Psychosomatic Medicine
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Published online before print July 16, 2007, 10.1097/PSY.0b013e3180cabc85
This Article
Right arrow Abstract Freely available
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Salmon, P.
Right arrow Articles by Dowrick, C. F.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Salmon, P.
Right arrow Articles by Dowrick, C. F.

Primary Care Consultations About Medically Unexplained Symptoms: Patient Presentations and Doctor Responses That Influence the Probability of Somatic Intervention

Peter Salmon, DPhil, Gerry M. Humphris, PhD, Adele Ring, BSc, John C. Davies, PhD and Christopher F. Dowrick, MD

From the Divisions of Clinical Psychology (P.S., A.R.) and Primary Care (A.R., C.F.D.), University of Liverpool, Liverpool, UK; Bute Medical School (G.M.H.), University of St. Andrews, Fife, UK; and Computing Services Department (J.C.D.), University of Liverpool, Liverpool, UK.


Figure 114
View larger version (12K):
[in this window]
[in a new window]

  		Figure 1. Odds ratios and 95% confidence intervals linking unit increases in each independent variable to the probability that the consultation will lead to somatic intervention, controlling for other variables in the analysis. Separate analyses (upper panel) examine patients’ and general practitioners’ (GP) speech; the combined analysis (lower panel) examines both. Duration of consultation was included in all analyses; for clarity, this odds ratio refers to minutes.

 

Figure 214
View larger version (9K):
[in this window]
[in a new window]

  		Figure 2. Predicted relationship of probability of somatic intervention as outcome of consultation to duration of consultation (seconds) and to the number of instances of specific speech categories by patients (symptom and psychosocial presentation) and general practitioners (GPs) (normalization and psychosocial explanation). Relationships control for other variables in the regression analysis that included patients’ and GPs’ speech. Lines show values predicted by the cumulative effects of the coefficients shown in Table 3.

 




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2007 by the American Psychosomatic Society