DSM-IV classifies the signs and symptoms of depression into two

DSM-IV classifies the signs and symptoms of depression into two groups of vegetative and mental Selleckchem PD332991 conditions.2 Since pain is assessed as a frequent vegetative symptom, it was considered as a separate entity and eventually categorized into three groups including mental symptoms, pain, and physical symptoms other than pain. Through psychiatric interview, we assessed

the presenting complaints of these patients Inhibitors,research,lifescience,medical and considered such symptoms as guilt feeling, hypochondriac status, insomnia, and losses of appetite, weight, concentration, and interest, suicidal idea and attempt, hopelessness and crying. Also the patients were asked about their chief complaints which were categorized into mental symptoms with pain, and physical symptoms Inhibitors,research,lifescience,medical without pain, the duration of the illness, description of the emotional or somatic disorders by the patients, causes of illness expressed by the patients as family problems

including interpersonal or intergenerational difficulties, living problems such as occupational or financial difficulties, losses incurred, marital conflicts, and romantic breakups, and the clinician who first visited the patient namely general practitioner, psychiatrist or other specialist. These variables were compared by proper statistical Inhibitors,research,lifescience,medical analysis (Chi-square) according to sex, age, marital status, cultural background (rural or urban) and education level. Logistic regression analysis, backward method, was used to compare the association of different independent Inhibitors,research,lifescience,medical variables in patients with or without somatization as a symptom. Results Table 1 shows the demographic characteristics of the patients. Inhibitors,research,lifescience,medical The range of age was between 15 to 81 years (Mean 36.92). 61.8% (309) of them were between 30 to 59 years old. Of 500 patients studied, 380 (76.0%) were females, 356 (71.2%) married, 246 (46.2%) had elementary school education, and 306 (61.2%) belonged to the urban cultural background. Table 1 Demographic

characteristics of the patients Tables 2 and ​and33 demonstrate the descriptive features of patients’ chief complaints and symptoms of which headache (15.2%) was the most frequent complaint, followed by irritability (10.6%), pain in the other areas of the body (10.4%), depression (8.0%) and forgetfulness (7.2%). Among Linifanib (ABT-869) physical (organic) complaints, the gastrointestinal (7.0%) symptoms were more frequent than respiratory (3.4%) and cardiac symptoms (3.2%).In this context, pain and physical complaints were more common in persons with lower education (P<0.001), rural cultural background (P<0.001), women (P<0.001) and married patients (P=0.007). Individuals with higher education (P<0.001) and urban cultural background (P<0.001) were more likely to visit a psychiatrist.

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