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Health problems presented in general practice by survivors before and after a fireworks disaster: associations with mental health care.
Scand J Prim Health Care 2005; 23(3):137-41SJ

Abstract

OBJECTIVE

To study the health problems presented to general practitioners by disaster survivors who received specialized ambulatory mental health care.

DESIGN

(Longitudinal) case-control study based on general practitioners' electronic medical records.

SETTING

General practice and a mental health institution (MHI) in Enschede, the Netherlands.

SUBJECTS

A total of 728 adult disaster survivors who were registered in 30 study practices and had attended a specialized mental health institution (MHI group), and 728 practice-matched controls.

MAIN OUTCOME MEASURES

Attendance rates in general practice before and after the disaster; health problems presented to the GP, classified according to the International Classification of Primary Care.

RESULTS

Disaster survivors in the MHI group reported higher GP attendance rates pre- and post-disaster and more health problems than controls. In the year post-disaster, the MHI group reported an increase in psychological, medically unexplained physical symptoms (MUPS), gastrointestinal and musculoskeletal problems, compared with the year pre-disaster. Controls, survivors themselves, showed also an increase in psychological problems in the year post-disaster compared with the year pre-disaster.

CONCLUSION

General practitioners should be aware of an increase in consultations and health problems among patients who also receive mental health care following a disaster. The services of GP and mental health care professionals should be integrated when supporting disaster victims. Information on severity of exposure to disasters should be included in disaster databases.

Authors+Show Affiliations

Netherlands Institute for Health Services Research (NIVEL), Utrecht, The Netherlands. d.denouden@nivel.nlNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16162464

Citation

den Ouden, Dirk-Jan, et al. "Health Problems Presented in General Practice By Survivors Before and After a Fireworks Disaster: Associations With Mental Health Care." Scandinavian Journal of Primary Health Care, vol. 23, no. 3, 2005, pp. 137-41.
den Ouden DJ, Dirkzwager AJ, Yzermans CJ. Health problems presented in general practice by survivors before and after a fireworks disaster: associations with mental health care. Scand J Prim Health Care. 2005;23(3):137-41.
den Ouden, D. J., Dirkzwager, A. J., & Yzermans, C. J. (2005). Health problems presented in general practice by survivors before and after a fireworks disaster: associations with mental health care. Scandinavian Journal of Primary Health Care, 23(3), pp. 137-41.
den Ouden DJ, Dirkzwager AJ, Yzermans CJ. Health Problems Presented in General Practice By Survivors Before and After a Fireworks Disaster: Associations With Mental Health Care. Scand J Prim Health Care. 2005;23(3):137-41. PubMed PMID: 16162464.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Health problems presented in general practice by survivors before and after a fireworks disaster: associations with mental health care. AU - den Ouden,Dirk-Jan, AU - Dirkzwager,Anja J E, AU - Yzermans,C Joris, PY - 2005/9/16/pubmed PY - 2005/10/26/medline PY - 2005/9/16/entrez SP - 137 EP - 41 JF - Scandinavian journal of primary health care JO - Scand J Prim Health Care VL - 23 IS - 3 N2 - OBJECTIVE: To study the health problems presented to general practitioners by disaster survivors who received specialized ambulatory mental health care. DESIGN: (Longitudinal) case-control study based on general practitioners' electronic medical records. SETTING: General practice and a mental health institution (MHI) in Enschede, the Netherlands. SUBJECTS: A total of 728 adult disaster survivors who were registered in 30 study practices and had attended a specialized mental health institution (MHI group), and 728 practice-matched controls. MAIN OUTCOME MEASURES: Attendance rates in general practice before and after the disaster; health problems presented to the GP, classified according to the International Classification of Primary Care. RESULTS: Disaster survivors in the MHI group reported higher GP attendance rates pre- and post-disaster and more health problems than controls. In the year post-disaster, the MHI group reported an increase in psychological, medically unexplained physical symptoms (MUPS), gastrointestinal and musculoskeletal problems, compared with the year pre-disaster. Controls, survivors themselves, showed also an increase in psychological problems in the year post-disaster compared with the year pre-disaster. CONCLUSION: General practitioners should be aware of an increase in consultations and health problems among patients who also receive mental health care following a disaster. The services of GP and mental health care professionals should be integrated when supporting disaster victims. Information on severity of exposure to disasters should be included in disaster databases. SN - 0281-3432 UR - https://www.unboundmedicine.com/medline/citation/16162464/Health_problems_presented_in_general_practice_by_survivors_before_and_after_a_fireworks_disaster:_associations_with_mental_health_care_ L2 - http://www.tandfonline.com/doi/full/10.1080/02813430500202454 DB - PRIME DP - Unbound Medicine ER -