Document Detail

Factors affecting the decision to consult with dyspepsia: comparison of consulters and non-consulters.
MedLine Citation:
PMID:  2558204     Owner:  NLM     Status:  MEDLINE    
To identify factors associated with the decision to consult with dyspepsia, patients with dyspepsia were identified from a postal survey in the community. A random sample of 69 patients who had consulted their general practitioner and 66 patients with dyspepsia who had not consulted were interviewed in their homes. Differences in consultation behaviour were not explained by differences in self-reported severity or frequency of symptoms or by the presence of associated symptoms. The most striking difference between the two groups was concern among the consulters about the possible seriousness of symptoms. Consulters were also more likely to be worried about cancer and heart disease and to have experienced more disruptive or threatening life events than the non-consulters. These results emphasize the importance of looking beyond the presentation of common symptoms in general practice to patients' fears about the significance of the symptoms and to non-physical determinants of consultation behaviour.
S Lydeard; R Jones
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of the Royal College of General Practitioners     Volume:  39     ISSN:  0035-8797     ISO Abbreviation:  J R Coll Gen Pract     Publication Date:  1989 Dec 
Date Detail:
Created Date:  1990-02-22     Completed Date:  1990-02-22     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  7503107     Medline TA:  J R Coll Gen Pract     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  495-8     Citation Subset:  IM    
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MeSH Terms
Anxiety / etiology
Dyspepsia / complications,  etiology,  psychology*,  therapy
Educational Status
Family Practice*
Health Behavior*
Life Change Events*
Middle Aged
Regression Analysis
Sampling Studies
Social Class
Socioeconomic Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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