Risk factors of symptom underestimation by physicians

Zastrow, Arne; Faude, V.; Seyboth, Franziska; Niehoff, Dorothea; Herzog, Wolfgang; Löwe, Bernd

doi:10.1016/j.jpsychores.2007.11.010

Cited by 38 publications

(24 citation statements)

References 49 publications

(45 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This may support previous evidence which indicated that identification of their patients' mental health needs and the provision of effective and appropriate management represent a challenge for GPs (Copty, 2004;Copty & Whitford, 2005;Shaw, et al, 2005). As Zastrow, et al, (2008) pointed out clinicians tend to overestimate or underestimate levels of distress of their patients. The under detection of mental health disorders across the primary care population leads to patients not receiving optimal treatment.…”

Section: Discussionsupporting

confidence: 75%

Irish General Practitioner referrals to psychological therapies

Cullinan

Veale

Vitale

2015

Ir. j. psychol. Med.

View full text Add to dashboard Cite

ObjectiveGeneral Medical Practitioners play a crucial role in the detection and referral of mental health problems in primary care. This study describes the referral patterns of Irish General Practitioners (GPs) to psychological therapies and profiles the range of psychological therapies available.MethodA 21-item study-specific questionnaire exploring referral processes to psychological therapies was sent to all GPs listed by the Irish College of General Practitioners in one county in Ireland. A 19-item questionnaire exploring details of psychological therapies offered and referral pathways was sent to members of psychological therapy accrediting bodies in the same county.ResultsOf 97 GP respondents (33% response rate), their estimation of the percentage of their patients who have presenting or underlying mental health issues averaged 22%. When asked to indicate which psychological therapies they consider for referrals, psychiatric referrals was the most frequent referral option (94%), followed by Counsellors (69%), Clinical psychologist (60%) and Psychotherapists (30%). GPs indicated they had some or very little knowledge of specific psychological therapies. Of 129 psychological therapists (45% response rate), self-referral and GP referral were their main referral pathways; 80% worked in private practice; highest qualification level was Undergraduate/Higher Diploma (66%), Master Level (39%) and Doctoral Level (5%).ConclusionGPs refer patients presenting with mental health problems to psychiatrists with significantly lower percentages referring to other types of psychological therapists. Findings demonstrate that there is a need for greater education and information-sharing between GPs and providers of accredited psychological therapies to increase knowledge on specific therapies and their evidence base.

show abstract

Section: Discussionsupporting

confidence: 75%

Irish General Practitioner referrals to psychological therapies

Cullinan

Veale

Vitale

2015

Ir. j. psychol. Med.

View full text Add to dashboard Cite

show abstract

“…Furthermore, there might exist a mutual reinforcement of fatigue and pain 36. Depressive symptom may be a determinant of discordance 37 38. In the present study unfortunately, a depression measure was not available.…”

Section: Discussionmentioning

confidence: 69%

Patient-physician discordance in global assessment in early spondyloarthritis and its change over time: the DESIR cohort

et al. 2015

View full text Add to dashboard Cite

show abstract

“…[17][18][19][20][21][22] Symptom research has looked at patient-clinician agreement of symptoms related to angina pectoris, 23 myocardial infarction, 24,25 psychological and somatic disorders, 8,[26][27][28][29] HIV infection, 30 and cancer. 31,32 One study found fair to substantial agreement between adult selfassessment and clinician assessment on the symptoms related to 'strep throat'.…”

Section: Introductionmentioning

confidence: 99%

“…Medical record abstraction is further limited by illegibility, varying levels of completeness, and inaccuracies resulting from delayed documentation by busy physicians. 6,7 Agreement between clinicians and patients regarding the assessment of presenting clinical symptoms is important for patient satisfaction [8][9][10][11][12] and symptom resolution. [13][14][15] In research, differences in estimations of the prevalence or incidence of symptoms that are dependent on data source can lead to substantial differences in estimated disease parameters.…”

Section: Introductionmentioning

confidence: 99%