PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of jroyalcgpracBJGP at RCGPBJGP at PubMed CentralJ R Coll Gen Pract at PubMed CentralRCGP homepage
 
J R Coll Gen Pract. 1986 September; 36(290): 413–415.
PMCID: PMC1960517

The outcome of hidden neurotic illness treated in general practice

Abstract

One thousand patients attending a general practice surgery were asked to complete the general health questionnaire as the first stage of screening for hidden minor psychiatric disorders. Those who had an unexpectedly high score of 20 or more were randomly allocated to doctors or health visitors for treatment. After one year, these two groups were reinterviewed by the doctors and health visitors respectively and comparable rates of recovery were found. After five years, they were interviewed again and a second general health questionnaire completed. It was found that both groups had improved significantly, and that there was no significant difference between them.

Poor outcome was associated with problems with children, household or neighbours and with a previous history of psychiatric illness. Improvement was associated with physical treatment of the original disorder, resolution of the original problem and job satisfaction.

The implication of these findings for the comparative management of minor psychiatric disorders by general practitioners and non-medical health workers in primary care are discussed.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (675K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Brody DS. Physician recognition of behavioral, psychological, and social aspects of medical care. Arch Intern Med. 1980 Oct;140(10):1286–1289. [PubMed]
  • Marks JN, Goldberg DP, Hillier VF. Determinants of the ability of general practitioners to detect psychiatric illness. Psychol Med. 1979 May;9(2):337–353. [PubMed]
  • Eastwood MR, Trevelyan MH. Relationship between physical and psychiatric disorder. Psychol Med. 1972 Nov;2(4):363–372. [PubMed]
  • Cooper B, Sylph J. Life events and the onset of neurotic illness: an investigation in general practice. Psychol Med. 1973 Nov;3(4):421–435. [PubMed]
  • Goldberg DP, Blackwell B. Psychiatric illness in general practice. A detailed study using a new method of case identification. Br Med J. 1970 May 23;1(5707):439–443. [PMC free article] [PubMed]
  • Bridges KW, Goldberg DP. Psychiatric illness in inpatients with neurological disorders: patients' views on discussion of emotional problems with neurologists. Br Med J (Clin Res Ed) 1984 Sep 15;289(6446):656–658. [PMC free article] [PubMed]
  • Moffic HS, Paykel ES. Depression in medical in-patients. Br J Psychiatry. 1975 Apr;126:346–353. [PubMed]
  • QUERIDO A. Forecast and follow-up an investigation into the clinical, social, and mental factors determining the results of hospital treatment. Br J Prev Soc Med. 1959 Jan;13(1):33–49. [PMC free article] [PubMed]
  • Johnstone A, Goldberg D. Psychiatric screening in general practice. A controlled trial. Lancet. 1976 Mar 20;1(7960):605–608. [PubMed]
  • Maguire GP, Julier DL, Hawton KE, Bancroft JH. Psychiatric morbidity and referral on two general medical wards. Br Med J. 1974 Feb 16;1(5902):268–270. [PMC free article] [PubMed]
  • Ballinger CB. Psychiatric morbidity and the menopause; screening of general population sample. Br Med J. 1975 Aug 9;3(5979):344–346. [PMC free article] [PubMed]
  • Mann AH, Jenkins R, Belsey E. The twelve-month outcome of patients with neurotic illness in general practice. Psychol Med. 1981 Aug;11(3):535–550. [PubMed]
  • Hawton K. The long-term outcome of psychiatric morbidity detected in general medical patients. J Psychosom Res. 1981;25(3):237–243. [PubMed]
  • Skuse D, Williams P. Screening for psychiatric disorder in general practice. Psychol Med. 1984 May;14(2):365–377. [PubMed]
  • Huxley PJ, Goldberg DP, Maguire GP, Kincey VA. The prediction of the course of minor psychiatric disorders. Br J Psychiatry. 1979 Dec;135:535–543. [PubMed]

Articles from The Journal of the Royal College of General Practitioners are provided here courtesy of Royal College of General Practitioners