Psychiatric Symptoms in Dermatology Patients

1983 ◽  
Vol 143 (1) ◽  
pp. 51-54 ◽  
Author(s):  
J. E. Hughes ◽  
B. M. Barraclough ◽  
L. G. Hamblin ◽  
J. E. White
Keyword(s):  
General Population ◽  
Psychiatric Disorder ◽  
Psychiatric Symptoms ◽  
General Health Questionnaire ◽  
Topical Steroid ◽  
Depression Scale ◽  
The Body ◽  
Health Questionnaire ◽  
High Potency ◽  
Self Assessment

SummaryThe 30-item General Health Questionnaire (GHQ) (Goldberg, 1972) was administered to 196 consecutive new dermatology out-patients and 40 consecutive admissions to dermatology beds. Thirty per cent of the outpatients and 60 per cent of the in-patients obtained high scores, while half the high scorers in each group scored high on the Wakefield Self-Assessment Depression Scale (Snaith et al, 1971). These findings suggest that dermatology out-patients have a higher prevalence of psychiatric disorder than the general population, and dermatology in-patients a higher prevalence than general medical in-patients.High GHQ scores were associated with (a) diagnoses of acne, eczema, psoriasis or alopecia; with (b) extensive lesions on exposed parts of the body; and with (c) the use of high potency topical steroid. We indicate other areas that might be profitably explored in a full-scale study.

Some psychological concomitants of chronic bronchitis

1977 ◽  
Vol 7 (3) ◽  
pp. 459-464 ◽  
Author(s):  
Brenda M. Rutter
Keyword(s):  
General Population ◽  
Chronic Bronchitis ◽  
Social Desirability ◽  
Personality Trait ◽  
General Health Questionnaire ◽  
Depression Scale ◽  
Health Questionnaire ◽  
Psychiatric Disturbance ◽  
Eysenck Personality Inventory ◽  
Response Set

SynopsisThirty chronic bronchitic patients with severe airways obstruction were individually matched with non-bronchitic controls from the general population. The 2 groups were compared using the Zung Self-Rating Depression Scale (SDS) and the General Health Questionnaire (GHQ) to assess non-psychotic psychiatric disturbance, the Eysenck Personality Inventory (EPI) to assess personality traits, and the Marlowe–Crowne (M–C) scale plus the L (Lie) scale of the EPI to assess social-desirability response set. Chronic bronchitic patients were both more psychiatrically disturbed and more neurotic in personality than were their matched controls; but there were no differences between the 2 groups on the personality trait of extraversion or on measure of social desirability response set. The results are discussed in the context of both chronic bronchitis specifically and chronic illness in general, and future investigations are proposed.

Comparison of the General Health Questionnaire and the Hospital Anxiety and Depression Scale

1990 ◽  
Vol 157 (6) ◽  
pp. 860-864 ◽  
Author(s):  
Glyn Lewis ◽  
Simon Wessely
Keyword(s):  
Factor Analysis ◽  
Psychiatric Disorder ◽  
General Health Questionnaire ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Health Questionnaire ◽  
Criterion Measure ◽  
Hospital Anxiety ◽  
Latent Construct ◽  
Specificity And Sensitivity

The specificity and sensitivity of the HAD, 12-item GHQ and CIS were calculated by comparing the scores of dermatological patients on these tests with a criterion measure of disorder. Since psychiatry, along with many other branches of medicine, does not have an error-free criterion, it was assumed that the criterion was an underlying latent construct which was measured by all of the tests and could be derived by factor analysis from the scores on them. No differences were found between the two questionnaires (HAD and GHQ) in their ability to detect cases of minor psychiatric disorder although they were somewhat less reliable than the CIS.

scholarly journals Teenage Pregnancy: Doubts, Uncertainties and Psychiatric Disturbance

1991 ◽  
Vol 84 (12) ◽  
pp. 723-725 ◽  
Author(s):  
Sean Maskey
Keyword(s):  
Locus Of Control ◽  
Psychiatric Disorder ◽  
Teenage Pregnancy ◽  
General Health ◽  
General Health Questionnaire ◽  
Depression Scale ◽  
Health Questionnaire ◽  
Psychiatric Disturbance ◽  
Control Scale ◽  
Attitude Scales

Fifty-two pregnant teenagers were assessed at ‘booking’ using the General Health Questionnaire (GHQ 28), a locus of control scale, and five visual analogue ‘attitude scales’. Thirty-eight were in the antenatal and 14 in the termination clinic. One quarter had probable psychiatric disorder on the GHQ. The GHQ scores correlated significantly with indecision about the planned outcome of pregnancy (whether termination or full term). Locus of control correlated with the Depression scale of the GHQ but not with attitude to pregnancy or choice of termination or delivery. Clinic staff should be alert to the psychiatric risks when seeing teenagers who have marked doubts about their plans when pregnant.

Fatigue and psychiatric disorder: different or the same?

1999 ◽  
Vol 29 (4) ◽  
pp. 863-868 ◽  
Author(s):  
G. VAN DER LINDEN ◽  
T. CHALDER ◽  
I. HICKIE ◽  
A. KOSCHERA ◽  
P. SHAM ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practitioner ◽  
Psychiatric Disorder ◽  
Care Setting ◽  
Primary Care Setting ◽  
Psychiatric Symptoms ◽  
General Health Questionnaire ◽  
Health Questionnaire ◽  
Time Points ◽  
Time Point

Background. Fatigue and psychiatric symptoms are common in the community, but their association and outcome are sparsely studied.Method. A total of 1177 patients were recruited from UK primary care on attending their general practitioner. Fatigue and psychiatric disorder was measured at three time points with the 12-item General Health Questionnaire and the 11-item Fatigue Questionnaire.Results. Total scores for fatigue and psychiatric disorder did not differ between the three time points and were closely correlated (r around 0·6). The association between non-co-morbid (‘pure’) fatigue and developing psychiatric disorder 6 months later was the same as that for being well and subsequent psychiatric disorder. Similarly, having non-co-morbid psychiatric disorder did not predict having fatigue any more than being well 6 months previously. Between 13 and 15% suffered from non-co-morbid fatigue at each time point and 2·5% suffered from fatigue at two time points 6 months apart. Less than 1% of patients suffered from non-co-morbid fatigue at all three time points.Conclusions. The data are consistent with the existence of ‘pure’ independent fatigue state. However, this state is unstable and the majority (about three-quarters) of patients become well or a case of psychiatric disorder over 6 months. A persistent, independent fatigue state lasting for 6 months can be identified in the primary-care setting, but it is uncommon – of the order of 2·5%. Non-co-morbid (pure) fatigue did not predict subsequent psychiatric disorder.

Agoraphobia and Parental Bereavement

1987 ◽  
Vol 21 (3) ◽  
pp. 340-344 ◽  
Author(s):  
R. Julian Hafner ◽  
Michael J. Roder
Keyword(s):  
General Population ◽  
Psychiatric Disorder ◽  
Psychiatric Symptoms ◽  
Married Women ◽  
Control Group ◽  
Parental Bereavement ◽  
Significant Excess ◽  
Patient Control ◽  
Patient Control Group ◽  
Married Female

The prevalence of parental bereavement was determined in 50 married female outpatients with a DSM-III diagnosis of agoraphobia and in a control group of married female outpatients diagnosed as having non-psychotic psychiatric disorders other than agoraphobia. The two groups were matched for age and overall severity of psychiatric symptoms. Compared with the general population, the patient control group reported a statistically significant excess of parental, but not maternal, bereavement. The agoraphobic group was significantly younger than the control group at the time of parental loss. These data, together with other reports, suggest a contribution of paternal bereavement before the age of 30 years to agoraphobia in married women and a contribution of recent parental bereavement to psychiatric disorder in general.

Deprivation and Social Support in Mental Health of Welfare Recipients in Japan

2016 ◽  
Vol 118 (2) ◽  
pp. 372-386
Author(s):  
Takahiro Yoshizumi ◽  
Seiko Mizutani ◽  
Soshiro Yamada
Keyword(s):  
Mental Health ◽  
Social Support ◽  
General Population ◽  
Emotional Support ◽  
General Health ◽  
General Health Questionnaire ◽  
Deprivation Index ◽  
Welfare Recipients ◽  
Health Questionnaire ◽  
Social Support Scale

Although many Western studies examining the mental health of welfare recipients exist, Japanese welfare recipients have been overlooked. This study investigated mental health among welfare recipients in Japan and relations with a sense of deprivation of life's necessities and social support. Participants ( n = 305) completed the General Health Questionnaire-12 (GHQ-12), Proportional Deprivation Index, and a social support scale. Participants' GHQ-12 scores exceeded those of the general public, as 54.9% scored above the cut-off, suggesting poorer mental health among welfare recipients than the general population. Proportional Deprivation Index and emotional support from relatives and friends were associated with GHQ-12 scores. These results suggest that while chronic deprivation is associated with poorer mental health among welfare recipients, receiving emotional support may help cope with distress and maintain mental health.

Validation of the 30-item General Health Questionnaire in postpartum women

1982 ◽  
Vol 12 (2) ◽  
pp. 409-413 ◽  
Author(s):  
P. N. Nott ◽  
S. Cutts
Keyword(s):  
Psychiatric Disorder ◽  
General Health ◽  
General Health Questionnaire ◽  
Slight Modification ◽  
Screening Instrument ◽  
Postpartum Women ◽  
Health Questionnaire ◽  
Psychiatric Interview ◽  
General Practices ◽  
At Home

SynopsisTwo hundred consecutive women from five Southampton general practices who were between 8 and 14 weeks postpartum were visited at home. Each subject was given the 30-item General Health Questionnaire (GHQ-30) and a standardized psychiatric interview. Thirty-seven (18%) were identified as ‘cases’ by the psychiatric interview. Eighty-nine (44.5%) scored highly on the GHQ. Analysis of the results indicates that slight modification of the content and a raised cut-off point of the GHQ-30 make it a useful screening instrument for postpartum psychiatric disorder.

Life Events and Psychiatric Disorder: the Role of a Natural Disaster

1987 ◽  
Vol 151 (3) ◽  
pp. 362-367 ◽  
Author(s):  
Alexander C. McFarlane
Keyword(s):  
Psychiatric Disorder ◽  
Life Events ◽  
Psychological Health ◽  
Psychiatric Illness ◽  
General Health Questionnaire ◽  
Health Questionnaire ◽  
Fire Fighters ◽  
The Impact ◽  
The Relationship

Examining the impact of natural disasters on psychological health provides an opportunity to study the role played by extreme adversity in the onset of psychiatric disorder. Four hundred and sixty-nine fire-fighters who had been intensely exposed to an Australian bushfire disaster completed a detailed inventory of their experiences four months later. They also completed a brief life events schedule and the 12-item General Health Questionnaire. Only 9% of the GHQ score variance could be accounted for by the disaster and other life events; the effects of the disaster appeared to be separate and additive. This is similar to the relationship between life events and psychiatric illness found in other settings. It is suggested that vulnerability is a more important factor in breakdown than the degree of stress experienced.

Severity of Psychiatric Disorder and the 30-Item General Health Questionnaire

1979 ◽  
Vol 134 (6) ◽  
pp. 609-616 ◽  
Author(s):  
Robert A. Finlay-Jones ◽  
Elaine Murphy
Keyword(s):  
Psychiatric Disorder ◽  
General Health ◽  
General Health Questionnaire ◽  
Health Questionnaire ◽  
False Negatives ◽  
Two Samples ◽  
Threshold Score ◽  
Adverse Life Event ◽  
Chronic Disorders ◽  
State Examination

SummaryThe 30-item General Health Questionnaire misclassified 26 per cent of respondents in two samples of women who were interviewed by a psychiatrist using the Present State Examination. False negatives were likely to be women with chronic disorders, particularly anxiety states. False positives were likely to be distressed by severe physical illness, a recent adverse life event, or loneliness. Applying a higher threshold score to their GHQ, responses would help to separate those with a diagnosable psychiatric disorder from those in states of distress.

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