Skip to main content
NCBI home page
Atencion Primaria logoLink to Atencion Primaria
. 2008 Nov 18;38(4):200–205. [Article in Spanish] doi: 10.1157/13092341

Mareo y su relación con la ansiedad y la depresión en un servicio de urgencias de atención primaria☆☆☆

Feeling sick and its relationship with anxiety and depression at a primary care emergency service

José Luis Montero Monterroso a,⁎, Luis Ángel Pérula de Torres b, María Jesús Larrea Barroso c
PMCID: PMC7679809  PMID: 16978556

Abstract

Objective

To study whether patients who consult because of feeling sick present more often with anxiety and depression disorders than the other patients using a rural emergency primary care service.

Design

Transversal descriptive study with paired control group. A questionnaire with clinical and social-demographic questions and the Goldberg Anxiety-Depression Scale (GADS) were administered, with uniand bi-variate statistical analysis (P<.05).

Setting

Intensive Care and Emergency Unit, Baena, Córdoba, Spain.

Participants

Sample of 166 patients aged between 15 and 65; 83 in the study group (SG = feeling sick) and 83 in the control group (CG = not feeling sick).

Main results

The SG was positive on the GADS in 80.7% of cases, against the CG with 54.2% (P<.0001). Anxiety sub-scale: 61.4% positive in SG and 42.2% in CG (P=.013). Depression sub-scale: 73.5% positive in SG and 47% in CG (P<.0001); 89.1% of women gave positive in the SG, against 64.3% of men (P=.007). Patients feeling sick who had consulted in the previous month (P=.039) and with a psychiatric history (P = .017) also showed a higher percentage of psychiatric disorders than those who did not feel sick.

Conclusions

Patients feeling sick as their main symptom have higher prevalence of anxiety and depression than other patients at a rural PC emergency service. Being a woman, having a psychiatric history and having consulted in the previous month are related with these disorders.

Key words: Feeling sick, Anxiety, Depression, Emergencies

Footnotes

☆

La financiación de este trabajo ha sido sufragada por los propios autores.

☆☆

Información relevante: los resultados generales se presentaron en el XXIV Congreso de la semFYC en el 2004.

Bibliografía

  • 1.Montón C., Pérez-Echeverría M.J., Campos R., García J., Lobo A. GMPPZ. Escalas de ansiedad y depresión de Goldberg: una guía de entrevista eficaz para la detección del malestar psíquico. Aten Primaria. 1993;12:345–349. [PubMed] [Google Scholar]
  • 2.Van Hemert A.M., Hawton K., Bolk J.H., Fagg J. Key symptoms in the detection of affective disorders in medical patients. J Psychosomatic Res. 1993;37:397–404. doi: 10.1016/0022-3999(93)90142-3. [DOI] [PubMed] [Google Scholar]
  • 3.López-Torres J., Escobar F., Fernández C., González C., Urbistondo L., Requeza M. Trastornos mentales y utilización de las consultas de medicina general. Aten Primaria. 1992;10:665–670. [PubMed] [Google Scholar]
  • 4.Chocrón L., Vilalta J., Legazpi I., Auquer K., Franch L. Prevalencia de psicopatología en un centro de atención primaria. Aten Primaria. 1995;16:586–593. [PubMed] [Google Scholar]
  • 5.Chocrón L., Vilalta J., Legazpi I., Auquer K., Franch L., Ramírez R. Diagnóstico de trastornos psiquiátricos por el médico de atención primaria. Aten Primaria. 1996;18:52–58. [PubMed] [Google Scholar]
  • 6.Rodríguez E., Gómez A. Estudio descriptivo de los trastornos de ánimo en la población mayor de 65 años que acude a consulta en un medio rural. Semergen. 2004;30:320–325. [Google Scholar]
  • 7.Barreto P., Corral M.E., Muñoz J., Boncompte M.P., Sebastián R., Solá M. Percepción de malestar psíquico por el médico en un área básica de salud. Aten Primaria. 1998;22:491–496. [PubMed] [Google Scholar]
  • 8.Minnigerode B., Harbrecht M. Oto-rhino-laryngologische Manifestationen larvierter mono- oder oligsymtomatischer Drepressionen. HNO. 1988;36:383–385. [PubMed] [Google Scholar]
  • 9.Yardley L., Burgneay J., Nazareth I., Luxon L. Neuro-otological and psychiatric abnormalities in a community sample of people with dizziness:a blind, controlled investigation. J Neurol Neurosurg Psychiatry. 1998;65:679–684. doi: 10.1136/jnnp.65.5.679. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 10.Pérez N., Garmendia I., García-Granero M., Martín E., García-Tapia R. Factor Analysis and correlation between Dizziness Handicap Inventory and Dizziness Characteristics and impact on Quality of Life Scales. Acta Otolaryngol Suppl. 2001;545:145–154. doi: 10.1080/000164801750388333. [DOI] [PubMed] [Google Scholar]
  • 11.Kroenke K., Mangeloudorff A.D. Common symptoms in ambulatory care: incidence, evaluation, therapy an outcome. Am J Med. 1989;86:262–266. doi: 10.1016/0002-9343(89)90293-3. [DOI] [PubMed] [Google Scholar]
  • 12.Woodwell D.A. Office visists to internists, 1989. Adv Data. 1992;28:1–11. [PubMed] [Google Scholar]
  • 13.Palaniappan R. Balance disorders in adults: an overview. Hosp Med. 2002;63:278–281. doi: 10.12968/hosp.2002.63.5.2020. [DOI] [PubMed] [Google Scholar]
  • 14.Rubin A.M., Zafar S.S. The assessment and management of the dizzy patient. Otolaryngol Clin North Am. 2002;35:255–273. doi: 10.1016/s0030-6665(02)00012-9. [DOI] [PubMed] [Google Scholar]
  • 15.Drachman D.A., Hart C.W. An approach to the dizzy patient. Neurology. 1972;22:323–334. doi: 10.1212/wnl.22.4.323. [DOI] [PubMed] [Google Scholar]
  • 16.Goldberg D., Bridges K., Duncan-Jones P., Grayson D. Detecting anxiety and depression in general medical setting. BMJ. 1988;297:897–899. doi: 10.1136/bmj.297.6653.897. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 17.Duch F.R., Ruiz de Porras L., Gimeno D., Allué B., Palou I. Psicometría de la ansiedad, la depresión y el alcoholismo en atención primaria. Semergen. 1999;25:209–225. [Google Scholar]
  • 18.Capello M., Di Blasi U., Di Piezza, Ducato G., Ferrara A., Franco S. Dizziness and vertigo in a department of emergency medicine. Eur J Emerg Med. 1995;2:202–211. doi: 10.1097/00063110-199512000-00006. [DOI] [PubMed] [Google Scholar]
  • 19.Persoons P., Luyckx K., Desloovere C., Vandenberghe J., Fischler B. Anxiety and mood disorders in otorhinolaryngology outpatients presenting with dizziness: validation of the self-administered PRIME-MD Patient Health Questionnaire and epidemiology. Gen Hosp Psychiatry. 2003;25:316–323. doi: 10.1016/s0163-8343(03)00072-0. [DOI] [PubMed] [Google Scholar]
  • 20.Eckhardt-Henn A., Breuer P., Thomalske C., Hoffmann S.O., Hopf H.C. Anxiety disorders and other psychiatric subgroups in patients complaining of dizziness. J Anxiety Disord. 2003;17:369–388. doi: 10.1016/s0887-6185(02)00226-8. [DOI] [PubMed] [Google Scholar]
  • 21.Staab J.P., Ruckenstein M.J. Which comes first? Psychogenic dizziness versus otogenic anxiety. Laryngoscope. 2003;113:1714–1718. doi: 10.1097/00005537-200310000-00010. [DOI] [PubMed] [Google Scholar]
  • 22.Clarck M.R., Sullivan M.D., Fischl M., Katon W.J., Russo J.E., Dobie R.A. Symptoms as a clue to otologic and psychiatric diagnosis in patients with dizziness. J Psychosom Res. 1994;38:461–470. doi: 10.1016/0022-3999(94)90107-4. [DOI] [PubMed] [Google Scholar]
  • 23.Sullivan M., Clarck M.R., Katon W.J., Fischl M., Russo J., Dobic R.A. Psychiatric and otologic diagnoses in patients complaining of dizziness. Arch Intern Med. 1993;28:1479–1484. [PubMed] [Google Scholar]
  • 24.Gater R., Tansella M., Korten A., Tiemene B.G., Mavreas V.G., Otatawura M.O. Sex differences in the prevalence and detection of depressive and anxiety disorders in general health care setting. Arch Gen Psychiatry. 1998;55:405–413. doi: 10.1001/archpsyc.55.5.405. [DOI] [PubMed] [Google Scholar]
  • 25.Monzani D., Casolari L., Guidelti G., Rigatelli M. Psychological distress and disability in patients with vertigo. J Psychosom Res. 2001;50:319–323. doi: 10.1016/s0022-3999(01)00208-2. [DOI] [PubMed] [Google Scholar]
  • 26.Limón J. Morbilidad mental en la consulta de medicina general. Aten Primaria. 1990;7:88–93. [PubMed] [Google Scholar]
  • 27.Eckhardt A., Tettenbom B., Krauthauser H., Thomalske C., Hartmann O., Hoffman S.O. Schwindel- und Angsterkrankungen - Ergebnisse einer interdisziplinären Untersuchung. Laryngorhinootologic. 1996;75:517–522. doi: 10.1055/s-2007-997625. [DOI] [PubMed] [Google Scholar]
  • 28.Frommberger U., Hurth-Schmidt S., Dieringer H., Tettembom B., Buller R., Benkert O. Panic disorder and vertigo. On the psychopathologic between neurologic and psychiatric disease. Nervenarzt. 1993;64:377–383. [PubMed] [Google Scholar]
  • 29.Kroenke K., Hoffman R.M., Einstadter D. How common are various causes of dizziness? A critical review. South Med J. 2000;93:160–167. [PubMed] [Google Scholar]

Articles from Atencion Primaria are provided here courtesy of Elsevier

RESOURCES