title: Common somatic symptoms, causal attributions of somatic symptoms and psychiatric morbidity in a cross-sectional community study in Santiago, Chile.
abstract: BACKGROUND
  It has been suggested that individuals from non-western countries tend to deny or mask psychological symptoms of common mental disorders and to present with somatic symptoms. The aim of the present paper was to investigate the association between common mental disorders and somatic symptoms in a representative sample of the general population of Santiago, Chile
  
  
  RESULTS
  This was a cross-sectional study of a stratified random sample of 3807 subjects living in private households in Santiago, Chile. Psychiatric disorders were assessed with the revised Clinical Interview Schedule. We found a strong association between the presence of somatic symptoms and psychiatric disorders (odds ratio 3.20, [95% confidence interval 2.52 - 4.05]). In addition, subjects who attributed their somatic symptoms to psychological or mixed psychological/physical causes were more likely to be cases compared to subjects who made physical attributions only (odds ratios 7.10 [95% CI 4.49-11.25] and 9.27 [6.00-14.34] respectively.
  
  
  CONCLUSIONS
  The study confirms previous observations from more selected samples that subjects of Hispanic origin are generally aware of the link between somatic symptoms and psychological ill-health and do not hide or "mask" their psychological symptoms.
authors: Department of Psychiatry, University of Ioannina School of Medicine, 451 10 Ioannina, Greece. p.skapinakis@gmail.com.
authors: Petros
authors: P
authors: Skapinakis
authors: Ricardo
authors: R
authors: Araya
references: J Psychosom Res. 1985;29(6):563-9
references: 4087223
references: J Nerv Ment Dis. 1989 Mar;177(3):140-6
references: 2918297
references: Psychol Med. 1997 Sep;27(5):1011-9
references: 9300507
references: Psychosom Med. 2004 Nov-Dec;66(6):845-51
references: 15564348
references: Br J Psychiatry. 2001 Mar;178:228-33
references: 11230033
references: Am J Psychiatry. 1998 Dec;155(12):1763-5
references: 9842789
references: Psychol Med. 1998 Jan;28(1):135-43
references: 9483689
references: BMJ. 2001 Jan 13;322(7278):79-81
references: 11154620
references: Psychol Med. 1991 May;21(2):473-83
references: 1876652
references: N Engl J Med. 1999 Oct 28;341(18):1329-35
references: 10536124
references: BMJ. 1999 Feb 13;318(7181):436-9
references: 9974461
references: Am J Public Health Nations Health. 1964 Jan;54:11-23
references: 14117648
references: Soc Psychiatry Psychiatr Epidemiol. 2001 Jun;36(6):287-93
references: 11583458
references: Psychol Med. 1991 Nov;21(4):1029-45
references: 1780396
references: J Psychosom Res. 1995 Oct;39(7):809-17
references: 8636912
references: Arch Gen Psychiatry. 1987 Aug;44(8):713-8
references: 3498454
references: J Clin Psychiatry. 2001;62 Suppl 13:22-8; discussion 29-30
references: 11434415
references: J Psychosom Res. 1988;32(2):137-44
references: 3042995
references: Am J Psychiatry. 1997 Jul;154(7):989-95
references: 9210751
references: Psychosom Med. 1996 Sep-Oct;58(5):481-8
references: 8902899
references: Arch Intern Med. 1993 Nov 8;153(21):2474-80
references: 8215752
references: Psychosom Med. 1998 Jul-Aug;60(4):420-30
references: 9710287
references: Psychol Med. 1992 May;22(2):465-86
references: 1615114
references: Psychol Med. 1998 Jan;28(1):225-8
references: 9483700
references: Am J Psychiatry. 1991 Nov;148(11):1494-500
references: 1928462