The relationship of presenting physical complaints to depressive symptoms in primary care patients

1992 ◽  
Vol 7 (2) ◽  
pp. 170-173 ◽  
Author(s):  
Paul D. Gerber ◽  
James E. Barrett ◽  
Jane A. Barrett ◽  
Thomas E. Oxman ◽  
Eric Manheimer ◽  
...  
2006 ◽  
Vol 117 (2) ◽  
pp. S79
Author(s):  
D. González de Olano ◽  
L. Moñino Fernández ◽  
M.J. Martínez Irazusta ◽  
A. García Morena ◽  
A. Henriquez Santana ◽  
...  

2012 ◽  
Vol 20 (10) ◽  
pp. 887-894 ◽  
Author(s):  
Silvia Sörensen ◽  
Wingyun Mak ◽  
Benjamin Chapman ◽  
Paul R. Duberstein ◽  
Jeffrey M. Lyness

2006 ◽  
Vol 47 (5) ◽  
pp. 435-439 ◽  
Author(s):  
Jeffrey M. Lyness ◽  
Aurelian Niculescu ◽  
Xin Tu ◽  
Charles F. Reynolds ◽  
Eric D. Caine

Author(s):  
Elisabeth Kliem ◽  
Elise Gjestad ◽  
Truls Ryum ◽  
Alexander Olsen ◽  
Bente Thommessen ◽  
...  

Abstract Objective: Findings on the relationship of psychiatric symptoms with performance-based and self-reported cognitive function post-stroke are inconclusive. We aimed to (1) study the relation of depression and anxiety to performance-based cognitive function and (2) explore a broader spectrum of psychiatric symptoms and their association with performance-based versus self-reported cognitive function. Method: Individuals with supratentorial ischemic stroke performed neuropsychological examination 3 months after stroke. For primary analyses, composite scores for memory and attention/executive function were calculated based on selected neuropsychological tests, and the Hospital Anxiety and Depression Scale (HADS) was used. Psychiatric symptoms and self-reported cognitive function for secondary aims were assessed using the Symptom-Checklist-90 – Revised (SCL-90-R). Results: In a sample of 86 patients [mean (M) age: 64.6 ± 9.2; Mini-Mental State Examination (MMSE), 3–7 days post-stroke: M = 28.4 ± 1.7; National Institutes of Health Stroke Scale (NIHSS) after 3 months: M = 0.7 ± 1.6] depressive symptoms (HADS) were associated with poorer memory performance after controlling for age, sex, and education (p ≤ .01). In a subsample (n = 41; Age: M = 65.7 ± 8.1; MMSE: M = 28.4 ± 1.8; NIHSS: M = 1.0 ± 1.9), symptoms of phobic anxiety (SCL-90-R) were associated with poorer performance-based memory and attention/executive function, and symptoms of anxiety (SCL-90-R) with lower attention/executive function. Higher levels of self-reported cognitive difficulties were associated with higher scores in all psychiatric domains (p ≤ .05). Conclusion: Even in relatively well-functioning stroke patients, depressive symptoms are associated with poorer memory. The results also suggest that various psychiatric symptoms are more related to self-reported rather than to performance-based cognitive function. Screening for self-reported cognitive difficulties may not only help to identify patients with cognitive impairment, but also those who need psychological treatment.


2011 ◽  
Vol 12 (1) ◽  
Author(s):  
André Tylee ◽  
Mark Ashworth ◽  
Elizabeth Barley ◽  
June Brown ◽  
John Chambers ◽  
...  

1987 ◽  
Vol 150 (6) ◽  
pp. 737-751 ◽  
Author(s):  
C. V. R. Blacker ◽  
A. W. Clare

Since the pioneering study of psychiatric morbidity in primary care by Shepherdet alin 1966, it has become increasingly apparent that a substantial proportion (between 20% and 25%) of patients consulting their GP are suffering from some form of psychiatric disturbance (Goldberg & Blackwell, 1970; Hoeperet al,1979). The composition of this psychiatric morbidity has been shown to be almost wholly affective in nature and largely mild in degree. In their important review Jenkins & Shepherd (1983) recently summarised the now extensive findings relating to overall minor psychiatric morbidity in primary care. However, recent collaborative studies between psychiatrists and GPs have identified that within this dilute pool of minor disorders, lurks a significant but poorly served population of patients suffering from depressive disorders which are by no means minor in degree. A number of crucial issues regarding this depression in primary care emerge which the present paper aims to review. In particular, how common is it, and how severe? How does it present and what, if any, are its special characteristics? What is the precise relationship between depressive symptoms and depressive illness presenting to the GP and what is the relationship between physical illness and depression? And finally, what is the course and outcome of depression in this setting and what are the indications for and effect of treatment?


2013 ◽  
Vol 145 (2) ◽  
pp. 172-178 ◽  
Author(s):  
Michaela Schwarzbach ◽  
Melanie Luppa ◽  
Claudia Sikorski ◽  
Angela Fuchs ◽  
Wolfgang Maier ◽  
...  

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