Which patients talk about stressful life events and social problems to the general practitioner?

Abstract:

BACKGROUND:Life events and social problems are common in primary-care attenders and contribute to the high rate of emotional distress observed in this setting but are often not disclosed during the consultation. Physicians' characteristics associated with patients' disclosure of psychosocial problems are well documented, but less empirical evidence is available on the contribution of patients' variables. METHOD:Logistic regression analyses were performed on a set of clinical and psychosocial data from 319 primary-care attenders with stressful life events and/or social problems in the presence or absence of emotional distress, in order to identify the variables that predict disclosure of such problems during the consultation. RESULTS:Two-thirds of patients with stressful life events and social problems had mentioned them to their GP. In both sexes a positive attitude about confiding and emotional distress were the best predictors of confiding. In men they accounted for 76% of correct predictions and, in women, together with past confiding, long-lasting relationship with GP, and coexistence of life events and social problems, for 81%. A positive confiding attitude was related in males to age and severity of medical condition and in females to age and experience of past confiding. CONCLUSIONS:In view of the high prevalence of positive attitude towards confiding the efforts by GPs should focus on the reduction of disclosure thresholds. This would require increased abilities to elicit psychosocial information and show emphatic understanding of patients' life difficulties. By contrast there is a need to promote a positive attitude in confiding that concerns only a minority of primary-care patients. More data are needed for shaping more specific strategies for these patients.

journal_name

Psychol Med

journal_title

Psychological medicine

authors

Del Piccolo L,Saltini A,Zimmermann C

doi

10.1017/s0033291798007478

subject

Has Abstract

pub_date

1998-11-01 00:00:00

pages

1289-99

issue

6

eissn

0033-2917

issn

1469-8978

journal_volume

28

pub_type

杂志文章
  • Puberty moderates genetic influences on disordered eating.

    abstract:BACKGROUND:Previous research suggests that genetic influences on disordered eating may be greater in pubertal than pre-pubertal girls. Although these findings are consistent with pubertal activation of genetic influences on disordered eating, earlier studies were unable to directly test this hypothesis. The purpose of ...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291707000189

    authors: Klump KL,Perkins PS,Alexandra Burt S,McGue M,Iacono WG

    更新日期:2007-05-01 00:00:00

  • Two-year follow-up of the patients included in the WHO International Pilot Study of Schizophrenia.

    abstract::Over 90% of the 1202 patients investigated in the 9 centres collaborating in the International Pilot Study of Schizophrenia were traced 2 years after the initial examination and on the average over 75% of them were re-examined, using standardized instruments and methods. Results indicate that patients diagnosed as sch...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/s0033291700004517

    authors: Sartorius N,Jablensky A,Shapiro R

    更新日期:1977-08-01 00:00:00

  • Philippe Pinel and the foundations of modern psychiatric nosology.

    abstract::Philippe Pinel (1745-1826) played a major role in the foundation of modern psychiatric nosology. Much of his contribution, historically contextualized within the enlightenment generally and post-Revolutionary France more specifically, can be summarized through five themes in his background, education and writings. Fir...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291720004183

    authors: Kendler KS

    更新日期:2020-12-01 00:00:00

  • The prognostic significance of psychological factors in the management of chronic bronchitis.

    abstract::Eighty-three chronic obstructive bronchitic patients were psychologically assessed before being randomly allocated to 1 of 3 management regimes. The following measures were taken: psychiatric disturbance, personality, social-desirability response set, vocabulary, expectations about treatment, attitudes and beliefs abo...

    journal_title:Psychological medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1017/s0033291700021565

    authors: Rutter BM

    更新日期:1979-02-01 00:00:00

  • Brainstem glucose metabolism predicts reward dependence scores in treatment-resistant major depression.

    abstract:BACKGROUND:It has been suggested that individual differences in temperament could be involved in the (non-)response to antidepressant (AD) treatment. However, how neurobiological processes such as brain glucose metabolism may relate to personality features in the treatment-resistant depressed (TRD) state remains largel...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291720005425

    authors: Wu GR,Baeken C

    更新日期:2021-01-28 00:00:00

  • The neural basis of consciousness.

    abstract::Consciousness has evolved and is a feature of all animals with sufficiently complex nervous systems. It is, therefore, primarily a problem for biology, rather than physics. In this review, I will consider three aspects of consciousness: level of consciousness, whether we are awake or in a coma; the contents of conscio...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291719002204

    authors: Frith CD

    更新日期:2019-09-04 00:00:00

  • The Liebowitz Social Anxiety Scale: a comparison of the psychometric properties of self-report and clinician-administered formats.

    abstract:BACKGROUND:The clinician-administered version of the Liebowitz Social Anxiety Scale (LSAS-CA) is a commonly used assessment device for the evaluation of social anxiety disorder and has been shown to have strong psychometric characteristics. Because of its apparently straightforward rating format and potential savings i...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/s0033291701004056

    authors: Fresco DM,Coles ME,Heimberg RG,Liebowitz MR,Hami S,Stein MB,Goetz D

    更新日期:2001-08-01 00:00:00

  • Psychiatrists' diagnoses of subthreshold depression in old age: frequency and correlates.

    abstract:BACKGROUND:Depressive syndromes not fulfilling the criteria for specified disorders (subthreshold depression, SD) may be clinically important. We aimed to study SD in old and very old age, in comparison with subjects with no depressive symptoms (NDS) and subjects with major depression (MD). METHODS:A community-based r...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/s0033291799002883

    authors: Geiselmann B,Linden M,Helmchen H

    更新日期:2001-01-01 00:00:00

  • The epidemiology of blood-injection-injury phobia.

    abstract:BACKGROUND:We report the prevalence, clinical characteristics, frequency of mental health treatment, demographic correlates, frequency of co-morbid psychiatric conditions, and general health ramifications of DSM-IV blood-injection-injury phobia in the general population. METHOD:The Diagnostic Interview Schedule (versi...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/s0033291798007144

    authors: Bienvenu OJ,Eaton WW

    更新日期:1998-09-01 00:00:00

  • Mental illness and suicide after self-harm among young adults: long-term follow-up of self-harm patients, admitted to hospital care, in a national cohort.

    abstract:BACKGROUND:Self-harm among young adults is a common and increasing phenomenon in many parts of the world. The long-term prognosis after self-harm at young age is inadequately known. We aimed to estimate the risk of mental illness and suicide in adult life after self-harm in young adulthood and to identify prognostic fa...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291716002282

    authors: Beckman K,Mittendorfer-Rutz E,Lichtenstein P,Larsson H,Almqvist C,Runeson B,Dahlin M

    更新日期:2016-12-01 00:00:00

  • Measuring depression: comparison and integration of three scales in the GENDEP study.

    abstract:BACKGROUND:A number of scales are used to estimate the severity of depression. However, differences between self-report and clinician rating, multi-dimensionality and different weighting of individual symptoms in summed scores may affect the validity of measurement. In this study we examined and integrated the psychome...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291707001730

    authors: Uher R,Farmer A,Maier W,Rietschel M,Hauser J,Marusic A,Mors O,Elkin A,Williamson RJ,Schmael C,Henigsberg N,Perez J,Mendlewicz J,Janzing JG,Zobel A,Skibinska M,Kozel D,Stamp AS,Bajs M,Placentino A,Barreto M,McGuf

    更新日期:2008-02-01 00:00:00

  • Individual differences in rumination in healthy and depressive samples: association with brain structure, functional connectivity and depression.

    abstract:BACKGROUND:Rumination is an important cognitive risk factor for onset and relapse of depression. However, no studies have employed a dimensional approach in investigating the neural correlates of rumination and the relationship with depression. METHOD:Non-clinical healthy subjects (n = 306), who completed the classica...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291715000938

    authors: Wang K,Wei D,Yang J,Xie P,Hao X,Qiu J

    更新日期:2015-10-01 00:00:00

  • Dietary intake of fish and n-3 polyunsaturated fatty acids and risk of postpartum depression: a nationwide longitudinal study - the Japan Environment and Children's Study (JECS).

    abstract:BACKGROUND:Pregnant women require increased levels of n-3 polyunsaturated fatty acids (PUFAs) due to the demands of the growing fetus. Although some evidence indicates that maternal intake of fish and n-3 PUFAs is associated with reduced risk of postpartum depression, the results are inconsistent. METHODS:We investiga...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291719002587

    authors: Hamazaki K,Matsumura K,Tsuchida A,Kasamatsu H,Tanaka T,Ito M,Inadera H,Japan Environment and Children's Study Group.

    更新日期:2020-10-01 00:00:00

  • Sensitivity to noise in a community sample: II. Measurement of psychophysiological indices.

    abstract::A sample of 77 women of high and low noise sensitivity in 1977, living in areas of high and low exposure to aircraft noise, were interviewed in the community in 1980. High, intermediate and low noise sensitive women were compared, using measures of blood pressure, heart rate, skin conductance, hearing threshold, uncom...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/s0033291700023539

    authors: Stansfeld SA,Clark CR,Turpin G,Jenkins LM,Tarnopolsky A

    更新日期:1985-05-01 00:00:00

  • Eating disorders: lessons from a cross-cultural study.

    abstract::Five hundred and eighty schoolgirls living in a small North Indian industrial town were screened using the EAT-26. Although twenty-nine per cent scored above the threshold for the questionnaire (greater than or equal to 20), closer scrutiny of the pattern of responses revealed misinterpretations of a large number of q...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/s0033291700005675

    authors: King MB,Bhugra D

    更新日期:1989-11-01 00:00:00

  • Bereavement, multimorbidity and mortality: a population-based study using bereavement as an indicator of mental stress.

    abstract:BACKGROUND:Mental stress is associated with higher mortality, but it remains controversial whether the association is causal or a consequence of a higher physical disease burden in those with a high mental stress load. Understanding causality is important when developing targeted interventions. We aimed to estimate the...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291717002380

    authors: Prior A,Fenger-Grøn M,Davydow DS,Olsen J,Li J,Guldin MB,Vestergaard M

    更新日期:2018-07-01 00:00:00

  • Development of a new self-report questionnaire to measure self esteem.

    abstract::In constructing a new self-report questionnaire for measuring self esteem, the aim has been to satisfy psychometric requirements without sacrificing the intuitive meaning of the concept. Self esteem is seen as a composite, and examination of its components may have more analytic or predictive value than 'global' score...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/s003329170001254x

    authors: Robson P

    更新日期:1989-05-01 00:00:00

  • Interaction between a history of depression and rumination on neural response to emotional faces.

    abstract:BACKGROUND:Both past depressive episodes and the personality trait of depressive rumination are strong risk factors for future depression. Depression is associated with abnormal emotional processing, which may be a neurobiological marker for vulnerability to depression. A consistent picture has yet to emerge as to how ...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291711000043

    authors: Thomas EJ,Elliott R,McKie S,Arnone D,Downey D,Juhasz G,Deakin JF,Anderson IM

    更新日期:2011-09-01 00:00:00

  • Maternal depression and inflammation during pregnancy.

    abstract:BACKGROUND:Maternal depression during pregnancy increases the risk for adverse developmental outcomes in children. However, the underpinning biological mechanisms remain unknown. We tested whether depression was associated with levels of and change in the inflammatory state during pregnancy, if early pregnancy overweig...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291719001909

    authors: Lahti-Pulkkinen M,Girchenko P,Robinson R,Lehto SM,Toffol E,Heinonen K,Reynolds RM,Kajantie E,Laivuori H,Villa PM,Hämäläinen E,Lahti J,Räikkönen K

    更新日期:2020-08-01 00:00:00

  • Impulsivity and neural correlates of response inhibition in schizophrenia.

    abstract:BACKGROUND:The clinical picture of schizophrenia is frequently worsened by manifestations of impulsivity. However, the neural correlates of impulsivity in this disorder are poorly known. Although impulsivity has been related to disturbances of the neural processes underlying response inhibition, no studies have yet exa...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291710000796

    authors: Kaladjian A,Jeanningros R,Azorin JM,Anton JL,Mazzola-Pomietto P

    更新日期:2011-02-01 00:00:00

  • Differences in executive functioning between violent and non-violent offenders.

    abstract:BACKGROUND:A growing body of neuropsychological and neurobiological research shows a relationship between functioning of the prefrontal cortex and criminal and violent behaviour. The prefrontal cortex is crucial for executive functions such as inhibition, attention, working memory, set-shifting and planning. A deficit ...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291717000241

    authors: Meijers J,Harte JM,Meynen G,Cuijpers P

    更新日期:2017-07-01 00:00:00

  • Why we need more debate on whether psychotic symptoms lie on a continuum with normality.

    abstract::The notion that psychotic symptoms lie on a continuum with normality has become an accepted dogma. It is supported by several lines of empirical evidence, fits in with the orientation of modern services and has a 'moral' appeal. However, there is confusion as to the nature of the continuum or continua under discussion...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291710000188

    authors: David AS

    更新日期:2010-12-01 00:00:00

  • Effects of seeking compensation on the psychological health and recovery of injured patients: the role of stress vulnerability and injury-related disability.

    abstract:BACKGROUND:Seeking compensation has been shown to have an adverse effect on the psychological health and recovery of injured patients, however, this effect requires clarification. METHODS:A total of 2019 adults sustaining a traffic injury were recruited. Of these, 709 (35.1%) lodged a compensation claim. Interviews oc...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S003329172000166X

    authors: Pozzato I,Kifley A,Craig A,Gopinath B,Tran Y,Jagnoor J,Cameron ID

    更新日期:2020-06-09 00:00:00

  • Rapid tranquillisation in a psychiatric emergency hospital in Lebanon: TREC-Lebanon - a pragmatic randomised controlled trial of intramuscular haloperidol and promethazine v. intramuscular haloperidol, promethazine and chlorpromazine.

    abstract:BACKGROUND:Agitated patients constitute 10% of all emergency psychiatric treatment. Management guidelines, the preferred treatment of clinicians differ in opinion and practice. In Lebanon, the use of the triple therapy haloperidol plus promethazine plus chlorpromazine (HPC) is frequently used but no studies involving t...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291720004869

    authors: Dib JE,Yaacoub HE,Ikdais WH,Atallah E,Merheb TJ,Ajaltouni J,Akkari M,Mourad M,Nasr ME,Hachem D,Kazour F,Tahan F,Haddad G,Azar J,Zoghbi M,Haddad C,Hallit S,Adams CE

    更新日期:2021-01-06 00:00:00

  • Factors associated with satisfaction of inpatient psychiatric care: a cross country comparison.

    abstract:BACKGROUND:Patient satisfaction is a key indicator of inpatient care quality and is associated with clinical outcomes following admission. Different patient characteristics have been inconsistently linked with satisfaction. This study aims to overcome previous limitations by assessing which patient characteristics are ...

    journal_title:Psychological medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1017/S0033291719000011

    authors: Bird V,Miglietta E,Giacco D,Bauer M,Greenberg L,Lorant V,Moskalewicz J,Nicaise P,Pfennig A,Ruggeri M,Welbel M,Priebe S

    更新日期:2020-01-01 00:00:00

  • Cost-effectiveness of cognitive behavioural therapy, graded exercise and usual care for patients with chronic fatigue in primary care.

    abstract:BACKGROUND:Chronic fatigue is a common condition, frequently presenting in primary care. The aim of this study was to compare the cost-effectiveness of cognitive behavioural therapy (CBT) and graded exercise therapy (GET), and to compare therapy with usual care plus a self-help booklet (BUC). METHOD:Patients drawn fro...

    journal_title:Psychological medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1017/s0033291704001928

    authors: McCrone P,Ridsdale L,Darbishire L,Seed P

    更新日期:2004-08-01 00:00:00

  • Kleptomania: clinical characteristics and associated psychopathology.

    abstract::A review of research on kleptomania--the syndrome of compulsive stealing--suggests that kleptomania may be a common disorder, especially among women, and that it may frequently be associated with other forms of psychopathology, such as mood, anxiety, and eating disorders. There appears to be a range of abnormal or non...

    journal_title:Psychological medicine

    pub_type: 杂志文章,评审

    doi:10.1017/s0033291700014690

    authors: McElroy SL,Hudson JI,Pope HG,Keck PE

    更新日期:1991-02-01 00:00:00

  • Episodic memory in depression: the unique contribution of the anterior caudate and hippocampus.

    abstract:BACKGROUND:Learning and memory impairments in older adults with depression are linked to hippocampal atrophy. However, other subcortical regions may also be contributing to these deficits. We aimed to examine whether anterior caudate nucleus volume is significantly reduced in older adults with depression compared to co...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/S0033291716000787

    authors: Jayaweera HK,Hickie IB,Duffy SL,Mowszowski L,Norrie L,Lagopoulos J,Naismith SL

    更新日期:2016-07-01 00:00:00

  • Diagnostic disclosure: a tale in two cultures.

    abstract::Diagnostic communication between doctors and patients is thought to differ radically between Japan and Western countries. To understand diagnostic disclosure to psychiatric patients, a questionnaire with six case vignettes was sent to practising psychiatrists in Japan (N = 166) and North America (N = 112). While over ...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/s0033291700032803

    authors: McDonald-Scott P,Machizawa S,Satoh H

    更新日期:1992-02-01 00:00:00

  • The course of psychological distress following threatened and actual conjugal bereavement.

    abstract::We measured multiple dimensions of distress among spouses (N = 440) of patients hospitalized for serious illness or elective surgery and compared the course of distress over 2 years of follow-up among five groups according to whether and when spouses were bereaved. Distress was related to the severity of the patient's...

    journal_title:Psychological medicine

    pub_type: 杂志文章

    doi:10.1017/s0033291700029019

    authors: Hays JC,Kasl SV,Jacobs SC

    更新日期:1994-11-01 00:00:00