dc.contributor.author | Kisely, S | |
dc.contributor.author | Simon, G | |
dc.date.accessioned | 2017-05-03T11:46:11Z | |
dc.date.available | 2017-05-03T11:46:11Z | |
dc.date.issued | 2005 | |
dc.date.modified | 2010-03-23T07:25:30Z | |
dc.identifier.issn | 0033-3174 | |
dc.identifier.doi | 10.1097/01.psy.0000149280.88430.7c | |
dc.identifier.uri | http://hdl.handle.net/10072/29195 | |
dc.description.abstract | Objective: The aim of this study was to determine the association between physical morbidity and recovery from psychiatric illness in primary care. Methods: A total of 1252 psychiatric cases were recruited using a 2-stage design from 5447 subjects presenting for primary care in 14 countries. Cases were assessed at the time of screening and 1 year subsequently. Information on physical, psychiatric, and social status was obtained using the Composite International Diagnostic Instrument adapted for use in primary care (CIDI-PHC) and the Groningen Social Disability Schedule (GSDS). Assessments of psychiatric morbidity were also obtained from the patients' family practitioners. Results: Medically explained somatic symptoms were strongly related to psychiatric outcome 1 year later. Whereas just over one half of patients (614 of 1078) with 4 or less medically explained symptoms had recovered from a psychiatric disorder, the percentage recovery fell to 38% (67 of 174) in those with 5 or more medically explained symptoms. Patients with 5 or more medically explained symptoms had a 70% increase in risk of remaining a psychiatric case 1 year later after controlling for demographics, country, initial severity of psychiatric disorder, medically unexplained somatic symptoms, and social disability. Conclusion: Physical ill health is independently associated with psychologic outcome 1 year after a patient has been seen. The needs of these patients should receive greater attention. Key Words: medically explained symptoms 堰sychiatric recovery 堰rimary care | |
dc.description.peerreviewed | Yes | |
dc.description.publicationstatus | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Lippincott Williams & Wilkins | |
dc.publisher.place | USA | |
dc.relation.ispartofstudentpublication | N | |
dc.relation.ispartofpagefrom | 116 | |
dc.relation.ispartofpageto | 122 | |
dc.relation.ispartofissue | 1 | |
dc.relation.ispartofjournal | Psychosomatic Medicine | |
dc.relation.ispartofvolume | 67 | |
dc.rights.retention | Y | |
dc.subject.fieldofresearch | Biomedical and clinical sciences | |
dc.subject.fieldofresearch | Clinical sciences not elsewhere classified | |
dc.subject.fieldofresearch | Psychology | |
dc.subject.fieldofresearchcode | 32 | |
dc.subject.fieldofresearchcode | 320299 | |
dc.subject.fieldofresearchcode | 52 | |
dc.title | An International Study of the Effect of Physical Ill Health on Psychiatric Recovery in Primary Care | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dc.type.code | C - Journal Articles | |
gro.date.issued | 2005 | |
gro.hasfulltext | No Full Text | |
gro.griffith.author | Kisely, Steve R. | |