Disordered Eating and Perceptions of Childhood Abuse Among Women in a Primary Care Setting

1998 ◽  
Vol 22 (3) ◽  
pp. 493-497
Author(s):  
Michael W. Wiederman ◽  
Randy A. Sansone ◽  
Lori A. Sansone
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
College Student ◽  
Disordered Eating ◽  
Childhood Abuse ◽  
Emotional Abuse ◽  
Care Setting ◽  
Primary Care Setting ◽  
History Of ◽  
The Relationship

Research has demonstrated links between sexual abuse and disordered eating among women in college student and mental health samples. Little is known about such relationships among women from other samples or the relationship between other forms of childhood abuse as well as disordered eating (vomiting, starvation, laxative abuse). Prevalence of disordered eating was significantly higher among women who indicated a perceived childhood history of sexual, physical, or emotional abuse or who had personally witnessed violence.

Integration of mental health resources in a primary care setting leads to increased provider satisfaction and patient access

2013 ◽  
Vol 35 (5) ◽  
pp. 461-467 ◽  
Author(s):  
Kristin S. Vickers ◽  
Jennifer L. Ridgeway ◽  
Julie C. Hathaway ◽  
Jason S. Egginton ◽  
Angela B. Kaderlik ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Health Resources ◽  
Patient Access ◽  
Provider Satisfaction

Providing Mental Health Services in the Primary Care Setting: the Experiences and Perceptions of General Practitioners at a New York City Clinic

2018 ◽  
Vol 89 (4) ◽  
pp. 897-908 ◽  
Author(s):  
Issa Papiss Bagayogo ◽  
Katharina Turcios-Wiswe ◽  
Kanako Taku ◽  
Lauren Peccoralo ◽  
Craig L. Katz
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
New York ◽  
New York City ◽  
Mental Health Services ◽  
Health Services ◽  
General Practitioners ◽  
York City ◽  
Care Setting ◽  
Primary Care Setting

How general practitioners treat migraine patients—evaluation of a headache guideline

Cephalalgia ◽  
2012 ◽  
Vol 32 (12) ◽  
pp. 908-915 ◽  
Author(s):  
R Zielman ◽  
PJL Veenstra ◽  
EW van Zwet ◽  
JSP van den Berg
Keyword(s):  
Primary Care ◽  
General Practitioners ◽  
Pharmacological Treatment ◽  
Care Setting ◽  
Primary Care Setting ◽  
Referral Letter ◽  
Hospital Record ◽  
Specific Medication ◽  
History Of ◽  
First Time

Aim: The aim of the study was to evaluate the pharmacological treatment of migraine patients by general practitioners before referral to a neurologist. First, was the pharmacological treatment in accordance with the Dutch College of General Practitioners headache guideline? Second, which migraine characteristics were associated with receiving migraine-specific medication? Methods: Migraine patients (age ≥18 years) who visited the neurology outpatient clinic for the first time were included. Migraine characteristics and pharmacological status were collected retrospectively for each patient from the general practitioner’s referral letter, hospital record and a headache characteristics questionnaire. Results: A total of 420 migraine patients were included. Only 18.3% of the patients with two or more migraine attacks per month were using prophylactic medication. Furthermore, only 11.7% of patients with symptoms of nausea and/or vomiting were using anti-emetic medication. More than half of patients (51.7%) were using triptans and were likely to have typical migraine symptoms and a long history of migraine. Conclusions: Migraine prophylactic medication and anti-emetics are underutilized in the primary care setting for migraine patients in the Netherlands, when compared to the general practitioners guideline. It is important to enhance the knowledge of general practitioners regarding the diagnosis of migraine, and to increase awareness of the headache guideline.

scholarly journals Office-Based Case Finding for Chronic Obstructive Pulmonary Disease in Older Adults in Primary Care

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Linda Lee ◽  
Tejal Patel ◽  
Loretta M. Hillier ◽  
James Milligan
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Smoking History ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Previous Diagnosis ◽  
History Of ◽  
Screening Questions

Background. Chronic Obstructive Pulmonary Disease (COPD) is underdiagnosed in primary care.Aim. To explore the utility of proactive identification of COPD in patients 75 years of age and older in a Canadian primary care setting.Methods.Canadian Thoracic Society (CTS) screening questions were administered to patients with a smoking history of 20 pack-years or more; those with a positive screen were referred for postbronchodilator spirometry.Results. A total of 107 patients (21%), of 499 screened, had a 20-pack-year smoking history; 105 patients completed the CTS screening. Forty-four (42%) patients were positive on one or more questions on the screening; significantly more patients with a previous diagnosis of COPD (64%) were positive on the CTS compared to those without a previous diagnosis of COPD (30%). Of those who were not previously diagnosed with COPD (N= 11), four (36%) were newly diagnosed with COPD.Conclusion. A systematic two-stage method of screening for COPD, using CTS screening questions followed by spirometric confirmation, is feasible in the context of a busy primary care setting. More research is needed to assess the value of restricting screening to patients with a smoking history of 20 pack-years and on the sensitivity and specificity of these measures.

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