@article{ref1,
title="Somatic symptoms in treatment-naïve Hispanic and non-Hispanic patients with major depression",
journal="Depression and anxiety",
year="2019",
author="Dunlop, Boadie W. and Still, Sarah and LoParo, Devon and Aponte-Rivera, Vivianne and Johnson, Benjamin N. and Schneider, Rebecca L. and Nemeroff, Charles B. and Mayberg, Helen S. and Craighead, W. Edward",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: 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. <br><br>METHODS: 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. <br><br>RESULTS: 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. <br><br>CONCLUSIONS: 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.<br><br>© 2019 Wiley Periodicals, Inc.<p /> <p>Language: en</p>",
language="en",
issn="1091-4269",
doi="10.1002/da.22984",
url="http://dx.doi.org/10.1002/da.22984"
}