Diagnoses of Patients with Severe Subjective Health Complaints in Scandinavia: A Cross Sectional Study

Maeland, Silje; Werner, Erik L.; Rosendal, Marianne; Jonsdottir, Ingibjorg H.; Magnussen, Liv H.; Ursin, Holger; Eriksen, Hege R.

doi:10.5402/2012/851097

Cited by 35Psychosomatic Disorders and Their TreatmentsPrimary Care and Health OutcomesChronic Disease Management Strategies

Diagnoses of Patients with Severe Subjective Health Complaints in Scandinavia: A Cross Sectional Study

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Maeland, Silje, Werner, Erik L., Rosendal, Marianne, Jonsdottir, Ingibjorg H., Magnussen, Liv H., Ursin, Holger, Eriksen, Hege R.·2012·ISRN Public Health

DOI 10.5402/2012/851097

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Abstract

Background. A diagnosis is the basis of medical action, the key to various social privileges and national sick leave statistics. The objectives of this study were to investigate which diagnoses general practitioners in Scandinavia give patients with severe subjective health complaints, and what kind of treatments they suggested. Methods. One hundred and twenty-six self-selected general practitioners in Scandinavia diagnosed nine patients, presented as video vignettes, in a cross-sectional study. The main outcome measures were primary, secondary, and tertiary diagnoses. Results. The nine patients got between 13 and 31 different primary diagnoses and a large variety of secondary and tertiary diagnoses. Fifty-eight percent of the general practitioners chose different primary and secondary diagnoses, indicating that they judged the patients to have multimorbid complaints. The most commonly recommended treatment was referral to a psychologist, a mix of psychological and physical treatments, or treatment by the general practitioner. Conclusion. Scandinavian general practitioners give a large variety of symptom diagnoses, mainly psychological and general and unspecified, to patients with severe subjective health complaints. Referral to a psychologist or a mix of psychological or physical treatments was most commonly suggested to treat the patients.

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A substantial degree of overlap in symptoms is common in these patients, and diagnostic labelling by the general practitioner may be somewhat arbitrary.
“As a substantial degree of overlap in symptoms is common in these patients [35, 36] and the diagnostic labelling by the general practitioner may be somewhat arbitrary [37]”
From Effects of Inpatient Multicomponent Occupational Rehabilitation versus Less Comprehensive Outpatient Rehabilitation on Somatic and Mental Health: Secondary Outcomes of a Randomized Clinical Trial. (2017) · cites this paper as [37]

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Authors: Maeland, S., Werner, E. L., Rosendal, M., Jonsdottir, I. H., Magnussen, L. H., Ursin, H., & Eriksen, H. R.
Affiliations: Uni Research, Uni Health, P.O Box 7810, 5020 Bergen, Norway
Uni Research (Norway) (NO)
Aarhus University (DK)
Institute of Stress Medicine, Gothenburg 41319, Sweden
ORCID: Werner, Erik L.
Rosendal, Marianne
Magnussen, Liv H.
Eriksen, Hege R.
Venue: ISRN Public Health
Publisher: Wiley
Published: 2012-11-14
Volume: 2012
Pages: 1-9
ISSN: 2090-8008 (ISSN-L)
DOI: 10.5402/2012/851097
OpenAlex: W2120261890
Cited by: 35
References: 33
Citations by year: 2026: 1 · 2023: 2 · 2022: 1 · 2021: 1 · 2020: 1 · 2019: 1 · 2018: 3 · 2017: 4 · 2016: 4 · 2015: 8 · 2014: 4 · 2013: 5
FWCI: 3.88
Type: journal article
Language: en
Open access: diamond
doi.org
Licence: cc-by
creativecommons.org/licenses/by/3.0/ (unspecified)
Locations: ISRN Public Health (publishedVersion, cc-by)
NORA - Norwegian Open Research Archives (submittedVersion, cc-by)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders: Research Council of Norway (187885/H20)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
Keywords: subjective health complaints, diagnosis, general practitioners, multimorbidity, treatment guidelines, referral to psychologists, primary care, symptom-based diagnosis

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Diagnoses of Patients with Severe Subjective Health Complaints in Scandinavia: A Cross Sectional Study

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