Feeling bad in more ways than one: comorbidity patterns of medically unexplained and psychiatric conditions.

Feeling bad in more ways than one: comorbidity patterns of medically unexplained and psychiatric conditions. Research Abstract Details 

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Feeling bad in more ways than one: comorbidity patterns of medically unexplained and psychiatric conditions. Abstract Text:

Ellen A Schur,Niloofar Afari,Helena Furberg,Megan Olarte,Jack Goldberg,Patrick F Sullivan,Dedra Buchwald,

BACKGROUND: Considerable overlap in symptoms and disease comorbidity has been noted among medically unexplained and psychiatric conditions seen in the primary care setting, such as chronic fatigue syndrome, low back pain, irritable bowel syndrome, chronic tension headache, fibromyalgia, temporomandibular joint disorder, major depression, panic attacks, and posttraumatic stress disorder. OBJECTIVE: To examine interrelationships among these 9 conditions. DESIGN: Using data from a cross-sectional survey, we described associations and used latent class analysis to investigate complex interrelationships. PARTICIPANTS: 3,982 twins from the University of Washington Twin Registry. MEASUREMENTS: Twins self-reported a doctor's diagnosis of the conditions. RESULTS: Comorbidity among these 9 conditions far exceeded chance expectations; 31 of 36 associations were significant. Latent class analysis yielded a 4-class solution. Class I (2% prevalence) had high frequencies of each of the 9 conditions. Class II (8% prevalence) had high proportions of multiple psychiatric diagnoses. Class III (17% prevalence) participants reported high proportions of depression, low back pain, and headache. Participants in class IV (73% prevalence) were generally healthy. Class I participants had the poorest markers of health status. CONCLUSIONS: These results support theories suggesting that medically unexplained conditions share a common etiology. Understanding patterns of comorbidity can help clinicians care for challenging patients.

Feeling bad in more ways than one: comorbidity patterns of medically unexplained and psychiatric conditions. Publishing Authors By Initials

EA Schur,N Afari,H Furberg,M Olarte,J Goldberg,PF Sullivan,D Buchwald,

For similar nervous system diseases: central nervous system diseases: brain diseases: headache disorders: headache disorders, primary: tension-type headache research abstracts see: nervous system diseases: central nervous system diseases: brain diseases: headache disorders: headache disorders, primary: tension-type headache research

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Feeling bad in more ways than one: comorbidity patterns of medically unexplained and psychiatric conditions. Journal Published:

PUBLICATION TYPE: Research Support, N.I.H., Extr

Journal: Journal of general internal medicine : official jo

VOLUME: 22

Page Numbers: 818-21

Journal Abbreviation:

ISSN: 1525-1497

DAY: 3

MONTH: Jun

YEAR: 2007

Feeling bad in more ways than one: comorbidity patterns of medically unexplained and psychiatric conditions. Information

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LANGUAGE: eng

NlmUniqueID: 8605834

Feeling bad in more ways than one: comorbidity patterns of medically unexplained and psychiatric conditions. Keywords Mesh Terms:

KEYWORDS: Tension-Type Headache

MESH TERMS: epidemiology

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Grant and Affiliation Information for Feeling bad in more ways than one: comorbidity patterns of medically unexplained and psychiatric conditions.

AFFILIATION: Department of Medicine, University of Washington School of Medicine, Seattle, WA, USA. ellschur@u.washington.edu

Country: United States

AGENCY: United States NIAMS

GRANT: R55AR051524

ACRONYM: AR

MEDLINETA: J Gen Intern Med

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