Scale (IDEAS). Patients were also assessed for associated anxiety, depression, neuroticism
and subjective distress using the Hamilton Rating Scale for Anxiety (HAM-A), Hamilton Rating Scale for
Depression (HAM-D), PGI Health Questionnaire N2 (PGIN2), and Visual Analog Scale, respectively.
Results: Mean age of the sample was 34.5 5.8 years. Females constituted about 60% of the sample. Mean
duration of illness was 9.14 4.13 years. More than 70% of the subjects suffered moderate to severe
disability. Age, number of symptoms, duration of illness, and scores on HAM-A and HAM-D showed a positive
correlation with disability.
Conclusion: Somatization disorder is associated with signicant disability which increases with the
number of somatic symptoms, duration of illness, associated depressive and anxiety symptoms.
2013 Elsevier B.V. All rights reserved.
Keywords:
Disability
Somatization disorder
Anxiety
Depression
Neuroticism
1. Introduction
* Corresponding author at: All India Institute of Medical Sciences, Ansari Nagar,
New Delhi 110029, India. Tel.: +91 1126593236/26593245;
fax: +91 11 26589787x8663.
E-mail addresses: drrakeshchadda@gmail.com, drparveenchadda@gmail.com
(R.K. Chadda).
1876-2018/$ see front matter 2013 Elsevier B.V. All rights reserved.
http://dx.doi.org/10.1016/j.ajp.2013.10.016
57
Table 1
Socio-demographic and clinical parameters in study population (n = 66).
Characteristics
Units
Values
Age in years
Mean SD
34.5 5.8
Gender
Male
Female
N (%)
N (%)
27 (40.9)
39 (59.1)
N
N
N
N
N
(%)
(%)
(%)
(%)
(%)
4 (6.1)
15 (22.7)
10 (15.2)
34 (51.5)
3 (4.5)
N
N
N
N
(%)
(%)
(%)
(%)
13
12
30
11
N (%)
N (%)
15(22.7)
51(77.3)
Family type
Nuclear
Joint/extended
N (%)
N (%)
48 (72.7)
18 (27.3)
Place of residence
Urban
Rural
N (%)
N (%)
57 (86.4)
9 (13. 6)
Socioeconomic status
Low
Middle
N (%)
N (%)
47 (71.2)
19 (28.8)
Referral
Self
Internal medicine
Neurology
Gastroenterology
Other specialists
Other medical services
N
N
N
N
N
4 (6.06)
23 (34.84)
8 (12.12)
11(16.67)
6 (9.09)
14 (21.21)
Duration of illness
No. of prior consultations
No. of symptoms
IDEAS score
HAM-D score
HAM-A score
PGIN2 score
VAS score
Mean SD
Median (range)
Median (range)
Mean SD
Mean SD
Mean SD
Mean SD
Mean SD
9.14 4.13
7(218)
8(616)
8.30 2.43
12.72 2.50
13.89 3.01
28 4.64
8.52 0.67
N (%)
N (%)
N (%)
18 (27.27)
47 (71.21)
1 (1.52)
(%)
(%)
(%)
(%)
(%)
(19.7)
(18.2)
(45.4)
(16.7)
HAM-D, Hamilton Depression Rating scale; HAM-A, Hamilton Rating Scale for
Anxiety; VAS, Visual Analog Scale.
58
Table 2
Correlation of determinants of illness with IDEAS score (r).
IDEAS
IDEAS
Age
Duration
Symptoms
Consultations
HAM-D
HAM-A
PGIN2
VAS
1.0000
0.4793**
0.4672**
0.3601**
0.5280**
0.3333**
0.2985*
0.1377
0.1345
Age
1.0000
0.7489**
0.2699*
0.6009**
0.4548**
0.2633*
0.0202
0.0068
Duration
1.0000
0.2857*
0.6656**
0.4939**
0.2950*
0.0681
0.0005
Symptoms
1.0000
0.3229**
0.2803*
0.3404**
0.1319
0.2277
Consultations
1.0000
0.3635**
0.2431*
0.1168
0.0937
HAM-D
1.0000
0.4705**
0.1924
0.0801
HAM-A
1.0000
0.1308
0.3418**
PGI-N1
1.0000
0.0512
VAS
1.0000
r, Pearsons correlation; IDEAS, IDEAS score; duration, total duration of illness in years; symptoms, total number of somatic symptoms at present; consultations, lifetime total
number of consultations received; HAM-D, Hamilton Depression Rating scale; HAM-A, Hamilton Rating Scale for Anxiety; VAS, Visual Analog Scale.
*
Signicant correlation p < 0.05.
**
Signicant correlation p < 0.01.
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