Effect of somatization disorder on social and work place functioning among upper socio-economic class adults attending outpatient clinic in national hospital, Abuja, Nigeria

Abstract

Background: Despite the common presentations of somatization in outpatient clinics, there is still a lot to be learnt on the subject, especially with regards to the various socioeconomic classes. Aim of the study: To determine the role of somatization disorder on social and workplace functioning among patients in upper socioeconomic class in primary care setting. Materials and methods: A cross sectional design with systematic random sampling technique was used. One hundred ninety five participants were studied from the upper socioeconomic class. A two part self-administered questionnaire was used. The ICD-10 criteria was incorporated into Patient Health Questionnaire (PHQ-15) and used in diagnosis of somatization disorder. Work place and social functioning assessment scale (WSAS) formed part of the second part of the questionnaire. SPSS version 16 was used for data analysis. Results: The prevalence of somatization disorder in the study participants was 5.6%. The impairment of functioning among participants with somatization disorder was higher in the following activities; ability to work (OR=1.13); to manage home (OR=1.24); to engage in private leisure (OR=1.56); and ability of participants to form and maintain close relationships with others (OR=1.53). In contrast, somatization disorder and the ability to engage in social leisure activities (OR=0.47) was negative or favourable. Conclusion: Somatization disorder among the upper socioeconomic class is a risk factor for ability to work, manage homes, carry out private leisure activities, form and maintain close relationship with others, while it enhances ability for social leisure activities.

Psychosomatic problems among medical students: a myth or reality?

“…Iheme et al [31] noted a higher episode of somatization disorder among the upper socioeconomic class. Again differences in ethno-cultural construct and differences geographic location can explain this socioeconomic difference.…”