LrgpV1, PubMed, Curation, bibRecord, 000136

Frequent attenders in primary care: impact of medical, psychiatric and psychosomatic diagnoses.

Identifieur interne : 000136 ( PubMed/Curation ); précédent : 000135; suivant : 000137

Frequent attenders in primary care: impact of medical, psychiatric and psychosomatic diagnoses.

Auteurs : S. Ferrari [Italie] ; G M Galeazzi ; A. Mackinnon ; M. Rigatelli

Source :

Psychotherapy and psychosomatics [ 1423-0348 ] ; 2008.

RBID : pubmed:18600036

Descripteurs français

KwdFr :
- Adulte d'âge moyen, Comorbidité, Facteurs de risque, Femelle, Humains, Italie (épidémiologie), Modèles logistiques, Mâle, Qualité de vie, Soins de santé primaires (utilisation), Trouble dépressif (épidémiologie), Troubles mentaux (épidémiologie), Troubles psychosomatiques (épidémiologie), Études cas-témoins.
MESH :
- utilisation : Soins de santé primaires.
- épidémiologie : Italie, Trouble dépressif, Troubles mentaux, Troubles psychosomatiques.
- Adulte d'âge moyen, Comorbidité, Facteurs de risque, Femelle, Humains, Modèles logistiques, Mâle, Qualité de vie, Études cas-témoins.
Wicri :
- geographic : Italie.

English descriptors

KwdEn :
- Case-Control Studies, Comorbidity, Depressive Disorder (epidemiology), Female, Humans, Italy (epidemiology), Logistic Models, Male, Mental Disorders (epidemiology), Middle Aged, Primary Health Care (utilization), Psychophysiologic Disorders (epidemiology), Quality of Life, Risk Factors.
MESH :
- geographic , epidemiology : Italy.
- epidemiology : Depressive Disorder, Mental Disorders, Psychophysiologic Disorders.
- utilization : Primary Health Care.
- Case-Control Studies, Comorbidity, Female, Humans, Logistic Models, Male, Middle Aged, Quality of Life, Risk Factors.

Abstract

Anxiety, mild depression and somatization are common in primary care (PC). Several studies have suggested that they may play a role in causing an excessive use of health care services, especially when combined with medical morbidity. The present case-control study explored how psychiatric and psychosomatic diagnoses and perceived quality of life are associated with the phenomenon of frequent attendance.

DOI: 10.1159/000142523
PubMed: 18600036

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Le document en format XML

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<author><name sortKey="Ferrari, S" sort="Ferrari, S" uniqKey="Ferrari S" first="S" last="Ferrari">S. Ferrari</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Neuroscience - TCR, University of Modena and Reggio Emilia, Modena, Italy. silviaferrari73@libero.it</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Neuroscience - TCR, University of Modena and Reggio Emilia, Modena</wicri:regionArea>
</affiliation>
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<author><name sortKey="Galeazzi, G M" sort="Galeazzi, G M" uniqKey="Galeazzi G" first="G M" last="Galeazzi">G M Galeazzi</name>
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<author><name sortKey="Mackinnon, A" sort="Mackinnon, A" uniqKey="Mackinnon A" first="A" last="Mackinnon">A. Mackinnon</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Case-Control Studies</term>
<term>Comorbidity</term>
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<term>Female</term>
<term>Humans</term>
<term>Italy (epidemiology)</term>
<term>Logistic Models</term>
<term>Male</term>
<term>Mental Disorders (epidemiology)</term>
<term>Middle Aged</term>
<term>Primary Health Care (utilization)</term>
<term>Psychophysiologic Disorders (epidemiology)</term>
<term>Quality of Life</term>
<term>Risk Factors</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Comorbidité</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Italie (épidémiologie)</term>
<term>Modèles logistiques</term>
<term>Mâle</term>
<term>Qualité de vie</term>
<term>Soins de santé primaires (utilisation)</term>
<term>Trouble dépressif (épidémiologie)</term>
<term>Troubles mentaux (épidémiologie)</term>
<term>Troubles psychosomatiques (épidémiologie)</term>
<term>Études cas-témoins</term>
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<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Italy</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Depressive Disorder</term>
<term>Mental Disorders</term>
<term>Psychophysiologic Disorders</term>
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<keywords scheme="MESH" qualifier="utilisation" xml:lang="fr"><term>Soins de santé primaires</term>
</keywords>
<keywords scheme="MESH" qualifier="utilization" xml:lang="en"><term>Primary Health Care</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Italie</term>
<term>Trouble dépressif</term>
<term>Troubles mentaux</term>
<term>Troubles psychosomatiques</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Case-Control Studies</term>
<term>Comorbidity</term>
<term>Female</term>
<term>Humans</term>
<term>Logistic Models</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Quality of Life</term>
<term>Risk Factors</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Comorbidité</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Modèles logistiques</term>
<term>Mâle</term>
<term>Qualité de vie</term>
<term>Études cas-témoins</term>
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<front><div type="abstract" xml:lang="en">Anxiety, mild depression and somatization are common in primary care (PC). Several studies have suggested that they may play a role in causing an excessive use of health care services, especially when combined with medical morbidity. The present case-control study explored how psychiatric and psychosomatic diagnoses and perceived quality of life are associated with the phenomenon of frequent attendance.</div>
</front>
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<DateCreated><Year>2008</Year>
<Month>08</Month>
<Day>20</Day>
</DateCreated>
<DateCompleted><Year>2008</Year>
<Month>10</Month>
<Day>17</Day>
</DateCompleted>
<DateRevised><Year>2009</Year>
<Month>11</Month>
<Day>11</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1423-0348</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>77</Volume>
<Issue>5</Issue>
<PubDate><Year>2008</Year>
</PubDate>
</JournalIssue>
<Title>Psychotherapy and psychosomatics</Title>
<ISOAbbreviation>Psychother Psychosom</ISOAbbreviation>
</Journal>
<ArticleTitle>Frequent attenders in primary care: impact of medical, psychiatric and psychosomatic diagnoses.</ArticleTitle>
<Pagination><MedlinePgn>306-14</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1159/000142523</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Anxiety, mild depression and somatization are common in primary care (PC). Several studies have suggested that they may play a role in causing an excessive use of health care services, especially when combined with medical morbidity. The present case-control study explored how psychiatric and psychosomatic diagnoses and perceived quality of life are associated with the phenomenon of frequent attendance.</AbstractText>
<AbstractText Label="METHOD" NlmCategory="METHODS">Fifty most frequent attenders (FAs) in a 1-year period at a PC clinic in Italy were compared with 50 randomly selected average frequency attenders at the same clinic. Sociodemographic and medical data were collected from PC files. The SCID-brief version for research and the Structured Interview for Diagnostic Criteria for Use in Psychosomatic Research (DCPR) were administered to both patient groups. Quality of life was also assessed.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">FA status was associated with being female, older, less well educated, and living with their spouses and/or children. Medical-psychiatric comorbidity was more frequent in the FA group than in the control group. The median number of psychosomatic-DCPR syndromes per patient was 4 among FAs compared to only 1 in controls. Functional somatic symptoms secondary to a psychiatric disorder, type A behavior, irritable mood, and demoralization were significantly associated with being an FA. Perceived quality of life was significantly lower among FAs, although this was no longer significant after adjusting for sociodemographic variables.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The present study confirms the association between medical-psychiatric comorbidity and frequent utilization of PC resources. It suggests a role for DCPR criteria in revealing subthreshold psychiatric comorbidity predicting a pattern of frequent attendance.</AbstractText>
<CopyrightInformation>Copyright 2008 S. Karger AG, Basel.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ferrari</LastName>
<ForeName>S</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Department of Neuroscience - TCR, University of Modena and Reggio Emilia, Modena, Italy. silviaferrari73@libero.it</Affiliation>
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<MedlineJournalInfo><Country>Switzerland</Country>
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<MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D016022">Case-Control Studies</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D015897">Comorbidity</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D003866">Depressive Disorder</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000453">epidemiology</QualifierName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" Type="Geographic" UI="D007558">Italy</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D016015">Logistic Models</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D001523">Mental Disorders</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000453">epidemiology</QualifierName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D011320">Primary Health Care</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000656">utilization</QualifierName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D011602">Psychophysiologic Disorders</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000453">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D011788">Quality of Life</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D012307">Risk Factors</DescriptorName>
</MeshHeading>
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Frequent attenders in primary care: impact of medical, psychiatric and psychosomatic diagnoses.

Frequent attenders in primary care: impact of medical, psychiatric and psychosomatic diagnoses.

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki