Psychiatric symptomatology and personality in a population of primary care patients
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Psychiatry Department, Wroclaw Medical University, Poland
Family Medicine Department, Wroclaw Medical University, Poland, State College of Medical Education in Opole, Poland
Family Medicine Department, Wroclaw Medical University, Poland, State College of Medical Education in Opole, Poland
Public Health Department, Pomeranian Medical University, Szczecin, Poland
Family Medicine Department, Warsaw Medical University, Poland
ublic Health Department, Pomeranian Medical University, Szczecin, Poland
Family Medicine Department, Bialystok Medical University, Poland
Department of Pharmaceutical Technology, Faculty of Pharmacy, Wroclaw Medical University, Poland
Ann Agric Environ Med. 2014;21(2):344-348
introduction and objective. Psychiatric disorders (and their high rates of prevalence) in primary care have been widely analyzed, but the problem of underdiagnosis remains unresolved. This becomes increasingly more important in rural health centres in the face of lack of epidemiological data from these centres. The aim of this study is focused on the relationship between general health, psychiatric symptomatology and personality characteristics in the context of an adequate diagnosis. materials and methods. 518 primary care patients in 6 Polish urban clinical centres were studied using (in order of administration): a sociodemographic questionnaire, the General Health Questionnaire (GHQ-28) and Eysenck Personality Questionnaire (EPQ-R). results. The investigated sample was representative for urban primary care patients. The findings confirmed a significant association between neuroticism and general health. The strongest relation with current functioning and mental distress of the patients (GHQ general score) was observed in case of symptoms of anxiety and insomnia. The symptoms of depression may be the most difficult to identify (psychiatric symptoms assessed using GHQ sub-scales). conclusions. According to the GHQ assumptions and confirmed by the presented study, sub-threshold psychiatric symptomatology affects the functioning of primary care patients and their general health. This correlates with personality factors. Improving adequacy of diagnosis becomes extremely important, as it may often be the only chance for appropriate therapy of mental problems for people living in rural areas due to lower availability of specialistic mental services. Further epidemiological studies concerning rural primary care and prevalence of the spectrum of mental disorders need to be conducted.
Üstün TB. WHO Collaborative Study: An epidemiological survey of psychological problems in general health care in 15 centers worldwide. Int Rev of Psychiatry. 1994; 6(4): 357–363.
Pużyński S. Zaburzenia depresyjne w praktyce lekarza podstawowej opieki zdrowotnej. Przew Lek. 2000; 2: 68–76 (in Polish).
Sartorius N, Ustün TB, Costa e Silva JA, Goldberg D, Lecrubier Y, Ormel J et al. An international study of psychological problems in primary care. Preliminary report from the World Health Organization Collaborative Project on ‘Psychological Problems in General Health Care’. Arch Gen Psychiatry. 1993; 50(10): 819–824.
da Silva Lima AF, de Almeida Fleck MP. Subsyndromal depression: an impact on quality of life? J Affect Disord. 2007; 100(1–3): 163–169.
Schotte K, Cooper B. Subthreshold affective disorders: a useful concept in psychiatric epidemiology? Epidemiol Psichiatr Soc. 1999; 8(4): 255–261.
Cwikel J, Zilber N, Feinson M, Lerner Y. Prevalence and risk factors of threshold and sub-threshold psychiatric disorders in primary care. Soc Psychiatry Psychiatr Epidemiol. 2008; 43(3): 184–191.
Projekt rozporządzenia Rady Ministrów w sprawie Narodowego Programu Ochrony Zdrowia Psychicznego. (access: 2012.02.12) (in Polish).
Moskalewicz J, Kiejna A, Wojtyniak B. Kondycja psychiczna mieszkańców Polski. Raport z badań „Epidemiologia zaburzeń psychiatrycznych i dostęp do psychiatrycznej opieki zdrowotnej – EZOP Polska”. Instytut Psychiatrii i Neurologii, Warszawa 2012 (in Polish).
Piekarska A, Jakubik A. Wiejskiego Ośrodka Zdrowia w Zadusznikach. Psychiatr Pol. 1997; 31(6): 655–665 (in Polish).
Małyszczak K. Wpływ neurotyzmu i długotrwałych trudności życiowych w postaci chorób somatycznych na nasilenie objawów depresyjnych i lęku uogólnionego. Akademia Medyczna im. Piastów Śląskich we Wrocławiu, Wrocław 2007 (in Polish).
Ormel J, Oldehinkel AJ, Brilman EI. The interplay and etiological continuity of neuroticism, difficulties, and life events in the etiology of major and subsyndromal, first and recurrent depressive episodes in later life. Am J Psychiatry. 2001; 158(6): 885–891.
Seekles WM, Cuijpers P, van de Ven P, Penninx BW, Verhaak PF, Beekman AT, et al. Personality and perceived need for mental health care among primary care patients. J Affect Disord. 2012; 136(3): 666– 674.
Spinhoven P, de Rooij M, Heiser W, Smit JH, Penninx BW. The role of personality in comorbidity among anxiety and depressive disorders in primary care and specialty care: a cross-sectional analysis. Gen Hosp Psychiatry. 2009; 31(5): 470–477.
Kurpas D, Piotrowski P, Sapilak BJ, Steciwko A. Wymiary osobowości i poziom lęku u pacjentów chorych przewlekle – narzędzia badawcze. Fam Med. Prim Care Rev. 2009; 11(3): 671–673 (in Polish).
Goldberg D, Williams P. Podręcznik dla użytkowników Kwestionariusza Ogólnego Stanu Zdrowia. In: Ocena zdrowia psychicznego na podstawie badań kwestionariuszami Davida Goldberga. Podręcznik dla użytkowników kwestionariuszy GHQ-12 i GHQ-28. Instytut Medycyny Pracy, Łódź, 2001 (in Polish).
Brzozowski P, Drwal RŁ. Kwestionariusz Osobowości Eysencka. Polska adaptacja EPQ-R. Podręcznik. Wyd. PTP, Warszawa 1995 (in Polish). 17. Cramer D. Personality and marital dissolution. Pers Individ Dif. 1993; 14(4): 605–607.
Cramer D. Personality and marital dissolution. Pers Individ Dif. 1993; 14(4): 605–608.
Wei L, Zaohuo Ch, Xiang W, Chuanhua W. The relation of marital quality with personality and marital motivation. Chin J Clin Psychol. 2002; 10(1): 17–19.
Ferrando PJ, Anguiano-Carrasco C. Acquiescence and social desirability as item response determinants: An IRT-based study with the Marlowe–Crowne and the EPQ Lie scales. Pers Individ Dif. 2010; 48(5): 596–600.
Małyszczak K, Pawłowski T, Pyszel A, Kiejna A. Związek objawów lękowych i depresyjnych z cierpieniem psychicznym i funkcjonowaniem. Psychiatr Pol. 2006; 40(2): 269–77 (in Polish).
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