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Medifam  2003 

Rasgos de personalidad y malestar psíquico asociados a los pacientes hiperfrecuentadores de consultas de Atención Primaria

DOI: 10.4321/S1131-57682003000300003

Keywords: primary health care, over-user, personality.

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Abstract:

background: patients over-users are an important subject for the sanitary system because they take more than 50% of the family practice consultation time, and, furthermore, it's well known that are persons with major risk to suffer psychic disturbance. objective: to detect the prevalence of pathologic personality traits in an over-user population; the psychological discomfort and some other associated variables. design: observational descriptive transversal. setting: center of primary health care of granollers-sud, barcelona. material and method: personal interview to 75 over-users from a middle town in the province of barcelona. three questionnaires were administrated: socio-demographic data, the millon clinical multiaxial inventory-ii (mcmi-ii) and the goldberg depression and anxiety scale. results: middle age of patients was 53 years, with a predominance of female (63,8%). personality traits more characteristics were compulsive (56,7%), schizoid (46,7%) and dependent (45%). the 88% patients had risk of having a personality disorder and 78,4% had symptoms of anxiety and/or depression. conclusions: a passive pattern of confrontation, a difficulty in the emotional process, being reactive to the environment and low self-confidence in their own abilities are personality traits common to over-users. together with this, the life- events and chronic illness, raises probability to suffer personality disorders.

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