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At least 991 records · Page 55Linked to original sources
PubMed1982

Suicidal behaviors among clients at an outpatient psychology clinic versus the general population.

The focus of this paper is on the comparison of suicidal behaviors among two populations in the same geographical area: clients at a psychology clinic vs. individuals from the general population sampled at an area shopping center. In both samples 10 percent of the individuals reported prior parasuicidal behavior; the two populations were also quite similar on reports of prior suicidal ideation: 31 percent in the clinical and 24 percent in the general population reported never, or only briefly, considering suicide at any point in their lives. Suicidal behavior was related to sex and income in the general population.

Community Mental Health Centers↗
PubMedDate not supplied

[Effects of psychological treatment in the general hospital: follow-up study of patients with somatoform behavior].

Over a period of 35 month patients with psychic disorders were treated by a psychological consultation-liaison-service during their stay at a general hospital. A follow-up investigation using a questionnaire was carried out in 1990 in patients with somatization. 66.6% of the patients with somatization took part in the investigation. 47.6% of these patients initiated a psychosomatic treatment after discharge from hospital. 62.8% of the patients described their general state of health as improved. The frequency of symptoms and the amount of restrictions in cause of symptoms could be explained by two factors: Patients without an opportunity to continue a psychosomatic treatment and patients who anticipated negative consequences in case of a psychosomatic treatment reported significantly more complaints and a worse health status.

Adaptation, Psychological↗
PubMed2001

The burden of depression and anxiety in general medicine.

Psychological illness is responsible for considerable disability worldwide. The World Health Organization Global Burden of Disease Survey estimates that by the year 2020, major depression will be second only to ischemic heart disease in the amount of disability experienced by sufferers. Although different measures of disability have been used in different studies, they have consistently demonstrated that individuals with depression and anxiety disorders experience impaired physical and role functioning, more days in bed due to illness, more work days lost, increased impairment at work, and high use of health services. The disability caused by depression and anxiety is just as great as that caused by other common medical conditions, such as hypertension, diabetes, and arthritis. Comorbidity of depression with anxiety or medical illness further increases the disability experienced by sufferers. Recognition and treatment, however, relieve the burden imposed by untreated depression on the individual, society, and health services.

Anxiety Disorders↗
PubMed1996

Life style intervention in general practice: effects on psychological well-being and patient satisfaction.

The objectives of this study were to: (1) study if an opportunistic screening of coronary heart disease (CHD) risk factors among male attenders in general practice (GP) influenced the overall subjective satisfaction with life of persons labelled 'high risk' compared to other screened persons; (2) compare psychological well-being and patient satisfaction in a patient centred and self-directive (PCSD) intervention with conventional care (CC); and (3) evaluate patient satisfaction and psychological well-being among subjects with high CHD risk during a one year intervention study. Effects of 'labelling' were evaluated in 115 subjects with high CHD risk in comparison with a low risk reference population. The 22 participating GP centres were randomly allocated to follow either a PCSD intervention or a CC approach. An overall satisfaction with life question was employed and psychological well-being were measured using the General Health Questionnaire (20 item version). Satisfaction measures on health care aspects were also included. No difference of change between the high risk and the reference population was found concerning satisfaction with life after screening. No significant difference of change was found within or between the PCSD and the CC group concerning emotional well-being or overall satisfaction with life during one year intervention. Satisfaction with the care received was significantly better in the CC group as compared with the PCSD group (p = 0.02). Satisfaction with own efforts for improving health was, however, more pronounced in the PCSD group (p = 0.01). A substantial number (n = 61) of the participants reported distaste of being reminded of the risk of heart disease and no more than 60 of the participants were satisfied with their own efforts for improving health. Although no significant change of satisfaction with life and emotional well-being due to screening or intervention could be detected, clinicians should be aware that encouraging patients to change life style may lead to patients' annoyance of being reminded of the risk of disease and dissatisfaction with their own efforts. Increasing patient responsibility and self-determination may improve their satisfaction with their own efforts, but reduce satisfaction with medical care.

Adaptation, Psychological↗
PubMed1993

Identifying distress among general practitioners: predictors of psychological ill-health and job dissatisfaction.

This paper attempts to identify sources of job stress and personality factors as predictors of psychological ill-health and job dissatisfaction among a large sample of general practitioners in the United Kingdom. Compared to a normative sample, male doctors exhibit significantly higher levels of anxiety and depression, whereas female doctors compare favourably to the population norms. Job satisfaction levels were significantly lower than when they were measured in 1987, although women were less job dissatisfied than men. The main predictors of lack of mental well-being were the job stressors associated with the 'demands of the job and patients' expectations', 'practice administration and routine medical work', 'role stress' and the use of 'social support' as a coping strategy.

Adult↗