Frequent attenders in general medical practice in Italy: A preliminary report on clinical variables related to low functioning
| Autor: | Stefano Moscardini, Enrico Bianchi, Claudia Carmassi, Gabriele Massimetti, Diana Ceresoli, Roberto Landi, C Nisita, Valerio Dell'Oste, Liliana Dell'Osso |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Neuropsychiatric Disease and Treatment Global Assessment of Functioning Primary care DSM-5 Global functioning Medically unexplained symptoms Mental disorders Psychiatry and Mental Health Biological Psychiatry 03 medical and health sciences 0302 clinical medicine Preliminary report Rating scale medicine 030212 general & internal medicine Psychiatry Original Research business.industry Panic disorder medicine.disease Comorbidity Major depressive disorder business 030217 neurology & neurosurgery |
| Zdroj: | Neuropsychiatric Disease and Treatment |
| Popis: | Claudia Carmassi,1 Valerio Dell’Oste,1 Diana Ceresoli,1 Stefano Moscardini,2 Enrico Bianchi,3 Roberto Landi,4 Gabriele Massimetti,1 Cristiana Nisita,1 Liliana Dell’Osso1 1Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy; 2General Medicine Outpatient Clinic, ASL 5 Tuscany, Pisa, Italy; 3General Medicine Outpatient Clinic, ASL 6 Tuscany, Livorno, Italy; 4General Medicine Outpatient Clinic, ASL 2 Tuscany, Lucca, Italy Background: Frequent attenders (FAs), defined as patients reporting a disproportionate number of visits to general practitioners (GPs), may represent up to one-third of GP patients responsible for a high burden of care not always justified by the severity of the medical condition. The aim of this study was to explore sociodemographic and clinical characteristics of FAs of GP in Italy with particular attention to functional impairment. Methods: A total sample of 75 FAs (defined as individuals who had consulted GPs 15 times or more during 2015) of GPs of three primary care centers (Pisa, Livorno, and Lucca) in Italy were enrolled and assessed by sociodemographic scale, Structured Clinical Interview for DSM-5 (SCID-5), global functioning (Global Assessment of Functioning [GAF]), illness behavior and perceived health (Illness Behavior Inventory), and somatic comorbidity (Cumulative Illness Rating Scale). Results: Most of the sample were females, middle aged, married, or cohabiting, with low levels of education. One-third of FAs was low functioning (LF; GAF score |
| Databáze: | OpenAIRE |
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