Frequent attenders without organic disease in a gastroenterology clinic : Patient characteristics and health care use.
We used a hospital computer to identify 50 patients (35 women, 15 men) satisfying research criteria for « frequent attenders » at a gastroenterology outpatient clinic (four or more visits to a general hospital clinic in the previous 12 months).
Their mean duration of symptoms was 5 years, and 80% reported fatigue as a significant complaint.
Thirteen (37%) of the women were also consulting a gynecologist, and in nine of these their status was normal.
Seven (21%) of the 35 women who were interviewed had a history of childhood sexual abuse, and these patients reported significantly more lifetime somatic symptoms (9.7, SD=3.8) than those without such a history (5.4, SD=3.5, p=<0.01).
The 50 patients reported high levels of disability and psychological distress, and were more likely to rate the probability of their symptoms as being due to « bowel disease » than to « stress » or « other problems. » Forty-five patients had at least one current psychiatric diagnosis and 24 at least two, with somatoform disorders being the most common.
Nineteen (38%) reported infrequent panic attacks, but only three had somatization disorder.
The mean number of lifetime somatic symptoms was 5.9 (SD=3.6 ; range 1-14).
Seventeen patients (35%) also satisfied criteria for frequent attending in primary care (>12 visits over the previous 12 months), and the patients reported a mean number of 5.7 (SD=2.1) specialist appointments in the previous year. (...)
Mots-clés Pascal : Hôpital général, Utilisation, Service santé, Plainte somatique, Symptomatologie, Côlon irritable, Santé mentale, Angleterre, Grande Bretagne, Royaume Uni, Europe, Homme, Appareil digestif pathologie, Intestin pathologie
Mots-clés Pascal anglais : General hospital, Use, Health service, Somatic complaint, Symptomatology, Irritable bowel syndrome, Mental health, England, Great Britain, United Kingdom, Europe, Human, Digestive diseases, Intestinal disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0221507
Code Inist : 002B18H05B. Création : 16/11/1999.