Medically unexplained symptoms in an urban general medicine practice

Adriana Feder, Mark Olfson, Marc Gameroff, Milton Fuentes, Steven Shea, Rafael A. Lantigua, Myrna M. Weissman

Research output: Contribution to journalArticleResearchpeer-review

55 Citations (Scopus)

Abstract

The authors investigated the prevalence of multiple medically unexplained symptoms (MMUS) as identified by primary care physicians (PCPs) in a systematic sample of 172 patients. Patients were from a university-affiliated urban primary care practice serving a low-income population. Patients with a history of MMUS were older (mean: 57.2 vs. 53.0 years), more likely to be female (90.5% vs. 72.3%), and less likely to be married or living with a partner (14.4% vs. 36.2%) than those without MMUS. Patients with MMUS had over twice the rate of any current psychiatric disorder, almost two-and-a-half times the rate of any current anxiety disorder, and greater functional impairment. These data suggest that patients with MMUS are as common in urban primary care clinics as in more affluent clinics and reinforce the need for PCPs to screen these patients for common and treatable psychiatric conditions.

Original languageEnglish
Pages (from-to)261-268
Number of pages8
JournalPsychosomatics
Volume42
Issue number3
DOIs
StatePublished - 1 Jan 2001

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General Practice
Medicine
Primary Care Physicians
Psychiatry
Primary Health Care
Poverty
Anxiety Disorders
Medically Unexplained Symptoms
Primary Care
Physicians
Clinic

Cite this

Feder, A., Olfson, M., Gameroff, M., Fuentes, M., Shea, S., Lantigua, R. A., & Weissman, M. M. (2001). Medically unexplained symptoms in an urban general medicine practice. Psychosomatics, 42(3), 261-268. https://doi.org/10.1176/appi.psy.42.3.261
Feder, Adriana ; Olfson, Mark ; Gameroff, Marc ; Fuentes, Milton ; Shea, Steven ; Lantigua, Rafael A. ; Weissman, Myrna M. / Medically unexplained symptoms in an urban general medicine practice. In: Psychosomatics. 2001 ; Vol. 42, No. 3. pp. 261-268.
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Feder, A, Olfson, M, Gameroff, M, Fuentes, M, Shea, S, Lantigua, RA & Weissman, MM 2001, 'Medically unexplained symptoms in an urban general medicine practice', Psychosomatics, vol. 42, no. 3, pp. 261-268. https://doi.org/10.1176/appi.psy.42.3.261

Medically unexplained symptoms in an urban general medicine practice. / Feder, Adriana; Olfson, Mark; Gameroff, Marc; Fuentes, Milton; Shea, Steven; Lantigua, Rafael A.; Weissman, Myrna M.

In: Psychosomatics, Vol. 42, No. 3, 01.01.2001, p. 261-268.

Research output: Contribution to journalArticleResearchpeer-review

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