Korean J Psychosom Med.
2016 Dec;24(2):174-183. 10.0000/kjpm.2016.24.2.174.
Difference of Somatic Symptoms between Anxiety Disorder and Major Depressive Disorder and Their Domainal Association with Suicidal Idealization, Plan and Attempts
- Affiliations
-
- 1Department of Psychiatry, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea. dwlee@paik.ac.kr
- 2Department of Psychiatry and Behavioral Science, Seoul National University College of Medicine, Seoul, Korea.
- 3Department of Neuropsychiatry, Seoul National University Hospital, Seoul, Korea.
- 4Department of Psychiatry, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea.
- 5Department of Neuropsychiatry, Dongguk University Ilsan Hospital, Goyang, Korea.
- 6Institute of Clinical Psychopharmacology, Dongguk University Ilsan Hospital, Goyang, Korea.
- 7Department of Psychiatry, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
- 8Department of Psychiatry, Samsung Medical Center, Sungkyunkwan University, School of Medicine, Seoul, Korea.
- 9Samsung Advanced Institute for Health Sciences & Technology, Seoul, Korea.
- 10Department of Psychiatry, Seoul National University Bundang Hospital, Seongnam, Korea.
- KMID: 2369152
- DOI: http://doi.org/10.0000/kjpm.2016.24.2.174
Abstract
OBJECTIVES
The aim of this study is to evaluate difference of somatic symptoms of anxiety disorder and major depressive disorder and domainal association with suicidal idealization, plan, and attempts.
METHODS
A total of 359 adults diagnosed with major depressive disorder and anxiety disorder of last one year participated. Participants interviewed with certain sections of Korean version of Composite International Diagnostic interview of CIDI. Sections of interests includes questionnaires regarding somatic symptoms and suicidal idea, plan and attempts of last one year.
RESULTS
Chest pain shows more prevalence in major depressive disorder. Symptoms of Headache and loose stool are more prevalent in anxiety disorder. Difficulty in equilibrium and fainting spells are more common somatic complaints of co-diagnosis states of anxiety disorder and major depressive disorder. Comparing 3 domains of pain symptoms, gastrointestinal symptoms and pseudo-neurological symptoms, pain symptom domains, gastrointestinal symptoms domain shows significant statistic difference between diagnosis. Average somatic symptom numbers of each symptom domains increase through suicidal idealization, plan and attempt, accordingly.
CONCLUSIONS
Our finding shows some of somatic symptoms are more prevalent at certain diagnosis. Since increasing numbers of somatic complaints of each symptom domains goes with the suicidal idealization to suicidal attempts, proper psychiatric evaluation and consultations are crucial for patients with numerous somatic complaints in non-psychiatric clinical settings.
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Comparison of Depressive Symptoms between Social Anxiety Disorder and Panic Disorder
- Depressive Symptoms in Anxiety Disorder and Major Depressive Disorder
- Electroencephalographic Alpha Asymmetry in Major Depressive Disorder Patients With Anxiety Symptoms
- Diagnostic Utility of Minnesota Multiphasic Personality Inventory-2-Restructured Form Scales: Distinguishing Social Anxiety Disorder, Panic Disorder, and Major Depressive Disorder
- Comparison of Emotional and Psychological Characteristics between Suicide Attempters and Non-Attempters in Depressed Patients : Using MMPI-2 Profiles
