Family Medicine & Primary Care Review

Abstract

4/2024 vol. 26
Original paper

The relation between depression and the frequency of visits in selected primary care clinics

  1. Family Medicine, Internal Diseases and Social Pharmacology Department, Medical University of Lodz, Poland
  2. Scientific Association of Family Medicine, Medical University of Lodz, Poland
  3. Academic Laboratory of Movement and Human Physical Performance “DynamoLab”, Medical University of Lodz, Poland
  4. Department of Health Sciences, Medical University of Mazovia, Warsaw, Poland
Family Medicine & Primary Care Review 2024; 26(4): 479–484
Online publish date: 2024/12/29
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Background

Depressive disorder is a serious social problem. Epidemiological data shows that 5% of the worldwide population of adults and 3.2% of Polish people suffer from depression. Somatization of reported symptoms probably leads to more frequent consultations in primary care.

Objectives

To determine the correlation between depression and frequency of visits to a family physician.

Material and methods

An anonymous questionnaire concerning the number of visits to primary care, the most common symptoms reported, and the WHO-5 Well-Being Index, which evaluates current mental well-being, was distributed to primary care and among students from the Medical University in Lodz (Poland). 609 answers were collected. The data was analyzed using the Shapiro-Wilk, Spearman and Chi-square tests.

Results

Statistically significant (p = 0.000) were: a negative correlation between the WHO – Five Well-Being Index (WHO-5), and the number of visits (R = -0.2) and a correlation between the WHO-5, the number of visits, and the gender of patients (women R = -0.3; men R = -0.2). The patients with the highest mental well-being level needed to see their doctors less. The most frequently reported complaints were: pain, impaired concentration and memory and constipation.

Conclusions

Patients with a higher level of mental well-being rarely visit their family physicians. Family physicians should be mindful of patients’ mental well-being because it could influence the number of medical visits. Family physicians should consider depression in patients with chronic pain, impaired concentration and memory, and gastrointestinal symptoms.

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