RECOGNITION OF EMOTIONAL DISTRESS IN PHYSICALLY HEALTHY PRIMARY-CARE PATIENTS WHO PERCEIVE POOR PHYSICAL HEALTH

Title

RECOGNITION OF EMOTIONAL DISTRESS IN PHYSICALLY HEALTHY PRIMARY-CARE PATIENTS WHO PERCEIVE POOR PHYSICAL HEALTH

Creator

Olfson M; Gilbert T; Weissman M M; Blacklow R S; Broadhead W E

Publisher

General Hospital Psychiatry

Date

1995
1995-05

Description

This study examines the recognition and treatment of emotional distress in physically healthy primary cave patients who perceive themselves to be in fair or poor physical health. Patients (N = 892) from three private primary cave practices completed a mental health screening form prior to their medical visit which included an overall assessment of their physical health (1 = excellent, 2 = good, 3 = fair, 4 = poor). Following the visit, their physicians completed a questionnaire that included the same physical health assessment item. The study group, physically healthy patients who perceive poor physical health (HPPPH), included those patients who rated their physical health as 2 or 3 points more impaired than it was rated by their physician. HPPPH (N = 39) were significantly more likely than other patients (N = 853) to report a prior psychiatric hospitalization (p < 0.05), marital difficulties (p < 0.01), recent missed work due to a mental health problem (p < 0.001), and a range of anxiety, depressive, and psychosomatic symptoms. However, HPPPH were also significantly more likely than other patients to receive excellent emotional health ratings (p < 0.001) from their physicians and were less likely to receive mental health treatment (p < 0.05). Detection of emotional distress may be particularly difficult in physically healthy patients who have low physical health perceptions. Identification of pessimistic physical health perceptions may serve as an indicator for underlying emotional distress.

Subject

depression; mortality; perceptions; Psychiatry; somatization disorder

Format

Journal Article

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Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

173-180

Issue

3

Volume

17

Citation

Olfson M; Gilbert T; Weissman M M; Blacklow R S; Broadhead W E, “RECOGNITION OF EMOTIONAL DISTRESS IN PHYSICALLY HEALTHY PRIMARY-CARE PATIENTS WHO PERCEIVE POOR PHYSICAL HEALTH,” NEOMED Bibliography Database, accessed May 9, 2021, https://neomed.omeka.net/items/show/6678.

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