Somatizing frequent attenders in primary health care.

Abstract

OBJECTIVE:

The aim of this case-control study was to investigate the association of somatization with frequent attendance in primary health care.

METHODS:

Telehealth and communication technologies in health: summary and action plan.

Abstract

INTRODUCTION:

Rapid innovations and improvements in communication technologies have opened many new channels for health education and delivery, as well as disaster management. Theme 2 examined the role and applicability of these technologies to Disaster Medicine and Management and the various issues involved in their use.

METHODS:

Posttraumatic concerns: a patient-centered approach to outcome assessment after traumatic physical injury.

Abstract

BACKGROUND:

Approximately 2.5 million Americans are admitted to the hospital after traumatic physical injury each year. Few investigations have elicited patients' perspectives regarding posttraumatic outcomes.

OBJECTIVE:

To identify and categorize physically injured trauma survivors' posttraumatic concerns.

RESEARCH DESIGN:

Prospective longitudinal investigation; trauma survivors were interviewed during the post-injury hospitalization and again 1, 4, and 12 months after the trauma.

SUBJECTS:

Posttraumatic stress and depressive reactions among Nicaraguan adolescents after hurricane Mitch.

Abstract

OBJECTIVE:

This study determined the severity of posttraumatic stress and depressive reactions among Nicaraguan adolescents after Hurricane Mitch and the relationship of these reactions to objective and subjective features of hurricane exposure, death of a family member, forced relocation, and thoughts of revenge.

METHOD:

A study of posttraumatic disorders in children who experienced an industrial disaster in the Briey region.

Abstract

OBJECTIVES:

To study posttraumatic disorders in children who were directly and indirectly involved in an industrial disaster; to assess the respective impact of traumatism exposure, parental disorders and sociodemographic variables on the posttraumatic disorders of the children.

METHODS:

Life events and depression in a community sample of siblings.

Abstract

BACKGROUND:

The overall aim of the GENESiS project is to identify quantitative trait loci (QTLs) for anxiety/depression, and to examine the interaction between these loci and psychosocial adversity. Here we present life-events data with the aim of clarifying: (i) the aetiology of life events as inferred from sibling correlations; (ii) the relationship between life events and measures of anxiety and depression, as well as neuroticism; and (iii) the interaction between life events and neuroticism on anxiety/depression indices.

METHODS:

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:

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