Fatigue and psychiatric disorder: different or the same?

1999 ◽  
Vol 29 (4) ◽  
pp. 863-868 ◽  
Author(s):  
G. VAN DER LINDEN ◽  
T. CHALDER ◽  
I. HICKIE ◽  
A. KOSCHERA ◽  
P. SHAM ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practitioner ◽  
Psychiatric Disorder ◽  
Care Setting ◽  
Primary Care Setting ◽  
Psychiatric Symptoms ◽  
General Health Questionnaire ◽  
Health Questionnaire ◽  
Time Points ◽  
Time Point

Background. Fatigue and psychiatric symptoms are common in the community, but their association and outcome are sparsely studied.Method. A total of 1177 patients were recruited from UK primary care on attending their general practitioner. Fatigue and psychiatric disorder was measured at three time points with the 12-item General Health Questionnaire and the 11-item Fatigue Questionnaire.Results. Total scores for fatigue and psychiatric disorder did not differ between the three time points and were closely correlated (r around 0·6). The association between non-co-morbid (‘pure’) fatigue and developing psychiatric disorder 6 months later was the same as that for being well and subsequent psychiatric disorder. Similarly, having non-co-morbid psychiatric disorder did not predict having fatigue any more than being well 6 months previously. Between 13 and 15% suffered from non-co-morbid fatigue at each time point and 2·5% suffered from fatigue at two time points 6 months apart. Less than 1% of patients suffered from non-co-morbid fatigue at all three time points.Conclusions. The data are consistent with the existence of ‘pure’ independent fatigue state. However, this state is unstable and the majority (about three-quarters) of patients become well or a case of psychiatric disorder over 6 months. A persistent, independent fatigue state lasting for 6 months can be identified in the primary-care setting, but it is uncommon – of the order of 2·5%. Non-co-morbid (pure) fatigue did not predict subsequent psychiatric disorder.

A scaled version of the General Health Questionnaire

1979 ◽  
Vol 9 (1) ◽  
pp. 139-145 ◽  
Author(s):  
D. P. Goldberg ◽  
V. F. Hillier
Keyword(s):  
Primary Care ◽  
Factor Structure ◽  
General Health ◽  
Care Setting ◽  
Primary Care Setting ◽  
General Health Questionnaire ◽  
Somatic Symptoms ◽  
Severe Depression ◽  
Health Questionnaire ◽  
Item Questionnaire

SYNOPSISThis study reports the factor structure of the symptoms comprising the General Health Questionnaire when it is completed in a primary care setting. A shorter, 28-item GHQ is proposed consisting of 4 subscales: somatic symptoms, anxiety and insomnia, social dysfunction and severe depression. Preliminary data concerning the validity of these scales are presented, and the performance of the whole 28-item questionnaire as a screening test is evaluated. The factor structure of the symptomatology is found to be very similar for 3 independent sets of data.

scholarly journals A Pilot Study on Using the Patient Health Questionnaire in the Primary Care Setting in Japan

2005 ◽  
Vol 6 (1) ◽  
pp. 9-16
Author(s):  
Kazuhiro Waza ◽  
Graham Antonnette ◽  
Zyzanski Stephen ◽  
Kazuo Inoue ◽  
Masato Sasaki ◽  
...  
Keyword(s):  
Primary Care ◽  
Pilot Study ◽  
Care Setting ◽  
Primary Care Setting ◽  
Patient Health Questionnaire ◽  
Health Questionnaire ◽  
Patient Health

The factor structure of the General Health Questionnaire (GHQ): a scaled version for general practice in Spain

2006 ◽  
Vol 21 (7) ◽  
pp. 478-486 ◽  
Author(s):  
J.D. Molina ◽  
C. Andrade-Rosa ◽  
S. González-Parra ◽  
H. Blasco-Fontecilla ◽  
M.A. Real ◽  
...  
Keyword(s):  
General Health ◽  
Sleep Disturbances ◽  
Care Setting ◽  
Primary Care Setting ◽  
Sleep Problems ◽  
General Health Questionnaire ◽  
Health Questionnaire ◽  
Predictive Values ◽  
English Population ◽  
Components Analysis

AbstractBackgroundThe 28-item version of the General Health Questionnaire (GHQ-28) developed by Goldberg and Hillier in 1979 is constructed on the basis of a principal components analysis of the GHQ-60. When used on a Spanish population, a translation of the GHQ-28 developed for an English population may lead to worse predictive values.MethodsWe used our Spanish sample to replicate the entire process of construction of the GHQ-28 administered in a primary-care setting.ResultsTwo shorter versions were proposed: one with six scales and 30 items, and the other with four scales and 28 items.ConclusionsThe resulting GHQ-28 was a successful adaptation for use on the Spanish sample. When compared with the original version, only 21 items were the same. Moreover, contrary to the English version, which groups sleep problems and anxiety in the same scale, a scale with items related exclusively to ‘Sleep disturbances’ was found.

Psychiatric Symptoms in Dermatology Patients

1983 ◽  
Vol 143 (1) ◽  
pp. 51-54 ◽  
Author(s):  
J. E. Hughes ◽  
B. M. Barraclough ◽  
L. G. Hamblin ◽  
J. E. White
Keyword(s):  
General Population ◽  
Psychiatric Disorder ◽  
Psychiatric Symptoms ◽  
General Health Questionnaire ◽  
Topical Steroid ◽  
Depression Scale ◽  
The Body ◽  
Health Questionnaire ◽  
High Potency ◽  
Self Assessment

SummaryThe 30-item General Health Questionnaire (GHQ) (Goldberg, 1972) was administered to 196 consecutive new dermatology out-patients and 40 consecutive admissions to dermatology beds. Thirty per cent of the outpatients and 60 per cent of the in-patients obtained high scores, while half the high scorers in each group scored high on the Wakefield Self-Assessment Depression Scale (Snaith et al, 1971). These findings suggest that dermatology out-patients have a higher prevalence of psychiatric disorder than the general population, and dermatology in-patients a higher prevalence than general medical in-patients.High GHQ scores were associated with (a) diagnoses of acne, eczema, psoriasis or alopecia; with (b) extensive lesions on exposed parts of the body; and with (c) the use of high potency topical steroid. We indicate other areas that might be profitably explored in a full-scale study.

An initiative in primary care psychiatry in South Australia

2002 ◽  
Vol 10 (3) ◽  
pp. 259-264
Author(s):  
Tom Paterson ◽  
Christopher Seiboth ◽  
Barbara Magin ◽  
Rajan Nagesh ◽  
Cyndy Lloyd ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
General Practitioner ◽  
Care Setting ◽  
Primary Care Setting ◽  
South Australia ◽  
North West ◽  
The North ◽  
Health Project ◽  
Ongoing Development

Objective: To describe a joint mental health project involving the Adelaide Northern Division of General Practice (ANDGP) and the North West Adelaide Mental Health Service (NWAMHS). Conclusions: This project has been developed to explore alternative strategies to facilitate the identification and management of patients with mental illness in the primary care setting. The project has also endeavoured to explore alternative types of psychiatrist/general practitioner interactions other than the conventional ‘general practitioner referred psychiatrist consultation’. The development of adequate and clinically relevant evaluation methods, both quantitative and qualitative, has also been an explicit objective of the project. While the project provides an exciting stimulus for ongoing development of models of Primary Psychiatric Care, it is evident that such models can only evolve in the context of significant service and systemic change. It is hoped that the experiences in the northern suburbs of Adelaide can stimulate others to explore the ongoing collaborations between psychiatric services and general practitioners in ways that can produce better mental health outcomes in our patients.

A standardized assessment of patients referred to primary care and hospital psychiatric clinics

1990 ◽  
Vol 20 (1) ◽  
pp. 219-224 ◽  
Author(s):  
G. Strathdee ◽  
M. B. King ◽  
R. Araya ◽  
S. Lewis
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Psychiatric Disorder ◽  
Care Setting ◽  
Primary Care Setting ◽  
Psychiatric Morbidity ◽  
Case Note ◽  
Case Register ◽  
Primary Care Population ◽  
Hospital Sample

SYNOPSISGeneral practice based psychiatric clinics have increased in number in recent years. Case-note and case-register data examining the nature of the psychiatric disorder of the patients seen in this setting have shown contradictory findings. In this study comparison of 113 patients referred to primary care and hospital out-patient clinics is made using standardized clinical and social measures. Our results show that both groups had similar degrees of physical and social dysfunction and comparable levels of psychiatric morbidity. However, in the primary care population there were more women, and schizophreniform psychoses predominated. In the hospital sample affective illnesses and personality disorders were more common. The majority of patients preferred to consult in the primary care setting.

scholarly journals Screening for depression in primary care: a Rasch analysis of the PHQ-9

2016 ◽  
Vol 40 (5) ◽  
pp. 237-243 ◽  
Author(s):  
Mike Horton ◽  
Amanda E. Perry
Keyword(s):  
Primary Care ◽  
Psychometric Properties ◽  
Rasch Analysis ◽  
Care Setting ◽  
Screening Tool ◽  
Primary Care Setting ◽  
Clinical Implications ◽  
Health Questionnaire ◽  
Patient Health ◽  
Primary Care Patients

Aims and methodTo explore the modern psychometric properties of the Patient Health Questionnaire (PHQ-9), we used the Rasch analysis in a sample of 767 primary care patients with depression.ResultsThe analysis highlighted dependency issues between items 1 and 2 (‘Little interest or pleasure in doing things’ and ‘Feeling down, depressed, or hopeless’), and items 3 and 4 (‘Trouble falling or staying asleep, or sleeping too much’ and ‘Feeling tired or having little energy’). Items 1 and 2 displayed an over-discrimination, suggesting their potential redundancy within the complete item set.Clinical implicationsIn its current format the PHQ-9 displays some problems with regard to its measurement structure among a sample of primary care patients. These problems can be addressed by removing potentially redundant items to deliver a stable screening tool. The results also lend support for the PHQ-2 to be used as a screening tool in a primary care setting.

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