Summary
The interaction between physical and mental illness present in a Spanish rural community was explored using a two-stage cross sectional survey. The GHQ and the PSE were used to detect and evaluate mental disturbances. Physical illness is measured by means of a specifically designed questionnaire, which included information obtained from the attending physician. In this community there is a significant interaction between physical and mental disease. This is demonstrated by an increase of somatic disease in the mentally ill and also of psychiatric prevalence in the somatically ill. The female predominance of mental disorders is reinforced significantly by somatic disease and tends to disappear in the state of physicial health. In addition, certain sociocultural factors such as social class, educational level, religious integration, and presence of work, played a significant but sex-specific role in the interaction between physical and mental disease.
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Andrews G, Schonell M, Tennant C (1977) The relationship between physical, psychological and social morbidity in a suburban community. Am J Epidemiol 106: 27–35
Andrews G, Tennant C, Hewson D, Schonell M (1978) The relation of social factors to physical and psychiatric illness. Am J Epidemiol 108: 25–37
Ballinger CB (1976) Psychiatric morbidity and the menopause: clinical features. Br Med J 1: 1183–1185
Bentsen BG (1970) Illness and general practice. A survey of medical care in an inland population in South-East Norway. University-Forlaget. Scandinavian University Books, Oslo, Bergen, Tromso
Bremer J (1950) A social psychiatric investigation of a small community in Nothern Norway. Acta Psychiatr Scand [Suppl] 62
Brown GW, Harris T (1978) Social origins of depression: a study of psychiatric disorder in women. Tavistock, London
Catalano DW, Dooley DC (1977) Economic predictions of depressed mood and stressful life events in a metropolitan community. J Health Soc Behav 18: 292–307
Davies DW (1965) Physical illness in psychiatric out-patients. Br J Psychiatry 111: 27–33
Diez Manrique JF, Vazquez-Barquero JL, Pena C, Samaniego C (1984) Metodologia de la investigation epidemiologica comunitaria: a proposito del Estudio de Salud Mental de Cantabria. In: Seva D (ed) Epidemiologia psiquiatrica Tomo 1. Publicaciones Universidad de Zaragoza, Zaragoza, pp 53–74
Eastwood MR (1975) The relation between physical and mental illness. University of Toronto Press, Toronto
Eastwood MR, Trevelyan MH (1972)Relationship between physical and psychiatric disorder. Psychol Med 2: 363–372
Fink R, Shapiro S (1966) Patterns of medical care related to mental illness. J. Health Soc Behav 7: 98–105
Finlay-Jones RA, Burwill PW (1978) Contrasting demographic patterns of minor psychiatric morbidity in general practice and the community. Psychol Med 8: 455–466
Gillis LS, Lewis JB, Slabbert M (1968) Psychiatric disorders amongst the colored people of the Cape Peninsula: an epidemiological study. Br J Psychiatry 114: 1575–1587
Goldberg DP (1972) The detection of psychiatric illness by questionnaire. Maudsley Monograph, No 21. Oxford University Press, Oxford
Goldberg D, Huxley P (1980) Mental illness in the community. The pathway to psychiatric care. Tavistock, London
Hare AH, Shaw GK (1965) Mental Health in a new housing state: comparative study in two districts of Croydon. Maudsley Monograph No 12, Oxford University Press, Oxford
Horwith A (1977) The pathway into psychiatric treatment. Some differences between men and women. J Health Soc Behav 18: 169–178
Kasl SW, Gore S, Cobb S (1975) The experience of losing a job: reported changes in health, symptoms and illness behaviour. Psychol Med 37: 106–122
Koranyi EK (1972) Physical health and illness in psychiatric outpatient department population. J Can Psychiatr Assoc 17: 109–121
Langner TS, Michael ST (1963) Life stress and mental health. The Midtown Manhattan Study vol 2. The Free Press of Glancoe, Collier-MacMillan Limited, London
Lipowsky ZJ (1975) Psychiatry of somatic disease: epidemiology, pathogenesis, classification. Compr Psychiatry 16: 105–124
Maguire GP, Granville-Grossman KL (1968) Physical illness in psychiatric patients. Br J Psychiatry 115: 1365–1369
Mavreas VG, Beis A, Mouyais A, Rignoni F, Lyketsos GC (1986) Prevalence of psychiatric disorders in Athens: a community study. Soc Psychiatry 21: 172–181
Muñoz PE, Vazquez-Barquero JL, Pastrana E, Rodriquez Insausti F, Oneca C (1978) Study of the validity of Goldberg's 60-Items G.H.Q. in its Spanish version. Soc Psychiatry 13: 99–104
Rosen BM (1972) Identification of emotional disturbance in patients seen in general medical clinics. Hosp Comp Psych 23: 364–369
Schwab JJ, Bell RA, Warheit GJ, Schwab Rb (1979) Social order and mental health. The Florida Health Study. Brunner-Mazel, New York
Shepherd M (1978) Epidemiological perspective in psychosomatic medicine. Int J Epidemiol 7: 201–205
Shepherd M, Davies B, Culpan RH (1960) Psychiatric illness in the general hospital. Acta Psychiatr Stand 35: 518–526
Shepherd M, Cooper B, Brown AC, Kalton G (1966) Psychiatric Morbidity in general practice. Oxford University Press, Oxford-London
Swanson DW, Maruta T (1980) Patients complaining of extreme pain. Mayo Clin Proc 55: 563–566
Taylor L, Chave S (1964) Mental health and environment. Longmans, London
Vazquez-Barquero JL (1980) Metodologia de la investigation epidemiologica psiquiatrica: Los estudios tranversales en dos fases de la comunidad. Rev Psiq Psicol Med 14: 153–162
Vazquez-Barquero JL, Munoz PE, Madoz Jauregui V (1981) The interaction between physical illness and neurotic morbidity in the community. Br J Psychiatry 139: 328–335
Vazquez-Barquero JL, Quintanal RG, Casanueva BF, Rodriguez Valverde V (1982) Manifestaciones psiquiatricas del lupus eritematoso sistemico. Actas Luso-Espanolas Neurol Psiquiat 10:229–234
Vazquez-Barquero JL, Padierna Acero JA, Ochoteco A, Diez Manrique JF (1985) Mental illness and ischemic heart disease: analysis of psychiatric morbidity. Gen Hosp Psychiatry 7: 15–20
Vazquez-Barquero JL, Diez Manrique JF, Peña C, Quintanal RG, Labrador Lopez M (1986) Two stage design in a community survey. Br J Psychiatry 149: 88–97
Vazquez-Barquero JL, Diez Manrique JF, Pena C, Aldama J, Samaniego C, Menendez Arango J, Mirapeix C (1987a) A community mental health survey in Cantabria: A general description of morbidity. Psychol Med 17: 227–241
Vazquez-Barquero JL, Diez Mandque JF, Peña C, Lequerica J, Artal Simon JA, Llano A, (1987b) Depresion y ansiedad: perfiles sociodemograficos diferenciales en la poblacion general. Actas Luso-Espanolas Neurol Psiquiat 15: 95–109
Vazquez-Barquero JL, Diez Manrique JF, Samaniego C (1987 c) Salud fisica y enfermedad mental. Un analisis epidemiologico. Actas Luso-Espanolas Neurol Psiquiat 15: 151–163
Wing JK, Cooper JE, Sartorius N (1974) Measurement and classification of psychiatric symptoms. Cambridge University Press, London
Wing JK, Sturt E (1978) The PSE-ID-CATEGO sytem: a supplementary manual. Institute of Psychiatry, London
Weissman MM, Klerman GL (1977) Sex differences and the epidemiology of depression. Arch Gen Psychiatry 34: 98–111
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Vazquez-Barquero, J.L., Peha, C., Diez Manrique, J.F. et al. The influence of sociocultural factors on the interaction between physical and mental disturbances in a rural community. Soc Psychiatry Psychiatr Epidemiol 23, 195–201 (1988). https://doi.org/10.1007/BF01794788
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DOI: https://doi.org/10.1007/BF01794788