General Hospital Psychiatry
Volume 17, Issue 3 , Pages 173-180 , May 1995

Recognition of emotional distress in physically healthy primary care patients who perceive poor physical health

  • Mark Olfson, M.D.

      Affiliations

    • Corresponding Author InformationAddress reprint requests to: Mark Olfson, M.D., Department of Psychiatry, College of Physicians and Surgeons of Columbia University, 722 West 168th Street, New York, NY 10032.
    • Department of Psychiatry, College of Physicians & Surgeons of Columbia University, New York, New York, USA
  • ,
  • Thomas Gilbert, M.D., M.P.H.

      Affiliations

    • Department of Family Medicine, Brown University, Providence, Rhode Island, USA
  • ,
  • Myrna Weissman, Ph.D.

      Affiliations

    • Department of Psychiatry, College of Physicians & Surgeons of Columbia University, New York, New York, USA
  • ,
  • Robert S. Blacklow, M.D.

      Affiliations

    • Northeastern Ohio Universities College of Medicine, Ohio, USA
  • ,
  • W.Eugene Broadhead, M.D., Ph.D.

      Affiliations

    • Department of Community and Family Medicine and Psychiatry, Duke University Medical Center, Durham, North Carolina, USA

References 

  1. Quill TE. Somatization disorder: one of medicine's blind spots. JAMA. 1985;254:3075–3079
  2. Kaplan C, Lipkin M, Gordon GH. Somatization in primary care: patients with unexplained and vexing medical complaints. J Gen Intern Med. 1988;3:177–190
  3. Bridges K, Goldberg D, Evans B, Sharpe T. Determinants of somatization in primary care. Psycho Med. 1991;21:473–483
  4. Wagner PJ, Curran P. Health beliefs and physician identified “worried well”. Health Psychol. 1984;3:459–474
  5. Idler EL, Kasl S. Health perceptions and survival: Do global evaluations of health status really predict mortality. J Gerontol. 1991;46:S55–S65
  6. Idler EL, Angel R. Self-rated health and mortality in the NHANES-I Epidemiologic Follow-Up Study. Am J Pub Health. 1990;80:446–452
  7. Kaplan G, Barell V, Lusky A. Subjective state of health and survival in elderly adults. J Gerontol. 1988;43:S114–S120
  8. Connelly JE, Smith GR, Philbrick JT, Kaiser DL. Healthy patients who perceive poor health and their use of primary care services. J Gen Intern Med. 1991;6:47–51
  9. Blazer DG, Houpt JL. Perception of poor health in the healthy older adult. J Am Geratr Soc. 1979;27:330–334
  10. Barsky AJ. Amplification of bodily symptoms. Ann Intern Med. 1979;81:63–70
  11. Tessler R, Mechanic D. Psychological distress and perceived health status. J Health Soc Behav. 1978;19:254–262
  12. Perez Stable E, Miranda J, Munoz RF. Depression in medical outpatients: underrecognition and misdiagnosis. Arch Intern Med. 1990;1083–1088
  13. Clark WD. Alcoholism: Blocks to diagnosis and treatment. Am J Med. 1981;275–286
  14. Thompson TL, Stoudemire A, Mitchell WD, Grant RL. Underrecognition of patients' psychosocial distress in a university hospital medical clinic. Am J Psychiatry. 1983;140:158–161
  15. Bridges KW, Goldberg DP. Somatic presentation of DSM-III psychiatric disorders in primary care. J Psychosom Res. 1985;29:563–569
  16. Kirmayer LJ, Robbins JM, Dworkind M, Yaffe MJ. Somatization and the recognition of depression and anxiety in primary care. Am J Psychiatry. 1993;150:734–741
  17. Broadhead WE, Leon AC, Weissman MM, Barrett JE, Blacklow RS, Gilbert T, et al. Validation of the SDDS-PC screen for multiple mental disorders in primary care. Arch Fam Med. 1995;4:211–219
  18. Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. App Psychol Measurement. 1977;1:385–401
  19. Klerman GL, Weissman MM, Oullette R, Johnson J, Greenwald S. Panic attacks in the community: social morbidity and health care utilization. JAMA. 1991;255:742–746
  20. Broadhead WE, Blazer DG, George LK, Tse CK. Depression, disability days, and days lost from work in a prospective epidemiologic survey. JAMA. 1990;264:2524–2528
  21. Kirmayer LJ, Robbins JM. Three forms of somatization in primary care: prevalence, co-occurrence and sociodemographic characteristics. J Nerv Ment Dis. 1991;179:647–655
  22. Goldberg DP, Steele JJ, Smith C, et al.  Training family doctors to recognize psychiatric illness with increased accuracy. Lancet. 1980;ii:521–523
  23. Connelly JE, Philbrick JT, Smith GR, Kaiser DL, Wymer A. Health perceptions of primary care patients and the influence on health care utilization. Med Care. 1989;27:S99–S109
  24. Smith RG, Monson RA, Ray DC. Psychiatric consultation in somatization disorder. N Engl J Med. 1986;314:1407–1413
  25. Klerman GL, Budman S, Berwick D, Weissman MM, Daminco-White J, Bemby A, et al.  Efficacy of a brief psychosocial intervention for symptoms of stress and distress among patients in primary care. Med Care. 1987;25:1078–1088

 This study was funded by the Upjohn Company, Inc.

PII: 0163-8343(95)00023-K

General Hospital Psychiatry
Volume 17, Issue 3 , Pages 173-180 , May 1995