Hostname: page-component-78c5997874-v9fdk Total loading time: 0 Render date: 2024-11-19T06:12:20.045Z Has data issue: false hasContentIssue false

The influence of minor psychiatric morbidity on consulting rates to general practitioners

Published online by Cambridge University Press:  09 July 2009

P. W. Burvill*
Affiliation:
Department of Psychiatry and Behavioural Science, Department of Mathematics, University of Western Australia
M. W. Knuiman
Affiliation:
Department of Psychiatry and Behavioural Science, Department of Mathematics, University of Western Australia
*
1Address for correspondence: Associate Professor P. W. Burvill, University Department of Psychiatry and Behavioural Science, Kirkman House, 10 Murray Street, Perth, W.A. 6000, Australia.

Synopsis

The presence and severity of Minor Psychiatric Morbidity (MPM) as measured by the 60-item General Health Questionnaire (GHQ), and being female rather than male, increases the consulting rate of people in the community to their general practitioner. The rate of increase of consulting decreases as the severity of MPM increases. There is an interaction between age and MPM, giving progressively increased consulting rates in the older age groups in males but not females. The possibility of a biological difference between males and females in the interaction of MPM and physical, and of age and physical illness, is raised.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1983

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Adams, A., Chancellor, A. & Kerr, C. (1971). Medical care in Western Sydney. Medical Journal of Australia i, 507516.Google Scholar
Ashford, J. R. & Pearson, N. G. (1970). Who uses the health services and why? Journal of the Royal Statistical Society 133, 295357.Google Scholar
Baker, R. J. & Nelder, J. A. (1978). The GLIM System, Release 3: Generalised Linear Inter-active Modelling. Royal Statistical Society: London.Google Scholar
Bremer, J. (1950). A social psychiatric investigation of a small community in Northern Norway. Acta Psychiatrica et Neurologica Scandinavica Suppl. 62.Google Scholar
Davies, B. (1964). Psychiatric illness at general hospital clinics. Postgraduate Medical Journal 40, 1518.CrossRefGoogle ScholarPubMed
Dohrenwend, B. P. & Dohrenwend, B. S. (1976). Sex differences and psychiatric disorders. American Journal of Sociology 14471454.Google Scholar
Dohrenwend, B. P. & Dohrenwend, B. S. (1977). Sex differences in mental illness: a reply to Gove & Tudor. American Journal of Sociology 82, 13361345.Google Scholar
Downes, J. & Simon, K. (1954). Characteristics of psychoneurotic patients and their families as revealed in a general morbidity study. Milbank Memorial Foundation Quarterly 32, 4264.Google Scholar
Eastwood, M. R. & Trevelyan, M. H. (1972). Relationship between physical and psychiatric disorder. Psychological Medicine 2.363372.Google Scholar
Essen-Möller, E. (1956). Traits and morbidity in a Swedish rural population. Acta Psychiatrica et Neurologica Scandinavica Suppl.100.Google Scholar
Fink, R., Shapiro, S., Goldensohn, S. & Daily, E. (1969). The ‘filter-down’ process to psychotherapy in a group practice medical care program. American Journal of Public Health 59, 245260.CrossRefGoogle Scholar
Finlay-Jones, R. A. & Burvill, P. W. (1977). The prevalence of minor psychiatric morbidity in the community. Psychological Medicine 7,475489.CrossRefGoogle ScholarPubMed
Finlay-Jones, R. A. & Burvill, P. W. (1978 a). Contrasting demographic patterns of minor psychiatric morbidity in general practice and the community. Psychological Medicine 8, 455466.Google Scholar
Finlay-Jones, R. A. & Burvill, P. W. (1978 b). Consulting rates of general practitioners by demographic groups in a defined community. Medical Journal of Australia i, 411414.Google Scholar
Gillis, L. A., Lewis, J. B. & Slabbert, M. (1968). Psychiatric disorders among the coloured people of the Cape Peninsula: an epidemiological study. British Journal of Psychiatry 114, 15751587.Google Scholar
Goldberg, D. P. (1972). The Detection of Psychiatric Illness by Questionnaire. Maudsley Monograph, No. 21. Oxford University Press: London.Google Scholar
Goldberg, D. P. & Huxley, P. (1980). Mental Illness in the Community. Tavistock Publications: London.Google Scholar
Goldberg, D. P., Kay, C. & Thompson, L. (1976). Psychiatric morbidity in general practice and the community. Psychological Medicine 6, 565569.Google Scholar
Gove, W. (1978). Sex differences in mental illness among adult men and women: an evaluation of four questions raised regarding the evidence on the higher rates of women. Social Science and Medicine 128, 187198.Google Scholar
Gove, W. & Tudor, J. (1973). Adult sex roles and mental illness. American Journal of Sociology 78, 812835.Google Scholar
Hagnell, O. (1966). A Prospective Study of the Incidence of Mental Disorder. Svenska Bokforleget Norstedsts-Bonniers: Stockholm.Google Scholar
Hare, E. H. & Shaw, G. K. (1965). Mental Illness on a New Housing Estate. Oxford University Press: New York.Google Scholar
Hinkle, L. E. (1961). Ecological observations of the relationship of physical illness, mental illness and social environment. Psychosomatic Medicine 23, 289298.Google Scholar
Hinkle, L. E., Redmont, R., Plummer, N. & Wolff, H. G. (1960). An examination of the relation between symptoms, disability and serious illness, in two homogeneous groups of men and women. American Journal of Public Health 50, 13271336.Google Scholar
Hood, J. E. & Farmer, R. D. T. (1974). A comparative study of frequent and infrequent attenders at a general practice. International Journal of Nursing 11, 147153.CrossRefGoogle ScholarPubMed
Horwitz, A. (1978). Family, kin, and friend networks in psychiatric help-seeking. Social Science and Medicine 12 (4A), 297304.Google Scholar
Ingham, J. G. & Miller, P. M. (1976). The determinants of illness declaration. Journal of Psychosomatic Research 20, 309316.Google Scholar
Murphy, E. & Brown, G. W. (1980). Life events, psychiatric disturbances and physical illness. British Journal of Psychiatry 136,326328.Google Scholar
Nathanson, C. A. (1975). Illness and the feminine role: a theoretical review. Social Science and Medicine 9, 5762.Google Scholar
Rawnsley, K. & Loudon, J. B. (1964). Epidemiology of mental disorders in a closed community. British Journal of Psychiatry 110, 830839.Google Scholar
Shepherd, M., Davies, B. & Culpan, R. (1960). Psychiatric illness in the general hospital. Acta Psychiatrica et Neurologica Scandinavica 35, 518525.Google Scholar
Shepherd, M., Cooper, B., Brown, A. C. & Kalton, G. W. (1966). Psychiatric Illness in General Practice. Oxford University Press:London.Google Scholar
Tessler, R., Mechanic, D. & Dimond, M. (1976). The effect of psychological distress on physician utilisation: a prospective study. Journal of Health and Social Behaviour 17, 353364.Google Scholar
VasquezBarquero, J. L. Barquero, J. L., Mũnoz, P. E. & MadozJaurègiu, V. Jaurègiu, V. (1981). The interaction between physical illness and neurotic morbidity in the community. British Journal of Psychiatry 139, 328335.Google Scholar
Weissman, M. M. & Klerman, G. L. (1977). Sex differences and the epidemiology of depression. Archives of General Psychiatry 34, 98111.Google Scholar
Weissman, M. M. & Myers, J. K. (1978). Rates and risks of depressive disorders in a US suburban community. Acta Psychiatrica Scandinavica 57, 219231.Google Scholar