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The ability of general practitioners to detect mental disorders in primary health care.

https://arctichealth.org/en/permalink/ahliterature216423
Source
Acta Psychiatr Scand. 1995 Jan;91(1):52-6
Publication Type
Article
Date
Jan-1995
Author
M. Joukamaa
V. Lehtinen
H. Karlsson
Author Affiliation
Department of Psychiatry, University of Turku, Finland.
Source
Acta Psychiatr Scand. 1995 Jan;91(1):52-6
Date
Jan-1995
Language
English
Publication Type
Article
Keywords
Adult
Clinical Competence
Curriculum
Education, Medical, Graduate
Family Practice - education
Female
Finland
Humans
Male
Mental Disorders - diagnosis - psychology - therapy
Patient care team
Primary Health Care
Psychiatry - education
Psychophysiologic Disorders - diagnosis - psychology - therapy
Sampling Studies
Somatoform Disorders - diagnosis - psychology - therapy
Abstract
The ability to detect mental disorders varies greatly among general practitioners in primary health care. The aim of this study was to determine the factors underlying the differences between general practitioners in the ability to recognize mental disorders in Finnish patient populations. The group studied consisted of 1000 randomly selected adult patients of primary care facilities in the city of Turku. The Symptom Checklist (SCL-25) was used as the reference method in the identification of psychiatric cases. According to the SCL-25, one fourth of the sample had mental disorders. A good recognition ability was associated with postgraduate psychiatric training and qualification as a specialist in general practice. Surprisingly, Balint group training, which is a method intended to improve the ability of general practitioners to manage their patients' mental health problems, was associated rather with poor than good detection ability.
Notes
Comment In: Acta Psychiatr Scand. 1995 Oct;92(4):3198848961
PubMed ID
7754788 View in PubMed
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[A cognitive approach to overutilization of health services].

https://arctichealth.org/en/permalink/ahliterature192488
Source
Lakartidningen. 2001 Oct 24;98(43):4745-6
Publication Type
Article
Date
Oct-24-2001

The concept of "psychosomatic" in general practice. Reflections on body language and a tentative model for understanding.

https://arctichealth.org/en/permalink/ahliterature188087
Source
Scand J Prim Health Care. 2002 Sep;20(3):135-8
Publication Type
Article
Date
Sep-2002
Author
Bengt Mattsson
Monica Mattsson
Author Affiliation
Department of Primary Health Care, Göteborg University, Sweden. bengt.mattsson@allmed.gu.se
Source
Scand J Prim Health Care. 2002 Sep;20(3):135-8
Date
Sep-2002
Language
English
Publication Type
Article
Keywords
Family Practice - standards
Holistic Health
Humans
Kinesics
Mind-Body Relations, Metaphysical
Models, Psychological
Psychophysiologic Disorders - diagnosis - psychology - therapy
Sweden
Abstract
In medicine, the concept "psychosomatic" indicates both dualism and polarisation. "Could it mean something psychic or is it something somatic?" This artificial dichotomy and body/mind split is not as apparent in general practice as it is in other medical disciplines. In general practice, the prerequisites for a division are overlooked. Following the work of Piaget, the article outlines manifestations of a body/mind unity as exposed in the language. Words and expressions describing the way we move, stand and walk therefore indicate our attitude and state of mind. Our body language conveys a message. The importance of breathing and its relation to our emotions is highlighted. The function of breathing is said to represent a bridge between the conscious and the unconscious--breathing can be controlled by our will, but generally we breathe reflexively. Restricted breathing is not just a mechanical process; it is shown that there is a connection between breathing and our emotions. Finally, a model of the "human organism" is presented linking four concepts, "human activity", "organ functions", "physical body" and "neurophysiological functions". Activities within the different systems are linked and relate to each other. The model supports the necessity to overcome the body/mind split, which is one of the obstacles to the fulfillment of good quality general practice.
PubMed ID
12389748 View in PubMed
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[Specialist service for functional diseases].

https://arctichealth.org/en/permalink/ahliterature189364
Source
Tidsskr Nor Laegeforen. 2002 Jun 20;122(16):1594
Publication Type
Article
Date
Jun-20-2002
Author
Håkon Lie
Source
Tidsskr Nor Laegeforen. 2002 Jun 20;122(16):1594
Date
Jun-20-2002
Language
Norwegian
Publication Type
Article
Keywords
Humans
Medicine
Norway
Psychophysiologic Disorders - diagnosis - psychology - therapy
Referral and Consultation
Specialization
Notes
Comment In: Tidsskr Nor Laegeforen. 2002 Jun 30;122(17):1720-112555619
Comment On: Tidsskr Nor Laegeforen. 2002 Apr 30;122(11):1123-512043058
Comment On: Tidsskr Nor Laegeforen. 2002 Apr 30;122(11):1130-212043060
PubMed ID
12119791 View in PubMed
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[The psychotherapy of astheno-hypochondriacal disorders in patients with somatic pathology at a clinic for borderline states].

https://arctichealth.org/en/permalink/ahliterature103905
Source
Ter Arkh. 1990;62(10):95-7
Publication Type
Article
Date
1990
Author
V P Kolosov
Source
Ter Arkh. 1990;62(10):95-7
Date
1990
Language
Russian
Publication Type
Article
Keywords
Asthenia - diagnosis - psychology - therapy
Hospitals, Psychiatric
Humans
Hypochondriasis - diagnosis - psychology - therapy
Moscow
Psychophysiologic Disorders - diagnosis - psychology - therapy
Psychotherapy
Abstract
Overall 90 patients aged 35 to 55 years with somatic pathology treated at the clinic for borderline conditions were examined. Astheno-hypochondriac disorders appeared dominant in 41 patients while in 22 patients the disorders were of more partial character, the hypochondriac symptoms, even pronounced to the degree of hyperquantivalent ideas, were relatively unstable, bearing the traces of exaggeration, "defensiveness", affective disorders were labile. Nineteen patients showed subdepressive disorders with a tinge of "endogenicity", masked by astheno-hypochondriac and somatic complaints. In the first group, the psychotherapeutic policy was based on the unraveling and destruction of the "conventionally profitable" mechanisms of neurotic responding and on the formation of the emotionally saturated dominant in the solution of real life problems. Cognitive psychotherapy was predominant in the second group receiving small doses of psychotropic agents (antidepressants and tranquilizers). Psychotherapy made it possible not only to reduce the main astheno-hypochondriac disorders but also to attain steady compensation for somatic disorders.
PubMed ID
2084902 View in PubMed
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