TY - JOUR
KW - Adult
KW - Anxiety/diagnosis/epidemiology
KW - Cross-Sectional Studies
KW - Depression/diagnosis/epidemiology
KW - Fatigue/diagnosis/epidemiology
KW - Female
KW - Health Status
KW - Humans
KW - Male
KW - Middle Aged
KW - Primary Health Care
KW - Questionnaires
KW - Sensitivity and Specificity
KW - Somatoform Disorders/diagnosis/epidemiology
AU - M. W. de Waal
AU - I. A. Arnold
AU - P. Spinhoven
AU - J. A. Eekhof
AU - A. M. van Hemert
A1 - 
AB - OBJECTIVE: Do patients report specific physical symptoms in the presence of mental distress, taking into account the presence of somatic disease? METHODS: Cross-sectional data were collected from 1458 participants in eight general practices in The Netherlands. Electronic patient records provided information on somatic disease. Questionnaires included the Hospital Anxiety and Depression Scale (HADS) to measure mental distress and the Physical Symptom Checklist (PSC). RESULTS: Patients reporting mental distress reported all types of physical symptoms more often than did patients without mental distress. Multivariate analyses in women, corrected for the presence of somatic disease, did not substantially change the univariate pattern. Odds ratios were particularly high (>6) for feeling tired or having low energy, fatigue without exertion and forgetfulness. CONCLUSION: It is the level of mental distress rather than gender or somatic disease that accounts for the reporting of any physical symptom. Fatigue might be an exception, but here, the classification as "physical" rather then "mental" is somewhat ambiguous.
BT - Journal of psychosomatic research
C5 - Medically Unexplained Symptoms
CP - 2
CY - England
DO - 10.1016/j.jpsychores.2005.02.011
IS - 2
JF - Journal of psychosomatic research
N2 - OBJECTIVE: Do patients report specific physical symptoms in the presence of mental distress, taking into account the presence of somatic disease? METHODS: Cross-sectional data were collected from 1458 participants in eight general practices in The Netherlands. Electronic patient records provided information on somatic disease. Questionnaires included the Hospital Anxiety and Depression Scale (HADS) to measure mental distress and the Physical Symptom Checklist (PSC). RESULTS: Patients reporting mental distress reported all types of physical symptoms more often than did patients without mental distress. Multivariate analyses in women, corrected for the presence of somatic disease, did not substantially change the univariate pattern. Odds ratios were particularly high (>6) for feeling tired or having low energy, fatigue without exertion and forgetfulness. CONCLUSION: It is the level of mental distress rather than gender or somatic disease that accounts for the reporting of any physical symptom. Fatigue might be an exception, but here, the classification as "physical" rather then "mental" is somewhat ambiguous.
PP - England
PY - 2005
SN - 0022-3999; 0022-3999
SP - 89
EP - 95
EP - 
T1 - The reporting of specific physical symptoms for mental distress in general practice
T2 - Journal of psychosomatic research
TI - The reporting of specific physical symptoms for mental distress in general practice
U1 - Medically Unexplained Symptoms
U2 - 16186004
U3 - 10.1016/j.jpsychores.2005.02.011
VL - 59
VO - 0022-3999; 0022-3999
Y1 - 2005
ER -