| (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 | ||||||
Reference category for all analyses: neither identified by GP nor having high level of emotional distress on the K10.
Variable not included in multivariate model as was not significantly associated in the univariate.
Baseline odds ratio.
Consultations with any health professional, not only this GP.
Too few individuals in this group.