Do patients want to disclose psychological problems to GPs?

نویسندگان

  • John Bushnell
  • Deborah McLeod
  • Anthony Dowell
  • Clare Salmond
  • Stella Ramage
  • Sunny Collings
  • Pete Ellis
  • Marjan Kljakovic
  • Lynn McBain
چکیده

BACKGROUND GPs are an accessible health care provider for most patients with mental disorders and are gatekeepers to specialist care. The extent to which patients consider their primary care team as relevant to their mental health problems needs to be explored. OBJECTIVES To explore reasons why patients choose not to disclose psychological problems to GPs, and to discuss the implications for the provision of primary mental health care. METHODS A cross-sectional survey of consecutive patients attending general practices in New Zealand (part of the MaGPIe study). Patients were screened using the GHQ-12 and a stratified sample participated in a structured in-depth interview to assess their psychological health. Non-disclosure of psychological problems was explored. GPs assessed patients' psychological health using a 5-point scale of severity. RESULTS Seventy GPs (90%) and 775 patients (70%) participated. Overall, 29.8% of all patients and 36.9% of patients with current symptoms reported non-disclosure of self-perceived psychological problems. Younger patients, those consulting more frequently and those with greater psychiatric disability were more likely to report non-disclosure. The most frequently given reasons were beliefs that a GP is not the 'right' person to talk to (33.8%) or that mental health problems should not be discussed at all (27.6%). CONCLUSIONS Interventions such as screening and GP education may be ineffective in improving primary mental health care unless accompanied by educational programmes for the general public to increase mental health literacy, de-stigmatise mental illness and increase awareness of general practice as an appropriate and effective source of health care.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Does burnout among doctors affect their involvement in patients' mental health problems? A study of videotaped consultations

BACKGROUND General practitioners' (GPs') feelings of burnout or dissatisfaction may affect their patient care negatively, but it is unknown if these negative feelings also affect their mental health care. GPs' available time, together with specific communication tools, are important conditions for providing mental health care. We investigated if GPs who feel burnt out or dissatisfied with the t...

متن کامل

Randomized trial of reattribution on psychosocial talk between doctors and patients with medically unexplained symptoms.

BACKGROUND In reattribution, general practitioners (GPs) request psychosocial information directly and explain medically unexplained symptoms (MUS) using psychosocial information in the consultation. We explored whether reattribution training (RT) increased the communication of psychosocial information and decreased communication about somatic intervention between GPs and their MUS patients. ...

متن کامل

To disclose or not to disclose psychological problems to GPs.

To disclose or not to disclose psychological problems to GPs Non-detection of common mental disorders in primary care is often interpreted as a reflection of GPs' knowledge and skills. A common approach to dealing with non-detection of mental disorders in primary care is to provide further psychiatric training to improve the rate and accuracy of recognition of mental health disorders. However, ...

متن کامل

Consultations in general practices with and without mental health nurses: an observational study from 2010 to 2014

OBJECTIVES To investigate care for patients with psychological or social problems provided by mental health nurses (MHNs), and by general practitioners (GPs) with and without MHNs. DESIGN An observational study with consultations recorded by GPs and MHNs. SETTING Data were routinely recorded in 161-338 Dutch general practices between 2010 and 2014. PARTICIPANTS All patients registered at ...

متن کامل

Why Do They Want to Migrate from Rural Areas? A Psychological Perspective from Iran

While migration is a basic element of population dynamics in most societies, in Iran, rural-urban migration is a particular concern of both social scientists and policy makers. Rural-urban migration accounts for over half of the growth of most Iranian cities. On the other hand, this movement is often cited as having negative effects on rural area, including a shortage of supply of agricultural ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Family practice

دوره 22 6  شماره 

صفحات  -

تاریخ انتشار 2005