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基层医疗保健中的频繁就诊者。

The frequent consulter in primary medical care.

作者信息

Robinson J O, Granfield A J

出版信息

J Psychosom Res. 1986;30(5):589-600. doi: 10.1016/0022-3999(86)90032-2.

Abstract

A comparison is reported between a group of frequent consulters of general medical practitioners and a group of infrequent consulters. The frequent consulters reported more symptoms, particularly upper respiratory, gastro-intestinal and back troubles. They took more proprietory medicines and more vitamin pills and were less inclined to ignore symptoms. They were more inclined to negative mood. Although they had slightly fewer stressful life events they coped less well with them, perhaps because they had less satisfactory family and social support and found less distraction in social activities. By means of a model the symptoms of these subjects are contrasted with symptoms found in psychosomatic disorder.

摘要

报告了一组经常咨询全科医生的人和一组不常咨询的人之间的比较。经常咨询的人报告有更多症状,尤其是上呼吸道、胃肠道和背部问题。他们服用了更多的成药和维生素片,不太倾向于忽视症状。他们更倾向于出现负面情绪。尽管他们经历的压力性生活事件略少,但应对这些事件的能力较差,这可能是因为他们的家庭和社会支持不太令人满意,并且在社交活动中找到的消遣较少。通过一个模型,将这些受试者的症状与心身疾病中发现的症状进行了对比。

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