PMID- 30636877 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220331 IS - 1176-6328 (Print) IS - 1178-2021 (Electronic) IS - 1176-6328 (Linking) VI - 15 DP - 2019 TI - Frequent attenders in general medical practice in Italy: a preliminary report on clinical variables related to low functioning. PG - 115-125 LID - 10.2147/NDT.S179013 [doi] AB - BACKGROUND: Frequent attenders (FAs), defined as patients reporting a disproportionate number of visits to general practitioners (GPs), may represent up to one-third of GP patients responsible for a high burden of care not always justified by the severity of the medical condition. The aim of this study was to explore sociodemographic and clinical characteristics of FAs of GP in Italy with particular attention to functional impairment. METHODS: A total sample of 75 FAs (defined as individuals who had consulted GPs 15 times or more during 2015) of GPs of three primary care centers (Pisa, Livorno, and Lucca) in Italy were enrolled and assessed by sociodemographic scale, Structured Clinical Interview for DSM-5 (SCID-5), global functioning (Global Assessment of Functioning [GAF]), illness behavior and perceived health (Illness Behavior Inventory), and somatic comorbidity (Cumulative Illness Rating Scale). RESULTS: Most of the sample were females, middle aged, married, or cohabiting, with low levels of education. One-third of FAs was low functioning (LF; GAF score <70), with no differences in the sociodemographic variables. Approximately 70.3% of the patients reported a current SCID diagnosis, in particular, major depressive disorder, somatic symptom disorders, and panic disorder, all being more frequent in LF patients. Half of the patients were taking a psychopharmacological therapy, mostly benzodiazepines (BDZs). CONCLUSION: Most FAs were female with current medical disorders, and LF. All claimed to be worried about their own health and perceived themselves as more impaired also regarding the health perception and social role. LF patients were, or had been more likely to be under psychopharmacological treatment. FAs seem to constitute a special population that should be carefully evaluated for mental disorders and appropriate treatment. FAU - Carmassi, Claudia AU - Carmassi C AD - Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy, valerio.delloste@gmail.com. FAU - Dell'Oste, Valerio AU - Dell'Oste V AD - Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy, valerio.delloste@gmail.com. FAU - Ceresoli, Diana AU - Ceresoli D AD - Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy, valerio.delloste@gmail.com. FAU - Moscardini, Stefano AU - Moscardini S AD - General Medicine Outpatient Clinic, ASL 5 Tuscany, Pisa, Italy. FAU - Bianchi, Enrico AU - Bianchi E AD - General Medicine Outpatient Clinic, ASL 6 Tuscany, Livorno, Italy. FAU - Landi, Roberto AU - Landi R AD - General Medicine Outpatient Clinic, ASL 2 Tuscany, Lucca, Italy. FAU - Massimetti, Gabriele AU - Massimetti G AD - Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy, valerio.delloste@gmail.com. FAU - Nisita, Cristiana AU - Nisita C AD - Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy, valerio.delloste@gmail.com. FAU - Dell'Osso, Liliana AU - Dell'Osso L AD - Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy, valerio.delloste@gmail.com. LA - eng PT - Journal Article DEP - 20181224 PL - New Zealand TA - Neuropsychiatr Dis Treat JT - Neuropsychiatric disease and treatment JID - 101240304 PMC - PMC6309017 OTO - NOTNLM OT - DSM-5 OT - global functioning OT - medically unexplained symptoms OT - mental disorders OT - primary care COIS- Disclosure The authors report no conflicts of interest in this work. EDAT- 2019/01/15 06:00 MHDA- 2019/01/15 06:01 PMCR- 2018/12/24 CRDT- 2019/01/15 06:00 PHST- 2019/01/15 06:00 [entrez] PHST- 2019/01/15 06:00 [pubmed] PHST- 2019/01/15 06:01 [medline] PHST- 2018/12/24 00:00 [pmc-release] AID - ndt-15-115 [pii] AID - 10.2147/NDT.S179013 [doi] PST - epublish SO - Neuropsychiatr Dis Treat. 2018 Dec 24;15:115-125. doi: 10.2147/NDT.S179013. eCollection 2019.