Medically unexplained symptoms in frequent attenders of secondary health care: retrospective cohort study.

Abstract

OBJECTIVE:

To estimate the prevalence of medically unexplained symptoms in patients who most frequently attend outpatient services.

DESIGN:

Retrospective cohort study over three years with review of case notes.

SETTING:

Secondary care services in the South Thames (West) NHS region.

PARTICIPANTS:

Outpatient attenders with new appointments in 1993.

MAIN OUTCOME MEASURES:

Number of outpatient appointments, and number of consultation episodes for medically unexplained conditions.

RESULTS:

Incidence and prediction of posttraumatic stress disorder symptoms in severely injured accident victims.

Abstract

OBJECTIVE:

This study was designed to assess the incidence of posttraumatic stress disorder (PTSD) in severely injured accident victims and to predict the presence of PTSD symptoms at a 12-month follow-up.

METHOD:

Individual predictors of posttraumatic distress: a structural equation model.

Abstract

OBJECTIVE:

Recent research has called into question the "dose-effect" model of understanding response to trauma and has turned attention to the contribution of personality and environmental factors. This research seeks to model the interrelation of relational capacity (a component of personality), perceptions of social support, and posttraumatic distress.

METHOD:

Prospective study of hepatic, renal, and haematological surveillance in hazardous materials firefighters.

Abstract

OBJECTIVES:

To evaluate possible health effects related to work with hazardous materials as measured by end organ effect markers in a large cohort over about 2 years, and in a subcohort over 5 years.

METHODS:

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