Somatic presentations of psychiatric illness in primary care setting

Goldberg, David; Bridges, Keith

doi:10.1016/0022-3999(88)90048-7

Cited by 288 publications

(143 citation statements)

References 8 publications

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“…Our findings contradict previous views that patients deny psychological problems and overtly seek physical interventions instead 16 . On the present evidence, patients are open about Covariates, not shown, were GP and patient gender.…”

Section: Discussioncontrasting

confidence: 83%

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Primary Care Consultations About Medically Unexplained Symptoms: How Do Patients Indicate What They Want?

et al. 2009

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Section: Discussioncontrasting

confidence: 83%

“…There is a long-standing view that these patients deny psychological problems, that their presentation to GPs is intended to avoid psychological needs and to seek physical intervention 16 , and that GPs need to help patients think more psychologically 17 . However, recent evidence is hard to reconcile with this view.…”

Section: Introductionmentioning

confidence: 99%

Primary Care Consultations About Medically Unexplained Symptoms: How Do Patients Indicate What They Want?

et al. 2009

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“…Primary treatment could be provided relatively easily, since depressed older adults do not seem to withdraw from the health services (Beekman et al 1997 b). Although this seems promising, it is the very concurrence of physical illness and depression, so common in later life, which poses difficulties for GPs in diagnosis and treatment (Goldberg & Bridges, 1988). Physicians and patients often consider the depressive symptoms to be part of the underlying physical disease (Freeling, 1993), not considering them to be a clinical problem deserving specific attention.…”

Section: Discussionmentioning

confidence: 99%

Physical health and the onset and persistence of depression in older adults: an eight-wave prospective community-based study

et al. 2000

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Background. Poor physical health has long been recognized to be one of the most important risk factors for depression in older adults. Since many aspects of physical health can be targeted for improvement in primary care, it is important to know whether physical health problems predict the onset and\or the persistence of depression. Methods. The study is based on a sample which at the outset consisted of 327 depressed and 325 non-depressed older adults (55-85) drawn from a larger random community-based sample in the Netherlands. Depression was measured using the Center for Epidemiologic Studies Depression scale (CES-D) at eight successive waves. Results. From all incident episodes, the majority (57 %) was short-lived. These short episodes could generally not be predicted by physical health problems. The remaining incident episodes (43 %) were not short-lived and could be predicted by poor physical health. Chronicity (34 %) was also predicted by physical health problems. Conclusions. The study design with its frequent measurements recognized more incident cases than previous studies ; these cases however did have a better prognosis than is often assumed. The prognosis of prevalent cases was rather poor. Physical health problems were demonstrated to be a predictor of both the onset and the persistence of depression. This may well have implications for prevention and intervention.

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“…Goldberg [6][7][8] has pointed to the fact that these patients present acute anxiety and depression disorders, with less serious symptoms, associated with stressful life events, which often remit spontaneously, and a predominance of somatic symptoms on their presentation, in counterpoint to psychological symptoms. These disorders have been called common mental disorders (CMD), and have been studied in community settings and in primary care units in various countries.…”

mentioning

confidence: 99%

Nosological profile and prevalence of common mental disorders of patients seen at the Family Health Program (FHP) units in Petrópolis, Rio de Janeiro

Fortes

Villano

Lopes

2007

Rev. Bras. Psiquiatr.

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OBJECTIVES: This study aims to detect the prevalence of common mental disorders among patients seen by doctors at family health program units in Petrópolis-RJ, and to establish their nosological profile. METHOD: The population of the study included all 18 to 65-year-old patient who attended any family health program units included in the study during a 30-day period, between August and December 2002 (n = 714). The prevalence of common mental disorders was assessed using the General Health Questionnaire, 12 item version. In order to establish the nosological profile, the Composite International Diagnostic Interview was administered to all common mental disorders positive patients who accepted to return (n = 215). RESULTS: At the cut-off point of 2/3 the common mental disorders prevalence was 56% and for 4/5, it was 33%. The most frequent nosological categories found among common mental disorders positive patients were depression and anxiety categories along with posttraumatic stress disorder, somatoform pain disorder and dissociative disorders. There was a high frequency of comorbidity, especially between anxiety, depression, somatoform and dissociative disorders. CONCLUSIONS: The common mental disorders prevalence and the nosological profile found in FHP were similar to those of other primary care studies in Brazil, but some disorders (posttraumatic stress disorder, somatoform pain disorder and dissociative disorders) that had not been previously studied in this context were also very frequent. The high common mental disorders prevalence found reinforces the urgent need for systematic inclusion of this level of care in mental health assistance planning.

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Somatic presentations of psychiatric illness in primary care setting

Cited by 288 publications

References 8 publications

Primary Care Consultations About Medically Unexplained Symptoms: How Do Patients Indicate What They Want?

Primary Care Consultations About Medically Unexplained Symptoms: How Do Patients Indicate What They Want?

Physical health and the onset and persistence of depression in older adults: an eight-wave prospective community-based study

Nosological profile and prevalence of common mental disorders of patients seen at the Family Health Program (FHP) units in Petrópolis, Rio de Janeiro

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