General practitioners’ management of patients with psychological stress: audit results from Denmark

Lykkegaard, Jesper; Prior, Anders; Rosendal, Marianne

doi:10.1186/s12875-020-01137-6

Cited by 4 publications

(5 citation statements)

References 21 publications

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“…The informants described the internal referral as being governed by factors other than the patient’s care needs, including availability of different professions or the GP´s beliefs and preferences, something also shown in previous studies [ 10 , 29 ]. Regarding availability of different professions, the informants raised the concerning issue of long waiting lists for a psychologist.…”

Section: Discussionsupporting

confidence: 59%

Psychologists’ involvement in and experiences of treating patients with stress-related exhaustion in primary care

Ellbin,

Lindegård,

Jonsdottir

et al. 2024

BMC Prim. Care

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Background Primary health care is the setting for most patients with stress-related mental health problems. Good care processes are important for patients with stress-related mental health problems and the complex needs of these patients has become a challenge for primary care settings which is traditionally designed to manage acute episodes of one illness. The care process of these patients is thus interesting to investigate. The aim of this study was to explore psychologists´ involvement and experiences regarding the organisation of the care process and treatment of patients seeking care for stress-related exhaustion. Method Fifteen psychologists (14 women and 1 man, age range 27–72 years)c from fifteen different primary health care centres in the western part of Sweden, located in both rural and urban areas were included. Qualitative content analysis of individual semi-structured interviews was conducted. Results The analysis resulted in eight subcategories within the two main categories studied illuminating psychologists’ involvement and experiences regarding the organisation of the care process and challenges regarding treatment of patients seeking care for stress-related exhaustion. Conclusion The care process of patients with stress-related exhaustion is perceived to be ineffective and not congruent with the needs of the patients. A lack of holistic overview of the care process, a lack of collaboration and poor utilization of the health care professionals’ competence leads to an unstructured process forcing the patients to be the carriers and coordinators of their own care.

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Section: Discussionsupporting

confidence: 59%

Psychologists’ involvement in and experiences of treating patients with stress-related exhaustion in primary care

Ellbin,

Lindegård,

Jonsdottir

et al. 2024

BMC Prim. Care

View full text Add to dashboard Cite

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“…3 Pearson chi-squared test for patients having high compared to low work-related stress 4 Fisher's exact test was used instead of Pearson chi-squared test to calculate the p-value, since the expected cell frequency was less than 5 in more than 20% of the cells in the contingency table. 5 Stress, anxiety, depression and other mental symptoms…”

Section: Reason For Consultation Diagnosis-specific Sick Leave and Wo...mentioning

confidence: 99%

“…Consequently, disorders that are associated with stress, such as depression, anxiety and stress-related disorders, are often managed within primary health care and the utilization of mental health care provided by primary health care has increased [ 4 ]. A common measure taken by general practitioners (GPs) to treat ill health due to stress and to handle reduced work capacity is to prescribe sick leave [ 5 , 6 ]. Hence, the high prevalence of work-related stress among primary health care patients is reflected in the large number of individuals receiving sickness benefit with a mental disorder or a musculoskeletal disease [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

“…Pearson chi-squared test for patients having high compared to low work-related stress 4. Stress, anxiety, depression and other mental symptoms5 Neck, shoulder and other musculoskeletal symptoms https://doi.org/10.1371/journal.pone.0288751.t003…”

mentioning

confidence: 99%

“…5 Fisher's exact test was used instead of Pearson chi-squared test to calculate the p-value, since the expected cell frequency was less than 5 in more than 20% of the cells in the contingency table.https://doi.org/10.1371/journal.pone.0288751.t006…”

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confidence: 99%

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Work-related stress, reason for consultation and diagnosis-specific sick leave: How do they add up?

2023

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Work-related stress is common in Western society and disorders associated with stress are often managed in primary health care. This study was set to increase the understanding of the relationship between reason for consultation, work-related stress and diagnosis-specific sick leave for primary health care patients. The longitudinal observational study included 232 employed non-sick listed patients at seven primary health care centres in Sweden. Of these patients, 102 reported high work-related stress, as measured with the Work Stress Questionnaire, and 84 were on registered sick leave within one year after inclusion. The study showed that, compared to those who did not report high work-related stress, highly stressed patients more often sought care for mental symptoms (60/102 versus 24/130), sleep disturbance (37/102 versus 22/130) and fatigue (41/102 versus 34/130). The risk for sick leave with a mental diagnosis within a year after base-line was higher among patients reporting high work-related stress than among those who did not (RR 2.97, 95% CI 1.59;5.55). No such association was however found for the risk of sick leave with a musculoskeletal diagnosis (RR 0.55, 95% CI 0.22;1.37). Seeking care for mental symptoms, sleep disturbance and fatigue were associated with having a future mental sick leave diagnosis (p-values < 0.001), while seeking care for musculoskeletal symptoms was associated with having a future musculoskeletal sick leave diagnosis (p-value 0.009). In summary, compared to those who did not report high work-related stress, patients with high work-related stress more often sought care for mental symptoms, sleep disturbance and fatigue which lead to a mental sick leave diagnosis. Reporting high work-related stress was, however, not linked to having sought care for musculoskeletal symptoms nor future sick leave due to a musculoskeletal diagnosis. Hence, both patients and general practitioners seem to characterize work-related stress as a mental complaint.

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Psychological impact of the COVID-19 pandemic on Spanish healthcare workers: a systematic review of prevalence and wave-based patterns

Jaén,

Ausín,

Castilla

2023

Curr Psychol

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The COVID-19 pandemic has impacted the mental health of the entire population, and especially of the healthcare, due to their close contact with the virus and the health emergency. However, the diversity of studies makes it difficult to determine the prevalence of mental health problems in Spanish healthcare workers. This study aims to examine the studies carried out during COVID-19 with the Spanish healthcare population to determine the prevalence of anxiety, depression, stress, post-traumatic stress (PTSD) and burnout symptomatology. A systematic search of the articles in the PubMed, Scopus and Web of Science databases was performed following PRISMA criteria. Pooled prevalence was obtained for all the mental health symptomatology from moderate to severe, as well as divided by wave. Our data revealed that 50.54% of healthcare workers reported stress, 41.02% burnout, 35.25% anxiety, 29.76% depression, and 25.82% PTSD symptomatology. Anxiety, depression, PTSD and burnout symptomatology diminished in the second and/or the third waves but increased in the following waves. However, stress showed the maximum prevalence during the second wave. Our study highlights a significant impact on the mental health of healthcare workers during health crises, and emphasizes the immediate need for mental health support for healthcare workers during and after pandemics. Anxiety, depression, PTSD, and burnout symptomatology exhibit a “valley” effect, initially decreasing but increasing with prolonged exposure to the COVID-19 health crisis. This underscores the necessity to implement prevention strategies to enhance stress management, emotional regulation skills, and coping abilities.

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General practitioners’ management of patients with psychological stress: audit results from Denmark

Cited by 4 publications

References 21 publications

Psychologists’ involvement in and experiences of treating patients with stress-related exhaustion in primary care

Psychologists’ involvement in and experiences of treating patients with stress-related exhaustion in primary care

Work-related stress, reason for consultation and diagnosis-specific sick leave: How do they add up?

Psychological impact of the COVID-19 pandemic on Spanish healthcare workers: a systematic review of prevalence and wave-based patterns

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