Skip to main content
. 2009 Mar 1;59(560):e61–e70. doi: 10.3399/bjgp09X419510
(a) GP identification/non-elevated K-10, n = 27 (b) GP non-identification/elevated K-10, n = 82 (c) GP identification/elevated K-10, n = 79



Unadjusted Adjusted Unadjusted Adjusted Unadjusted Adjusted



Patient and GP/consultation factors n ORa 95%CI P-value ORa 95%CI P-value ORa 95%CI P-value ORa 95%CI P-value ORa 95%CI P-value ORa 95%CI P-value
Beliefs

Causal explanation
 Internal 291 1.1 0.4 to 3.0 0.88 NAb 0.8 0.4 to 1.6 0.6 NAb 1.1 0.6 to 2.0 0.76 NAb
 Natural world 139 0.6 0.2 to 1.6 0.29 0.5 0.2 to 1.5 0.22 0.8 0.5 to 1.4 0.44 0.5 0.3 to 1.1 0.08 0.3 0.1 to 0.7 0.01 0.1 0.0 to 0.5 0.01
 Interpersonal/social 102 1.4 0.5 to 3.7 0.51 0.4 0.1 to 1.4 0.14 1.0 0.5 to 2.0 0.99 0.7 0.3 to 1.8 0.4 4.1 2.3 to 7.1 <0.001 1.3 0.5 to 3.7 0.62
 Medical/iatrogenic 25 2.2 0.5 to 8.8 0.26 NAb 1.1 0.3 to 3.7 0.84 NAb 0.5 0.9 to 2.2 0.31 NAb
 Supernatural 47 1.7 0.4 to 6.5 0.45 0.5 0.1 to 2.5 0.41 2.5 1.1 to 5.4 0.02 2.7 0.9 to 8.3 0.07 2.4 1.1 to 5.0 0.02 1.1 0.2 to 5.2 0.94

Beliefs about timing (duration)
 Less than a week 182 1.0 NAc 1.0 NAc 1.0 NAc 1.0 NAc 1.0 NAc 1.0 NAc
 Between a week and a month 88 0.8 0.3 to 2.7 0.77 0.7 0.2 to 1.8 0.40 1.2 0.6 to 2.6 0.57 1.0 0.4 to 2.2 0.92 0.9 0.4 to 2.0 0.77 0.4 0.1 to 1.7 0.22
 More than a month 18 1.7 0.7 to 4.2 0.27 1.2 0.5 to 3.0 0.70 0.9 0.4 to 1.8 0.73 0.5 0.2 to 1.2 0.12 3.5 2.0 to 6.1 <0.01 1.2 0.6 to 2.6 0.58
 Fears about current illness 193 0.8 0.4 to 1.6 0.58 0.9 0.4 to 2.2 0.86 1.3 0.8 to 2.1 0.26 1.2 0.7 to 2.1 0.40 2.9 1.8 to 4.7 <0.01 2.4 1.1 to 5.1 0.02

Expectations from the consultation
 Diagnosis 97 0.7 0.2 to 0.4 0.5 NAb 1.7 0.8 to 3.7 0.19 NAb 0.7 0.4 to 1.3 0.21 NAb
 Further investigations 50 1.5 0.4 to 5.4 0.55 NAb 1.3 0.5 to 3.6 0.55 NAb 0.8 0.3 to 2.0 0.68 NAb
 Treatment (or prescription renewal) 223 0.3 0.1 to 0.7 0.01 NAb 0.7 0.4 to 1.1 0.14 NAb 0.7 0.4 to 1.2 0.16 NAb
 Medical certificate or letter of referral 44 2.8 1.0 to 7.8 0.05 2.9 0.8 to 10.0 0.9 1.6 1.0 to 2.4 0.04 2.1 1.0 to 4.7 0.06 2.0 1.0 to 4.1 0.05 3.2 0.8 to 12.9 0.10
 Good communication/explanations 186 2.7 0.9 to 7.4 0.06 NAb 0.8 0.5 to 1.3 0.33 NAb 1.6 1.0 to 2.8 0.06 NAb

Beliefs about pathophysiology
 Belief own actions make health problems worse 158 1.5 0.7 to 3.3 0.26 NAb 1.5 0.9 to 2.5 0.11 NAb 1.2 0.7 to 2.3 0.48 NAb
 Belief natural environment makes health problems worse 71 0.9 0.2 to 3.8 0.93 NAb 1.2 0.6 to 2.6 0.60 NAb 0.8 0.4 to 1.6 0.52 NAb
 Belief psychosocial environment makes health problems worse 25 1.2 0.1 to 13.0 0.86 2.2 0.1 to 40.1 0.57 1.6 0.4 to 6.8 0.49 1.2 0.2 to 8.7 0.87 5.8 2.1 to 15.9 0.001 0.6 0.1 to 4.5 0.63
 Belief own actions make it better 166 1.6 0.6 to 3.8 0.31 NAb 1.2 0.7 to 1.9 0.46 NAb 1.2 0.8 to 1.8 0.47 NAb
 Belief that health problems will get better with medical intervention 102 0.8 0.3 to 2.0 0.58 0.8 0.3 to 2.4 0.69 0.6 0.3 to 1.1 0.10 0.6 0.3 to 1.1 0.12 0.4 0.2 to 0.8 0.01 0.5 0.1 to 1.5 0.20

 Self-perceived mild to severe mental illness 107 0.6 0.1 to 5.6 0.66 0.6 0.1 to 5.4 0.58 8.4 4.5to15.7 <0.001 9.4 4.5 to 19.7 <0.001 54.7 22.0 to 135.7 <0.001 62.6 22.8to172 <0.001

 Self-perceived mild to severe physical illness 141 0.8 0.3 to 2.1 0.64 1.0 0.3 to 3.5 0.96 2.5 1.5 to 4.2 0.01 1.8 0.9 to 3.6 0.10 3.5 2.0 to 6.2 <0.001 1.2 0.5 to 3 0.67

Other patient factors

Consultations in the past 6 monthsNAd
 ≥1 130 1.0 NAc 1.0 NAc 1.0 NAc 1.0 NAc 1.0 NAc 1.0 NAc
 2–7 212 3.6 1.1 to 12.3 0.04 2.5 0.6 to 10.9 0.23 2.0 0.9 to 4.0 0.07 1.8 0.7 to 4.5 0.23 3.9 1.7 to 8.7 0.002 2.6 0.8 to 8.8 0.13
 >7 108 3.4 0.9 to 13.4 0.08 1.5 0.3 to 8.6 0.62 2.3 1.1 to 4.9 0.04 1.2 0.4 to 3.3 0.71 13.0 6.5 to 26.2 <0.001 3.0 1.0 to 8.4 0.04

Days off school/work in past 6 months 175 1.6 0.6 to 4.2 0.30 3.2 1.1 to 9.4 0.03 1.9 1.0 to 3.6 0.04 2.0 0.9 to 4.3 0.08 3.7 2.2 to 6.2 <0.001 2.7 1.2 to 5.7 0.01

Consultation was patient's own idea 250 1.0 0.4 to 2.1 0.96 NAd 1.1 0.6 to 1.7 0.83 NAb 0.8 0.6 to 1.2 0.29 NAb

Took advice from family/friends for their health problem 307 1.8 0.8 to 4.0 0.15 NAd 0.7 0.4 to 1.1 0.12 NAb 0.8 0.5 to 1.3 0.33 NAb

Came alone to the consultation 319 0.8 0.3 to 2.0 0.65 NAd 0.9 0.5 to 1.8 0.84 NAb 1.2 0.7 to 2.2 0.52 NAb

Came to usual practice 227 5.6 1.4 to 21.9 0.2 6.5 1.4 to 29.5 0.02 1.0 0.7 to 1.5 0.99 1.1 0.7 to 2.0 0.62 2.8 1.7 to 4.3 <0.001 3.4 1.6 to 6.9 0.002

GP/consultation factors

GP and patient are different sex 190 0.77 0.28 to 2.1 0.60 0.8 0.3 to 2.2 0.61 1.8 1.0 to 3.2 0.05 1.8 1.0 to 3.1 0.06 1.2 0.6 to 2.2 0.63 1.5 0.6 to 3.7 0.36

GP thinks patient has a mild to severe physical illness 329 2.3 0.5 to 10.4 0.27 NAb 1.3 0.7 to 2.6 0.44 NAb 1.1 0.6 to 2.0 0.74 NAb

GP trained ≥5 hours in mental health 327 NAe NAb 1.3 0.7 to 2.5 0.46 NAb 1.1 0.5 to 2.5 0.78 NAb

GP trained ≥5 hours in adolescent health 238 1.5 0.5 to 4.6 0.47 NAb 1.0 0.6 to 1.7 0.94 NAb 0.7 0.5 to 1.2 0.18 NAb
a

Reference category for all analyses: neither identified by GP nor having high level of emotional distress on the K10.

b

Variable not included in multivariate model as was not significantly associated in the univariate.

c

Baseline odds ratio.

d

Consultations with any health professional, not only this GP.

e

Too few individuals in this group.