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首页> 外文期刊>Health & social care in the community >Psychosocial characteristics and affective symptomatology associated with patient self-initiated consultations in Spanish general practice
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Psychosocial characteristics and affective symptomatology associated with patient self-initiated consultations in Spanish general practice

机译：西班牙语一般实践中患者自发起咨询的心理社会特征和情感症状

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We aimed to determine the sociodemographic and psychosocial profile, and the associated subclinical affective symptomatology of users above the 95th percentile in the distribution of patient self-initiated, face-to-face consultations. Additionally, we sought to determine the contribution of subclinical symptomatology in differentiating between the groups above or below this cut-off point. A total of 16,803 users who self-initiated at least one face-to-face consultation with a GP at any of 13 PHC practices over 1 year, were eligible. After discarding those fulfilling exclusion criteria, 129 cases and 109 controls, matched by gender and age, answered the Family APGAR, the Duke-UNC and the Goldberg Anxiety-Depression scale. Both groups did not differ significantly on any of the sociodemographic and psychosocial variables recorded showing a similar percentage distribution. However, users with high self-initiated consultation rates obtained lower scores on the affective social support subscale from the Duke-UNC. Regarding Goldberg scale, the two groups differed significantly on the likelihood of displaying depression and/or anxiety symptoms. Users with a high probability of suffering from depression and/or anxiety were more prevalent among users on the top 5% in the distribution. Altogether, results indicate that these users report a lack of affective social support and have a higher probability of suffering from subclinical depression and/or anxiety. Early detection and treatment of affective symptomatology would temperate this excess in consultation. General practitioners, social workers and psychologists could act as gatekeepers, preventing this overuse of medical services and in turn lowering economical costs, professional burnout and patients' suffering and discontent.
机译：我们的目的是确定患者自我发起的面对面咨询分布中95%以上用户的社会人口统计学和心理社会特征，以及相关的亚临床情感症状学。此外，我们还试图确定亚临床症状学在区分高于或低于该临界点的人群中的作用。共有16803名用户在1年内，在13家PHC诊所中的任何一家，至少与一名普通医生进行了一次面对面咨询，符合条件。在放弃符合排除标准的患者后，129名患者和109名对照组（按性别和年龄匹配）回答了家庭APGAR、杜克大学联合临床研究中心（Duke UNC）和戈德堡焦虑抑郁量表。两组在显示相似百分比分布的任何社会人口统计学和心理社会变量上均无显著差异。然而，自我咨询率高的用户在杜克大学北卡罗来纳大学情感社会支持分量表上的得分较低。关于Goldberg量表，两组在出现抑郁和/或焦虑症状的可能性上存在显著差异。在分布的前5%的用户中，抑郁和/或焦虑可能性较高的用户更为普遍。总之，结果表明，这些用户报告缺乏情感社会支持，患亚临床抑郁症和/或焦虑症的可能性更高。情感症状的早期发现和治疗将缓解这种过度咨询。全科医生、社会工作者和心理学家可以充当看门人，防止医疗服务的过度使用，进而降低经济成本、职业倦怠以及患者的痛苦和不满。

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