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Scandinavian Journal of Public Health, Vol. 26, No. 2, 96-100 (1998)
DOI: 10.1177/14034948980260020801

Work disability and health-affecting psychosocial problems among patients in general practice

Pål Gulbrandsen

Department of General Practice and Community Medicine, University of Oslo, Oslo, Norway

Per Hjortdahl

Department of General Practice and Community Medicine, University of Oslo, Oslo, Norway

Per Fugelli

Department of General Practice and Community Medicine, University of Oslo, Oslo, Norway

Psychosocial problems are often ignored among patients in general practice. By identifying high risk groups this situation could possibly be altered. This study aimed to explore if patients in general practice perceiving themselves as work-disabled by at least 50% more often have health-affecting psychosocial problems than those not work-disabled. In a geographically defined population, 1,058 consecutive adult patients consulting 89 general practitioners were approached during one regular working day in March 1995. They completed a questionnaire at home, returning it directly to the department of general practice. Male patients considered themselves work-disabled more often than female patients. All psychosocial problems except having a demanding care-giving task were more common among the work-disabled. The doctors should bear in mind that work-disabled patients more often than other patients have concomitant healthaffecting psychosocial problems. Granting long-term sick leaves or a disability pension may not be the only management needed.

Key Words: family practice • social problems • work • disability evaluation


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