Document Detail

Somatisation disorder in nephrologic patients.
MedLine Citation:
PMID:  18543750     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Nephrologic patients have somatisation disorder that can be primary disorder when fear is dominant or secondary disorder in the frame of other organic and mental disorders. AIM: To evaluate, somatisaton disorder is more offten accompanied with microalbuminuria (MA) in patients with suspected endemic nephropathy than in patients with some other nephrologic disorder, in Bosnia and Herzegovina (B&H) during period from January the 1st of 2000 to December the 31st of 2006. METHOD: Somatisation disorders were proved in patients with microalbuminuria (MA) in nephropathic group (n = 200), and they were compared to the patients with MA in other nephrologic disorders (n = 200). The study took place from January, the 1st of 2000 to December, the 31st of 2006, and it was a multicentric, longitudinal, comparative study in B&H. Patients were questioned using: B&H Renal register questionnaire adapted for this study and psychological tests: Eysenck's Personality Questionnaire (EPQ), Beck Anxiety Inventory (BAI), and Hamilton Depression Rating Scale (HDRS). Statistical analysis was done using descriptive methods and multivariate logistic model. RESULTS: In nephropathic group (t = 23.103, P = 0.001) somatisation disorder F45.0 was found in 10.50%, while it was found in 7.00% patients in control group. On multivariate model, somatisation disorder in nephropathic group F45.0 was -4.00%, r = 0.950, OR = 0.875 (95%), CI = 0.710-0.820; undifferentiated disorder -4.00%, hypochondria -3.50%, disfunction of VNS -1.50%, pain disorder -1.00% and 0.50% of other disorders life in house, village and renal heredity. Somatisation disorder in control group was 2.50%, r = 0.815, OR = 0.985 (95%), CI = 0.710-0.920, P = 0.001, undifferentiated disorder -2.50%, disfunction of VNS -2.00%, pain -1.50%, and -1.00% hypochondria with migration, living in flat and town. CONCLUSION: Majority of the patients tested on microalbuminuria had somatisation of fear, and nephropathic somatisation disorder F45.0 was found in 10.50% comparing to 7.00% of controls, comfirming somatisation of anxiety in nephrologic patients. Somatisation was proved using sociodemographic and variables of anxiety, depressivness and cognitive disturbance.
Milan Novakovic; Ifeta Licanin; Emina Musić; Radmila Novaković; Dragan Jovanović; Emir Frasto
Publication Detail:
Type:  Journal Article; Multicenter Study    
Journal Detail:
Title:  Medicinski arhiv     Volume:  62     ISSN:  0350-199X     ISO Abbreviation:  Med Arh     Publication Date:  2008  
Date Detail:
Created Date:  2008-06-11     Completed Date:  2008-07-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400722     Medline TA:  Med Arh     Country:  Bosnia and Hercegovina    
Other Details:
Languages:  eng     Pagination:  25-9     Citation Subset:  IM    
Department of Psychiatry, Faculty of Medicine, Foca; Bosnia and Herzegovina.
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MeSH Terms
Albuminuria / psychology
Kidney Diseases / psychology*
Somatoform Disorders / complications*

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