Cancer patients consultation patterns in primary care and levels of psychological morbidity: Findings from the Health Survey for England
- 12 May 2003
- journal article
- research article
- Published by Wiley in Psycho‐Oncology
- Vol. 12 (7), 736-740
- https://doi.org/10.1002/pon.692
Abstract
Aim. To determine the consultations patterns in general practice, for people with cancer and other chronic illnesses, and to assess the levels of psychological morbidity. Methods. The following questions from the 1999 Health Survey for England were analysed: presence of a self-reported long-standing illness and its nature, numbers of contacts with general practitioner (GP) in the previous 2 weeks, contact with a GP in the previous year for anxiety/depression or a mental, nervous or emotional problem, presence of a self-reported long-standing illness of mental illness, anxiety or depression, and GHQ12 scores. For comparison purposes, data from respondents reporting having asthma, arthritis, diabetes, other long-standing illness, and no long-standing illness are presented. Results. A third of respondents with cancer had contact with a GP in the last 2 weeks, which was slightly higher than the other illness group, however the pattern of attendances for those respondents who did consult were similar between groups. A quarter of people with cancer had spoken to a GP in the last year about being anxious/depressed, or about a mental, nervous or emotional problem. A third of cancer respondents reported high GHQ12 scores, but self-reported long-standing illness of ‘mental illness/anxiety/depression’ was low (4%). Conclusion. The findings suggest that psychological morbidity may be unrecognised in some cancer patients. There is potential for these symptoms to be identified and treated in primary care, especially given the ongoing nature of the patient–doctor relationship and the easy access primary care affords. Copyright © 2003 John Wiley & Sons, Ltd.This publication has 10 references indexed in Scilit:
- Psychiatric morbidity and its recognition by doctors in patients with cancerBritish Journal of Cancer, 2001
- Prevalence of Psychological Distress and Use of Support Services by Cancer Patients at Sydney HospitalsAustralian & New Zealand Journal of Psychiatry, 2000
- Primary and secondary care management of women with early breast cancer from affluent and deprived areas: retrospective review of hospital and general practice recordsBMJ, 2000
- Depression in Patients With Lung Cancer: Prevalence and Risk Factors Derived From Quality-of-Life DataJournal of Clinical Oncology, 2000
- A History of Substance Abuse Complicates Remission From Acute Mania in Bipolar DisorderBritish Journal of Psychology, 1999
- Depression and cancer: an appraisal of the literature for prevalence, detection, and practice guideline development for psychological interventionsPsycho‐Oncology, 1999
- Should Anxiety and Insomnia Influence Antidepressant SelectionBritish Journal of Psychology, 1998
- Persistently poor outcomes of undetected major depression in primary careGeneral Hospital Psychiatry, 1998
- Prevalence of Psychological Distress Among Cancer Patients Across the Disease ContinuumJournal of Psychosocial Oncology, 1997
- Popularity of less frequent follow up for breast cancer in randomised study: initial findings from the hotline studyBMJ, 1997