Social problems as factors affecting medical consultation: a comparison between general practice attenders and community probands with emotional distress.
Comparison between general practice attenders and community subjects with emotional distress (as measured by GHQ-12) showed that women from a general practice sample reported more social problems than those from the community. In both men and women, problems with their spouse or partner were far more likely among general practice attenders than among community probands. Furthermore, women who consulted the general practitioners could count less often on the availability of friend confidants and had more well-defined physical disorder than their community counterparts. Results from a logistic regression analysis showed that in women (but not in men) problems in the relationship with spouse or partner increased the probability of being a general practice attender more than twofold. Physical health status did not exert a significant effect either in men or in women.
Pini
S
S
Servizio di Psicologia Medica, Università di Verona, Italy.
Piccinelli
M
M
Zimmermann-Tansella
C
C
D000293:Adolescent; D000328:Adult; D000342:Affective Symptoms / Q000453:epidemiology* / Q000523:psychology; D000368:Aged; D003430:Cross-Sectional Studies; D005194:Family Practice / Q000706:statistics & numerical data; D005260:Female; D005783:Gender Identity; D006304:Health Status; D006801:Humans; D015994:Incidence; D007558:Italy / Q000453:epidemiology; D008297:Male; D008393:Marriage / Q000523:psychology; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D012940:Social Problems / Q000523:psychology / Q000706:statistics & numerical data*; D012944:Social Support; D013001:Somatoform Disorders / Q000453:epidemiology / Q000523:psychology