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Do patients want to disclose psychological problems to GPs

Bushnell, John; McLeod, Deborah; Dowell, Anthony; Salmond, Clare; Ramage, Stella; Collings, Sunny; Ellis, Pete; Kljakovic, Marjan; McBain, Lynn

Description

Background. GPs are an accessible health care provider for most patients with mental disorders and are gatekeepers to specialist care. The extent to which patients consider their primary care team as relevant to their mental health problems needs to be explored. Objectives. To explore reasons why patients choose not to disclose psychological problems to GPs, and to discuss the implications for the provision of primary mental health care. Methods. A cross-sectional survey of consecutive patients...[Show more]

dc.contributor.authorBushnell, John
dc.contributor.authorMcLeod, Deborah
dc.contributor.authorDowell, Anthony
dc.contributor.authorSalmond, Clare
dc.contributor.authorRamage, Stella
dc.contributor.authorCollings, Sunny
dc.contributor.authorEllis, Pete
dc.contributor.authorKljakovic, Marjan
dc.contributor.authorMcBain, Lynn
dc.date.accessioned2015-12-13T22:59:00Z
dc.identifier.issn0263-2136
dc.identifier.urihttp://hdl.handle.net/1885/83560
dc.description.abstractBackground. GPs are an accessible health care provider for most patients with mental disorders and are gatekeepers to specialist care. The extent to which patients consider their primary care team as relevant to their mental health problems needs to be explored. Objectives. To explore reasons why patients choose not to disclose psychological problems to GPs, and to discuss the implications for the provision of primary mental health care. Methods. A cross-sectional survey of consecutive patients attending general practices in New Zealand (part of the MaGPIe study). Patients were screened using the GHQ-12 and a stratified sample participated in a structured in-depth interview to assess their psychological health. Non-disclosure of psychological problems was explored. GPs assessed patients' psychological health using a 5-point scale of severity. Results. Seventy GPs (90%) and 775 patients (70%) participated. Overall, 29.8% of all patients and 36.9% of patients with current symptoms reported non-disclosure of self-perceived psychological problems. Younger patients, those consulting more frequently and those with greater psychiatric disability were more likely to report non-disclosure. The most frequently given reasons were beliefs that a GP is not the 'right' person to talk to (33.8%) or that mental health problems should not be discussed at all (27.6%). Conclusions. Interventions such as screening and GP education may be ineffective in improving primary mental health care unless accompanied by educational programmes for the general public to increase mental health literacy, de-stigmatise mental illness and increase awareness of general practice as an appropriate and effective source of health care.
dc.publisherOxford University Press
dc.sourceFamily Practice
dc.subjectKeywords: adult; aged; article; confidence interval; controlled study; doctor patient relation; female; general practitioner; health survey; human; human experiment; interpersonal communication; interview; male; medical education; medical specialist; mental health General practice; Mental disorders; Patient disclosure; Research
dc.titleDo patients want to disclose psychological problems to GPs
dc.typeJournal article
local.description.notesImported from ARIES
local.description.refereedYes
local.identifier.citationvolume6
dc.date.issued2005
local.identifier.absfor111717 - Primary Health Care
local.identifier.ariespublicationMigratedxPub11848
local.type.statusPublished Version
local.contributor.affiliationBushnell, John, University of Otago
local.contributor.affiliationMcLeod, Deborah, University of Otago
local.contributor.affiliationDowell, Anthony, University of Otago
local.contributor.affiliationSalmond, Clare, University of Otago
local.contributor.affiliationRamage, Stella, University of Otago
local.contributor.affiliationCollings, Sunny, University of Otago
local.contributor.affiliationEllis, Pete, University of Otago
local.contributor.affiliationKljakovic, Marjan, College of Medicine, Biology and Environment, ANU
local.contributor.affiliationMcBain, Lynn, University of Otago
local.description.embargo2037-12-31
local.bibliographicCitation.startpage631
local.bibliographicCitation.lastpage637
local.identifier.doi10.1093/fampra/cmi080
dc.date.updated2015-12-12T07:25:55Z
local.identifier.scopusID2-s2.0-30744476508
CollectionsANU Research Publications

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