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- Title
Somatic symptoms in treatment-naïve Hispanic and non-Hispanic patients with major depression.
- Authors
Dunlop, Boadie W.; Still, Sarah; LoParo, Devon; Aponte‐Rivera, Vivianne; Johnson, Benjamin N.; Schneider, Rebecca L.; Nemeroff, Charles B.; Mayberg, Helen S.; Craighead, W. Edward; Aponte-Rivera, Vivianne
- Abstract
<bold>Background: </bold>Somatic complaints are a major driver of health care costs among patients with major depressive disorder (MDD). Some epidemiologic and clinical data suggest that Hispanic and non-Hispanic Black patients with MDD endorse higher levels of somatic symptoms than non-Hispanic White patients.<bold>Methods: </bold>Somatic symptoms in 102 Hispanic, 61 non-Hispanic Black, and 156 non-Hispanic White patients with treatment-naïve MDD were evaluated using the somatic symptom subscale of the Hamilton anxiety rating scale (HAM-A). The other seven items of the HAM-A comprise the psychic anxiety subscale, which was also evaluated across ethnicities.<bold>Results: </bold>Hispanic patients reported significantly greater levels of somatic symptoms than non-Hispanic patients, but levels of psychic anxiety symptoms did not differ by ethnicity. Levels of somatic symptoms did not significantly differ between Black and White non-Hispanic patients. Within the Hispanic sample, somatic symptom levels were higher only among those who were evaluated in Spanish; Hispanics who spoke English showed no significant differences versus non-Hispanics.<bold>Conclusions: </bold>In this medically healthy sample of patients with MDD, monolingual Spanish-speaking Hispanic patients endorsed high levels of somatic symptoms. Clinicians should be mindful that the depressive experience may manifest somatically and be judicious in determining when additional medical work-up is warranted for somatic complaints.
- Subjects
MENTAL depression; MEDICAL care costs
- Publication
Depression & Anxiety (1091-4269), 2020, Vol 37, Issue 2, p156
- ISSN
1091-4269
- Publication type
journal article
- DOI
10.1002/da.22984