Background And Aims: Increasingly, gambling features migrate into non-gambling platforms (e.g., online gaming) making gambling exposure and problems more likely.
View Article and Find Full Text PDFThis study aimed to assess the measurement properties of the Major Depression Inventory (MDI) in a clinical sample of primary care patients. General practitioners (GPs) handed out the MDI to patients aged 18-65 years on clinical suspicion of depression. Thirty-seven general practices in the Central Denmark Region participated in the study.
View Article and Find Full Text PDFScand J Prim Health Care
March 2019
Objective: This study aims to assess the measurement properties of the Major Depression Inventory (MDI) in a clinical sample of primary care patients.
Design: General practitioners (GPs) handed out the MDI to patients aged 18-65 years on clinical suspicion of depression.
Setting: Thirty-seven general practices in the Central Denmark Region participated in the study.
Objective: The Patient Health Questionnaire (PHQ-9) is widely used for screening of depression in acutely injured trauma survivors. Rasch analysis has been used to evaluate its measurement characteristics. This paper aims: 1) to assess the psychometric properties of the nine PHQ-9 items and 2) to determine the structural validity of using the total PHQ-9 score as a clinical outcome measure.
View Article and Find Full Text PDFBackground: 10-22% of individuals sustaining whiplash trauma develop persistent symptoms resulting in reduced working ability and decreased quality of life, but it is poorly understood why some people do not recover. Various collision and post-collision risk factors have been studied, but little is known about pre-collision risk factors. In particular, the impact of sickness and socioeconomic factors before the collision on recovery is sparsely explored.
View Article and Find Full Text PDFObjective: This study aimed to test the validity of the 36-item Short-Form Health Survey (SF-36) scales and summaries in patients with severe functional somatic syndromes (FSS), such as fibromyalgia and irritable bowel syndrome.
Study Design And Setting: One hundred twenty patients with severe FSS enrolled in a randomized controlled trial filled in the SF-36 questionnaire. We tested for data quality, central scaling assumptions, and agreement with the conceptual model.
Background: Little is known about gender differences in coping after whiplash, and to date possible interaction of gender and coping on recovery has not been investigated.
Aims: To examine if gender differences in coping are associated with long-lasting neck pain after acute whiplash. Seven hundred and forty participants referred from emergency departments or general practitioners after car accidents in Denmark.
Objective: To investigate whether the general practitioners' (GP) diagnosis of medically unexplained symptoms (MUS) and/or the diagnosis functional disorders (FD) can predict the patients' 2-year outcome in relation to physical and mental health and health care utilisation. Furthermore, to identify relevant clinical factors which may help the GP predict the patient's outcome.
Method: The study included 38 GPs and 1785 consecutive patients who presented a new health problem.
Patients with acute whiplash trauma were followed to examine if post-trauma ratings of pre-collision pain and psychological distress were associated with reduced work capability and neck pain at 12 months follow-up. The study included 740 consecutive patients (474 females, 266 males) referred from emergency departments or primary care after car accidents in four counties in Denmark. After the collision patients received a questionnaire on psychological distress, unspecified pain and socio-demographics and 12 months later a follow-up on work capability and neck pain was performed.
View Article and Find Full Text PDFObjective: Little is known about whether illness perceptions affect health outcomes in primary care patients. The aim of this study was to examine if patients' illness perceptions were associated with their self-rated health in a 2-year follow-up period.
Methods: One thousand seven hundred eighty-five primary care patients presenting a new or recurrent health problem completed an adapted version of the illness perception questionnaire and the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) at baseline and 3, 12, and 24 months' follow-up.
Objective: To investigate if primary care patients' perceptions of a current health problem were associated with use of health care.
Method: One thousand seven hundred eighty-five patients presenting a new health problem to 1 of 38 physicians from 28 general practices in Aarhus County, Denmark. Patients completed a questionnaire on their illness perceptions and emotional distress before the consultation.
Objective: To identify predictors of patient satisfaction among a range of patient and practitioner variables. In particular, to focus on patients' illness perceptions and the impact of a randomized controlled trial on the training of physicians in general communication skills and how to treat patients presenting with poorly defined illness.
Methods: A randomized controlled follow-up study conducted in 28 general practices in Aarhus County, Denmark.
Background: Prevalence and co-occurrence of mental disorders is high among patients consulting their family general practitioner (GP) for a new health problem, but data on diagnostics and socio-demographics are sketchy.
Method: A cross-sectional two-phase epidemiological study. A total of 1785 consecutive patients with new complaints, aged 18-65 years, consulting 28 family practices during March-April 2000 in Aarhus County, Denmark were screened, in the waiting room, for mental and somatic symptoms with SCL-8 and SCL-Somatization questionnaires, for illness worry with Whitely-7 and for alcohol dependency with CAGE.