Chronic widespread pain in the community: the influence of psychological symptoms and mental disorder on healthcare seeking behavior.

摘要: Objective. To determine whether psychological symptoms and mental disorder are an intrinsic part of the chronic widespread pain syndrome or they have been observed in clinic attenders primarily because their influence on decision to seek a medical consultation. Methods. A population survey 1953 subjects was conducted Greater Manchester area United Kingdom. The included postal questionnaire, subgroup respondents with high levels distress, presence assessed by semistructured standardized interview. Subjects were classified according had sought consultation for reported (consulters) not (nonconsulters). Results. In all, 252 (13%) satisfied American College Rheumatology criteria pain, these 72% having consulted general practitioner about this pain. There clear difference measured General Health Questionnaire (GHQ), between consulters, nonconsulters, those no Consulters did differ from nonconsulters terms fatigue, social dysfunction, number somatic reported. Although consulters (among whom one 4 disorder) more likely than without [OR = 4.9. 95% CI (2.6, 9.5)] increase risk comparing 2.1, Cl (0.7, 5.9)] 1.4, 2.6)] significant. Conclusion. results suggest that distress is associated addition any effect symptoms. finding one-quarter primary care should alert physicians rheumatologists screen group.