{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T15:25:45Z","timestamp":1765293945689},"reference-count":0,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[1998,5,1]],"date-time":"1998-05-01T00:00:00Z","timestamp":893980800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychol. Med."],"published-print":{"date-parts":[[1998,5]]},"abstract":"<jats:p><jats:bold>Background.<\/jats:bold> There is little research that examines demographic,\n \nclinical and treatment factors \nassociated with changes in physical symptoms, psychiatric symptoms and\n functional outcome in \npatients with somatized depression or anxiety in primary care.<\/jats:p><jats:p><jats:bold>Method.<\/jats:bold> Factors associated with the outcome of psychologized\n or \nsomatized depression or anxiety \nwere derived from the literature. These factors were tested individually\n for \ntheir effects on changes \nin physical symptoms, psychiatric symptoms and functional outcome between\n baseline consultation \nwith the general practitioner and 1 or 3 months later in 215 patients \nwith somatized depression or \nanxiety. Individual factors associated with a particular outcome, demographic,\n \nDSM-IV diagnosis and treatment variables were entered into a multiple regression\n analysis.<\/jats:p><jats:p><jats:bold>Results.<\/jats:bold> Factors associated with a better outcome on all \nthree types of outcome measure were the \nabsence of generalized anxiety disorder and\/or simple or social \nphobias, absence of physical \npathology, and the prescription of fewer drugs, especially hypnotics or\n benzodiazepines. In \naddition, a better psychiatric symptom outcome was associated with the\n patients' perceived \nsatisfaction with the general practitioner's understanding or \nexplanation of the patient's problems. \nA better functional outcome was associated with having a job, less \ndistress over physical symptoms, \nnot receiving invalidity benefit and no referral to hospital.<\/jats:p><jats:p><jats:bold>Conclusion.<\/jats:bold> There are clinical and demographic factors associated\n \nwith all types of short-term \noutcome in patients with somatized depression or anxiety but there \nare additional factors that are \nassociated only with either psychiatric or functional outcome.<\/jats:p>","DOI":"10.1017\/s0033291798006552","type":"journal-article","created":{"date-parts":[[2002,7,27]],"date-time":"2002-07-27T09:36:08Z","timestamp":1027762568000},"page":"703-711","source":"Crossref","is-referenced-by-count":21,"title":["Clinical factors associated with short-term changes in \noutcome of patients with somatized mental disorder in primary care"],"prefix":"10.1017","volume":"28","author":[{"given":"E.","family":"DOWNES-GRAINGER","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"MORRISS","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"GASK","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"FARAGHER","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[1998,5,1]]},"container-title":["Psychological Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0033291798006552","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,6]],"date-time":"2019-04-06T15:06:36Z","timestamp":1554563196000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0033291798006552\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1998,5]]},"references-count":0,"journal-issue":{"issue":"3","published-print":{"date-parts":[[1998,5]]}},"alternative-id":["S0033291798006552"],"URL":"https:\/\/doi.org\/10.1017\/s0033291798006552","relation":{},"ISSN":["0033-2917","1469-8978"],"issn-type":[{"value":"0033-2917","type":"print"},{"value":"1469-8978","type":"electronic"}],"subject":[],"published":{"date-parts":[[1998,5]]}}}