SciELO - Scientific Electronic Library Online

 
vol.128 issue7Association between lower esophageal sphincter resting pressure and esophageal motor disordersPrevalence of antibodies to hantavirus in health care workers exposed to patients with hantavirus pulmonary syndrome in Temuco, Chile. author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

Share


Revista médica de Chile

Print version ISSN 0034-9887

Abstract

FULLERTON U, Claudio; FLORENZANO U, Ramón  and  ACUNA R, Julia. Association of chronic diseases and psychiatric disorders among patients attenting public primary care clinics. Rev. méd. Chile [online]. 2000, vol.128, n.7, pp.729-734. ISSN 0034-9887.  http://dx.doi.org/10.4067/S0034-98872000000700004.

Background: As a part of the World Health Organization multicentric study of emotional disorders in general medical care, we studied patients who had a chronic medical ailment and a psychiatric disorder, according to ICD-10. Aim: To report the prevalence of patients with coexisting medical and psychiatric disorders. Patients and methods: All patients, aged 15 to 65 years old, consulting in primary care outpatient clinics, were interviewed using a general health questionnaire. In a second phase, patients with chronic medical disorders were subjected to the World Health Organization Composite International Diagnostic Instrument. Results: Sixty nine percent of interviewed Chilean patients had a medical condition, compared to 60,3% of the global study group. Of these, 66% had a coexisting psychiatric diagnosis, compared to 31% of the global study group. The most frequent diagnoses in the Chilean sample were somatization disorders in 25%, harmful alcohol use in 14%, depression in 35% and hypocondriasis in 6%. There was a higher prevalence and odds ratio for psychiatric diagnoses among Chilean women. Conclusions: Patients with chronic medical disorders should be considered a high risk group for the coexistence of psychiatric disturbances. (Rev Méd Chile 2000; 128: 729-34).

Keywords : Chronic disease; Psychiatric status rating scales; psycological tests.

        · text in Spanish

 

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License