Cross sectional study of symptom attribution and recognition of depression and anxiety in primary care

Abstract

OBJECTIVES:

To examine the effect of patients' causal attributions of common somatic symptoms on recognition by general practitioners of cases of depression and anxiety and to test the hypothesis that normalising attributions make recognition less likely.

DESIGN:

Cross sectional survey.

SETTING:

One general practice of eight doctors in Bristol.

SUBJECTS:

305 general practice attenders.

MAIN OUTCOME MEASURE:

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Longitudinal course and predictors of continuing distress following critical incident exposure in emergency services personnel

Abstract

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The medical impact of tornadoes in North America

Abstract

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Patients' perceptions of medical explanations for somatisation disorders: qualitative analysis

Abstract

OBJECTIVES:

To describe, from the perspective of patients, distinguishing features of doctors' attempts to explain the symptoms of somatisation disorders.

DESIGN:

Qualitative analysis of verbatim records of interviews in which patients recounted doctors' explanations of their symptoms.

SETTING:

Patients with persistent somatising symptoms referred from general practices in Liverpool and St Helens and Knowsley were interviewed before entry into a treatment programme.

SUBJECTS:

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Temporal relationships between physical symptoms and psychiatric disorder. Results from a national birth cohort

Abstract

BACKGROUND:

Physical symptoms and psychiatric disorder are associated. We aimed to investigate which comes first.

METHODS:

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Developing case definitions for symptom-based conditions: the problem of specificity

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Understanding the needs of children following large-scale disasters and the role of government

Abstract

No one who experiences a disaster is untouched by it. Children and their families are often among the most affected. This article explains how mental health and medical professionals can assist families and communities in dealing with common disaster-related stress reactions in children. An overview of disaster research and examples of special concerns about children are given. In addition, an overview of the role of local, state, and federal governments, as well as other organizations, is provided.

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A public mental health approach to the postdisaster treatment of children and adolescents

Abstract

This article describes the implementation of mental health intervention programs for children, adolescents,and their families exposed to natural disaster and violence. Recommendations are made regarding needed levels of organization, methods of screening and triage, training and supervision of mental health staff, design and implementation of treatment approaches, and longitudinal monitoring of course of recovery and intervention outcome.

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The impact of trauma and disaster on young children

Abstract

In the past few decades, the study of the impact of trauma and disaster on children has grown; however, information about the effects on very young children is still scarce in the literature. In some regards, the characteristics of stress in young children are similar to those of older children and adults; in other ways, their reactions are unique. These characteristics, as well as mediating factors and interventions with young children, are discussed. Suggestions for future research are offered.

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Children's predisaster functioning as a predictor of posttraumatic stress following Hurricane Andrew

Abstract

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