The validity of the General Health Questionnaire for first-stage screening for mental illness in pain clinic patients

Benjamin, Sidney; Lennon, Sean; Gardner, Gail

doi:10.1016/0304-3959(91)90205-c

Cited by 39 publications

(19 citation statements)

References 16 publications

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“…In the present study, two self‐rating psychological questionnaires were incorporated. GHQ and POMS have been used to screen the existence of mental disorders and to evaluate the treatment outcome in studies of chronic pain (22–25). More importantly, a previous study revealed that these two psychological questionnaires reported to be useful screening tools for detecting mental disorders in dental patients with occlusion‐related problems (4).…”

Section: Discussionmentioning

confidence: 99%

“…ª 2012 Blackwell Publishing Ltd disorders and to evaluate the treatment outcome in studies of chronic pain (22)(23)(24)(25). More importantly, a previous study revealed that these two psychological questionnaires reported to be useful screening tools for detecting mental disorders in dental patients with occlusion-related problems (4).…”

Section: B I O -P S Y C H O -S O C I a L A S P E C T S O F O C C L U mentioning

confidence: 99%

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Bio‐psycho‐social assessment of occlusal dysaesthesia patients

Tsukiyama

Yamada

Kuwatsuru

et al. 2012

J of Oral Rehabilitation

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Dentists occasionally experience occlusal dysaesthesia (OD) patients, who complain of bite discomfort without evident occlusal abnormalities. It is suggested that this condition is related to somatosensory abnormalities of the trigeminal system and/or psychological problems such as somatoform disorders. The aim of this study was to investigate the characteristics of OD with a bio-psycho-social approach. Twelve OD patients (10 women, two men; mean age 54.7 years) and twelve healthy volunteers (10 women, two men; mean age 54.8 years) were selected. They were assessed using (i) interdental thickness discrimination ability test using 2-, 5- and 10-mm-thick standard blocks and 12 test blocks that were thinner or thicker than the corresponding standard block and (ii) psychological tests: General Health Questionnaire (GHQ60) and Profile of Mood States (POMS) brief-form. There was no significant difference in the interdental thickness discrimination ability between OD patients and controls (mixed-model anova, P=1.000). Regarding psychological tests, there were no significant differences between OD patients and controls in the total scores for either GHQ60 (P=0.143) or POMS brief-form (P=0.319) (Wilcoxon's test). However, OD patients showed significant differences from controls in several subscales, that is, 'somatic symptoms' (P=0.039) and 'severe depression' (P=0.039) for GHQ60 and 'depression-dejection' (P=0.014) and 'vigour' (P=0.008) for POMS brief-form (Wilcoxon's test). These results suggest there is no difference in interdental thickness discrimination ability between OD patients and normal controls, but OD patients tend to score higher on psychosomatic distress.

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Section: Discussionmentioning

confidence: 99%

Section: B I O -P S Y C H O -S O C I a L A S P E C T S O F O C C L U mentioning

confidence: 99%

Bio‐psycho‐social assessment of occlusal dysaesthesia patients

Tsukiyama

Yamada

Kuwatsuru

et al. 2012

J of Oral Rehabilitation

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“…Although GHQ is not a diagnostic instrument, it can be used in the first stage to identify potential cases of depression, which must in turn be confirmed using clinical assessment [30]. This cross-sectional study reports on the impact of MSD on mental health as measured by a screening scale.…”

Section: Discussionmentioning

confidence: 99%

Studying the association between musculoskeletal disorders, quality of life and mental health. A primary care pilot study in rural Crete, Greece

Αντωνοπούλου

Alegakis

Hadjipavlou

et al. 2009

BMC Musculoskelet Disord

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BackgroundThe burden of musculoskeletal disorders (MSD) on the general health and well-being of the population has been documented in various studies. The objective of this study was to explore the association between MSD and the quality of life and mental health of patients and to discuss issues concerning care seeking patterns in rural Greece.MethodsPatients registered at one rural Primary Care Centre (PCC) in Crete were invited to complete the Nordic Musculoskeletal Questionnaire (NMQ) for the analysis of musculoskeletal symptoms, together with validated instruments for measuring health related quality of life (SF-36) and mental distress (GHQ-28).ResultsThe prevalence rate of MSD was found to be 71.2%, with low back and knee pain being the most common symptoms. Most conditions significantly impaired the quality of life, especially the physical dimensions of SF-36. Depression was strongly correlated to most MSD (p < 0.001). Multiple logistic analyses revealed that patients who consulted the PCC due to MSD were likely to have more mental distress or impaired physical functioning compared to those who did not.ConclusionMusculoskeletal disorders were common in patients attending the rural PCC of this study and were associated with a poor quality of life and mental distress that affected their consultation behaviour.

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“…Patients choose one of five response alternatives from 'not at all' to 'much mote than usual' (scored 0-4) to describe how much of the relevant item they have experienced in the past few weeks. It had high sensitivity (true positive rate) and good specificity (true negative rate) when tested against the Clinical Interview Schedule (Benjamin, Lennon & Gardner, 1991;Goldberg. Cooper, Eastwood.…”

Section: Methodsmentioning

confidence: 99%

Emotional distress as a mediator of the relationship between pain and disability: An experimental study

Fisher

Johnston

1996

British J Health Psychol

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In people with chronic pain, disability is only partially explained by pain levels and emotional distress has been postulated to moderate the relationship between pain and disability in these and in other individuals. This paper reports an experimental investigation of this hypothesis with patients attending a clinical psychology department with chronic pain problems. Sections of the normal clinical interview which increased anxiety (asking about upsetting events) or reduced anxiety (asking about good events) were identified and standardized to give a naturally occurring mood induction technique. Twenty‐five patients were randomly allocated to receive the anxiety increasing section of the interview as part of the experimental procedure and 25 to receive the anxiety reducing section. Both groups received the other section later in the interview. Patients were assessed before and after the experimental procedure and results demonstrated that the mood induction procedures had produced the expected effects on mood and the resulting predicted effects on disability. Experimental mood enhancement was associated with reduced levels of disability assessed by a lifting task, while mood depression resulted in greater disability. These findings strengthen the results from correlational studies and suggest methods of minimizing disability, at least in the short term.

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The validity of the General Health Questionnaire for first-stage screening for mental illness in pain clinic patients

Cited by 39 publications

References 16 publications

Bio‐psycho‐social assessment of occlusal dysaesthesia patients

Bio‐psycho‐social assessment of occlusal dysaesthesia patients

Studying the association between musculoskeletal disorders, quality of life and mental health. A primary care pilot study in rural Crete, Greece

Emotional distress as a mediator of the relationship between pain and disability: An experimental study

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