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dc.contributor.authorKisely, S
dc.contributor.authorSimon, G
dc.date.accessioned2017-05-03T11:46:11Z
dc.date.available2017-05-03T11:46:11Z
dc.date.issued2005
dc.date.modified2010-03-23T07:25:30Z
dc.identifier.issn0033-3174
dc.identifier.doi10.1097/01.psy.0000149280.88430.7c
dc.identifier.urihttp://hdl.handle.net/10072/29195
dc.description.abstractObjective: 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.peerreviewedYes
dc.description.publicationstatusYes
dc.languageEnglish
dc.language.isoeng
dc.publisherLippincott Williams & Wilkins
dc.publisher.placeUSA
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom116
dc.relation.ispartofpageto122
dc.relation.ispartofissue1
dc.relation.ispartofjournalPsychosomatic Medicine
dc.relation.ispartofvolume67
dc.rights.retentionY
dc.subject.fieldofresearchBiomedical and clinical sciences
dc.subject.fieldofresearchClinical sciences not elsewhere classified
dc.subject.fieldofresearchPsychology
dc.subject.fieldofresearchcode32
dc.subject.fieldofresearchcode320299
dc.subject.fieldofresearchcode52
dc.titleAn International Study of the Effect of Physical Ill Health on Psychiatric Recovery in Primary Care
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.date.issued2005
gro.hasfulltextNo Full Text
gro.griffith.authorKisely, Steve R.


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