ArticleBMC family practice2008
Follow-up study on health care use of patients with somatoform, anxiety and depressive disorders in primary care.
Article in BMC family practice, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 40 citations in OpenAlex.
- Patients' expectations of primary health care from both patients' and physicians' perspectives: a questionnaire study with a qualitative approach.BMC primary care · 2024Article
- Sex and gender differences in primary care help-seeking for common somatic symptoms: a longitudinal study.Scandinavian journal of primary health care · 2023Article
- Functional neurological symptoms masquerading as Wernicke encephalopathy following bariatric surgery.Proceedings (Baylor University. Medical Center) · 2019Article
- Family physicians' views on participating in prevention of major depression. The predictD-EVAL qualitative study.PloS one · 2019Article
- Patients with somatoform disorders: More frequent attendance and higher utilization in primary Out-of-Hours care?PloS one · 2018Article
- Article
- What do patients with medically unexplained physical symptoms (MUPS) think? A qualitative study.Mental health in family medicine · 2013Article
- Somatoform disorders among patients attending walk-in clinics in Trinidad: prevalence and association with depression and anxiety.Mental health in family medicine · 2013Article
- Health care utilization and poor reassurance: potential predictors of somatoform disorders.The Psychiatric clinics of North America · 2011Review
- The cost of somatisation among the working-age population in England for the year 2008-2009.Mental health in family medicine · 2010Article
- Predictability of persistent frequent attendance: a historic 3-year cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2009Article
- Epidemiology of frequent attenders: a 3-year historic cohort study comparing attendance, morbidity and prescriptions of one-year and persistent frequent attenders.BMC public health · 2009Article
- Defining frequent attendance in general practice.BMC family practice · 2008Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBetter management of affective and somatoform disorders may reduce consultation rates in primary care. Somatoform disorders are highly prevalent in primary care and co-morbidity with affective disorders is substantial, but it is as yet unclear which portion of the health care use may be ascribed to each disorder. Our objective was to investigate the use of primary care for undifferentiated somatoform disorders, other somatoform disorders, anxiety and depressive disorders prospectively.
methodsIn eight family practices 1046 consulting patients (25-79 yrs) were screened and a stratified sample of 473 was interviewed. Somatoform disorders, anxiety and depressive disorders were diagnosed (DSM IV) using SCAN 2.1. The electronic records of 400 participants regarding somatic diseases, medication and healthcare use were available through their family physicians (FP).
resultsIn the follow-up year patients with psychiatric disorders had more face-to-face contacts with the FP than patients who had no psychiatric disorder: average 7-10 versus 5. The impact on the use of primary care by patients with somatoform disorders was comparable to patients with depressive or anxiety disorders. Undifferentiated somatoform disorders had an independent impact on the use of primary care after adjustment for anxiety and depressive disorders, resulting in 30% more consultations (IRR 1.3 (95% CI: 1.1-1.7)). Anxiety disorders had no independent effect.
conclusionHealth care planning should focus on the recognition and treatment of somatoform as well as affective disorders.
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