Publications

Authors:

DEL PICCOLO, Lidia

Title:

La presentazione di problemi psico-sociali durante la consultazione in medicina generale

Year:

2000

Type of item:

Articolo in Rivista

Tipologia ANVUR:

Articolo su rivista

Language:

Italiano

Referee:

Sì

Name of journal:

Epidemiologia e Psichiatria Sociale

ISSN of journal:

1121-189X

N° Volume:

9

Page numbers:

257-271

Keyword:

comunicazione medico-paziente; intervista centrata sul paziente; riconoscimento del disagio emotivo

Short description of contents:

Objective – To examine how primary care patients with psychosocial problems actually introduce and present these topics. To examine the influence of some personality traits (emotional dependency and health locus of control) on psychosocial problem disclosure. Design – “case-control”. Cases had a GHQ-12 score equal or higher than three. Controls were matched with cases according to GP, GPs’ attribution of absence or presence of emotional distress sex, age and presence of chronic illness. Setting – Six single handed primary care practices. Measures – Clinical and Socio-demographic data, Social Problems List, List of 12 Threatening Life Events, GHQ-12, Multidimensional Health Locus of Control, Interpersonal Dependency Inventory and a Social Support Index. Results – The introduction of psychosocial topics by patients is related to the attribution of emotional distress by GP. Patients identified correctly as not distressed present less often psychosocial topics compared to patients recognised as distressed. Distressed patients not recognised as such more often than the others did not offer any psychosocial cue. The personality measures did not influence the presentation of psychosocial problems. Conclusions – The lack of psycho-social cues from patients and of patient-centred skills contributed to the non recognition of emotional distressed patients. GPs’ active facilitation of the presentation of psychosocial topics in such patients would improve the recognition of emotional distress.

Product ID:

12512

Handle IRIS:

11562/304032

Deposited On:

July 27, 2011

Last Modified:

October 28, 2022

Bibliographic citation:

DEL PICCOLO, Lidia, La presentazione di problemi psico-sociali durante la consultazione in medicina generale «Epidemiologia e Psichiatria Sociale» , vol. 9 , 2000 , pp. 257-271

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