The Prevalence of Chronic Psychiatric Morbidity

1985 ◽  
Vol 146 (4) ◽  
pp. 372-376 ◽  
Author(s):  
Brian Stanley ◽  
Andrew J. Gibson
Keyword(s):  
Psychological Distress ◽  
General Health ◽  
General Health Questionnaire ◽  
Psychiatric Morbidity ◽  
Cultural Factors ◽  
Health Questionnaire ◽  
False Negatives ◽  
Community Screening ◽  
Chronic Disorders ◽  
Screening Device

SummarySeveral studies have commented upon the false negatives which can result when the General Health Questionnaire (GHQ) is employed as a community screening device for psychological distress. It would appear that some false negatives are the result of individual or cultural factors, whilst others result from the phrasing of the GHQ questions, which may mislead patients suffering from chronic disorders. This paper reports the use of additional questions, designed to detect such chronicity.

Severity of Psychiatric Disorder and the 30-Item General Health Questionnaire

1979 ◽  
Vol 134 (6) ◽  
pp. 609-616 ◽  
Author(s):  
Robert A. Finlay-Jones ◽  
Elaine Murphy
Keyword(s):  
Psychiatric Disorder ◽  
General Health ◽  
General Health Questionnaire ◽  
Health Questionnaire ◽  
False Negatives ◽  
Two Samples ◽  
Threshold Score ◽  
Adverse Life Event ◽  
Chronic Disorders ◽  
State Examination

SummaryThe 30-item General Health Questionnaire misclassified 26 per cent of respondents in two samples of women who were interviewed by a psychiatrist using the Present State Examination. False negatives were likely to be women with chronic disorders, particularly anxiety states. False positives were likely to be distressed by severe physical illness, a recent adverse life event, or loneliness. Applying a higher threshold score to their GHQ, responses would help to separate those with a diagnosable psychiatric disorder from those in states of distress.

Severity of symptoms of psychiatric outpatients: use of the General Health Questionnaire in hospital and general practice patients

1975 ◽  
Vol 5 (1) ◽  
pp. 62-66 ◽  
Author(s):  
A. C. P. Sims ◽  
P. H. Salmons
Keyword(s):  
General Practice ◽  
General Health ◽  
General Health Questionnaire ◽  
Psychiatric Morbidity ◽  
Control Sample ◽  
Outpatient Service ◽  
Health Questionnaire ◽  
Psychiatric Outpatient ◽  
Screening Device ◽  
Matched Samples

SynopsisA sample of 91 new referrals to a community based psychiatric outpatient service was compared with a cross-matched control sample of 107 patients attending the general practitioner's surgery. The subjects in both groups completed the General Health Questionnaire and there was a very marked difference between the scores of the two groups. Seventy-five of the psychiatric group had a high score on the questionnaire, and a large number of these were extremely high, while 74 of the general practice group had a low score. The ‘false’ positives and negatives are discussed. It is considered that the validity of this questionnaire as a screening device for demonstrating psychiatric morbidity and severity in general practice is further established in this study by showing that in matched samples the expected psychiatric morbidity in general practice can be compared with the much greater morbidity in psychiatric outpatient referrals. For the psychiatric sample more patients showed high scores and these tended to be much higher.

The General Health Questionnaire and the Detection of Emotional Disorder by General Practitioners

1987 ◽  
Vol 151 (3) ◽  
pp. 373-381 ◽  
Author(s):  
A. P. Boardman
Keyword(s):  
General Practitioners ◽  
General Health ◽  
General Health Questionnaire ◽  
Psychiatric Morbidity ◽  
Epidemiological Studies ◽  
Health Questionnaire ◽  
Detection Ability ◽  
Two Indices ◽  
The Individual ◽  
Screening Device

This paper reports on a study of psychiatric morbidity in 920 patients attending 18 General Practitioners in Lewisham, South East London. Two indices of morbidity were computed on the basis of the patients responses to the General Health Questionnaire (GHQ) and the GPs' own estimates. Indices of the GPs' detection ability were found by comparing questionnaire and GP rating. The results are compared to those obtained by other workers in a sample of Manchester GPs. The GHQ gave a prevalence estimate of 42.9% which is comparable to that of 39.6% obtained in the Manchester study. In addition, the variation in caseness across sociodemographic groups was consistent with the Manchester findings. The GPs' estimates of morbidity, while much lower than those obtained in Manchester, have similar sociodemographic profiles. The results support the use of the GHQ as a screening device in epidemiological studies, and suggest the need for further investigation of the individual GP's performance as a case detector.

Using the 12-item General Health Questionnaire to screen psychological distress from survivorship to end-of-life care: dimensionality and item quality

2011 ◽  
Vol 21 (9) ◽  
pp. 954-961 ◽  
Author(s):  
Wei Gao ◽  
Daniel Stark ◽  
Michael I. Bennett ◽  
Richard J. Siegert ◽  
Scott Murray ◽  
...  
Keyword(s):  
Psychological Distress ◽  
End Of Life ◽  
End Of Life Care ◽  
General Health ◽  
General Health Questionnaire ◽  
Life Care ◽  
Health Questionnaire ◽  
Item Quality

Psychiatric Morbidity among Dunedin Chinese Women

1992 ◽  
Vol 26 (2) ◽  
pp. 183-190 ◽  
Author(s):  
Peter Cheung ◽  
George Spears
Keyword(s):  
General Health ◽  
Chinese Women ◽  
General Health Questionnaire ◽  
Psychiatric Morbidity ◽  
Sociodemographic Factors ◽  
Postal Survey ◽  
Health Questionnaire ◽  
Foreign Born ◽  
Family Reunion ◽  
Case Identification

A community postal survey of minor psychiatric morbidity among Chinese women living in Dunedin was conducted. The 28-item version of the General Health Questionnaire (GHQ-28) was used as the case identification instrument. The overall rate of psychiatric morbidity of Dunedin Chinese women did not differ from their European counterparts. The sociodemographic factors found to be associated with minor psychiatric morbidity included having no children, and being either very well or very poorly educated. Among (foreign born) migrants, those who were born in China, whose reason for migration was “follow the lead of their family” or “family reunion”, had resided in NewZealand for ten years or more and spoke English infrequently tended to have higher psychiatric morbidity.

Emotional Disturbance in Hearing Clinic Patients

1980 ◽  
Vol 137 (1) ◽  
pp. 58-62 ◽  
Author(s):  
Burt Singerman ◽  
Erwin Riedner ◽  
Marshal Folstein
Keyword(s):  
Hearing Loss ◽  
Emotional Disturbance ◽  
General Health ◽  
General Health Questionnaire ◽  
Psychiatric Morbidity ◽  
Health Questionnaire ◽  
Vestibular Symptoms ◽  
Hearing Evaluation

SummaryA group of outpatients scheduled for hearing evaluation were screened for psychiatric morbidity using the General Health Questionnaire (GHQ-30). There was an association between objective hearing loss and elevated GHQ-30 score. An association was also found between the presence of tinnitus and vestibular symptoms and elevated GHQ-30 score.

scholarly journals Consultant psychiatrists' working patterns

2007 ◽  
Vol 31 (7) ◽  
pp. 252-255
Author(s):  
Alex Mears ◽  
Sarah Pajak ◽  
Tim Kendall ◽  
Cornelius Katona ◽  
Jibby Medina ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Random Sample ◽  
General Health ◽  
Response Rate ◽  
General Health Questionnaire ◽  
Lifestyle Factors ◽  
Clinical Implications ◽  
Health Questionnaire ◽  
Significant Relationships ◽  
Job Content

Aims and MethodTo explore relationships between different styles of working and measures of occupational pressure in consultant psychiatrists. A random sample of 500 consultant psychiatrists were sent a questionnaire about working patterns and lifestyle factors, with other sections using validated tools (such as the 12-item General Health Questionnaire; GHQ).ResultsThere were 185 useable questionnaires returned (an adjusted response rate of 39%). Significant relationships were identified between job content and GHQ and burnout scores, indicating that occupational pressures are rendering some consultant posts ‘problem posts', leading to problematic levels of psychological distress among some consultants.Clinical ImplicationsAlthough consultant psychiatrists are more satisfied than not with their jobs, steps need to be taken to address the causes of ‘problem posts', to reduce attrition in the most pressured individuals.

Levels of Psychological Distress among Occupational Therapy Students

1996 ◽  
Vol 59 (8) ◽  
pp. 365-371 ◽  
Author(s):  
Jeanne Tyrrell ◽  
Howard Smith
Keyword(s):  
Psychological Distress ◽  
Occupational Therapy ◽  
Professional Education ◽  
General Health ◽  
Peer Group ◽  
General Health Questionnaire ◽  
Health Questionnaire ◽  
Psychiatric Symptomatology ◽  
Occupational Therapy Students ◽  
The University

This study measured levels of psychological distress among a sample of Irish occupational therapy students. Students from all four undergraduate classes (n=102) were surveyed, using the General Health Questionnaire (GHQ-28). Over 40% of the students scored as having a ‘just significant clinical disturbance’ on the GHQ-28. Mean GHQ scores (or symptom levels) varied throughout the 4-year course and were highest just before examinations and during fieldwork placements. Students who had unhealthy diets or who smoked had significantly higher levels of psychiatric symptomatology. The prevalence of psychological distress among occupational therapy students was similar to that found in students from four other disciplines; however, the university students had much higher levels of symptomatology than the non-university peer group. The article concludes with some suggestions for dealing with stressful aspects of professional education and some recommendations for further research.

Psychiatric morbidity among Punjabi medical patients in England measured by General Health Questionnaire

1990 ◽  
Vol 20 (3) ◽  
pp. 711-719 ◽  
Author(s):  
I-B. Krause ◽  
R. M. Rosser ◽  
M. L. Khiani ◽  
N. S. Lotay
Keyword(s):  
General Health ◽  
Depressive Symptomatology ◽  
General Health Questionnaire ◽  
Psychiatric Morbidity ◽  
Asian Immigrants ◽  
Health Questionnaire ◽  
Medical Patients ◽  
Health Centres

SynopsisThe 28-item GHQ was administered to 282 Punjabi and white British patients visiting two Health Centres in Bedford. We discovered that ethnicity is not significantly correlated with GHQ ‘caseness’, but that differences exist in somatic and depressive symptomatology. The discussion relates these findings to debates about the psychiatric morbidity of Asian immigrants and somatization.

Social factors and minor psychiatric disorder in middle-aged men: a validation study and a population survey

1991 ◽  
Vol 21 (1) ◽  
pp. 157-167 ◽  
Author(s):  
S. A. Stansfeld ◽  
J. E. J. Gallacher ◽  
D. S. Sharp ◽  
J. W. G. Yarnell
Keyword(s):  
Social Class ◽  
Psychiatric Disorder ◽  
General Health ◽  
Community Sample ◽  
General Health Questionnaire ◽  
Psychiatric Morbidity ◽  
Health Questionnaire ◽  
Cross Sectional Survey ◽  
Social Contacts ◽  
Married Men

SYNOPSISA cross-sectional survey of minor psychiatric disorder is reported in a representative community sample of 2204 men between the ages of 45 years and 64 years living in Caerphilly, South Wales. Minor psychiatric disorder was measured by the 30-item General Health Questionnaire and validated by the Clinical Interview Schedule in a consecutive sample of 97 men, weighted to provide one-third cases, two-thirds non-cases. A case threshold of 4/5 on the General Health Questionnaire was chosen on the basis of ‘ROC’ analysis. An overall estimated ‘true’ prevalence rate for minor psychiatric disorder of 22·0% was found, with 22·3% of men scoring 5 or more on the General Health Questionnaire. Rates of minor psychiatric disorder were higher in widowed and divorced men than in married men but were also, unexpectedly, lower in single as opposed to married men. There was no social-class gradient in minor psychiatric morbidity but a lower rate in Social Class III NM may be largely explained by lower unemployment rates. There were markedly higher rates of minor psychiatric morbidity in unemployed men and those who retired ill. Men with no available social contacts had higher rates of morbidity than men with some or high social contacts.

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