Clinical Factors,Psycho-Social Stressors and Sick-Leave Patterns in a Group of Swedish and Greek Patients

Abstract

To assess patterns of illness behaviour in immigrant Greeks, 50 Greek and 50 Swedish consecutive patients were examined by a Swedish general practitioner and a Greek psychotherapist at a primary health centre in Stockholm. In addition to a physical examination an overall psychiatric assessment of the patients was made, partly with the help of rating scales. Psycho-social stressors were also rated. In spite of modest somatic and psychiatric findings, the majority of the Greek patients had been on long-term sick-leave and none of them could be rehabilitated. This illness behaviour, with passivity as the most notable response to pain, was very evident in the Greek group and was assessed as being strongly related to psycho-social stressors as well as to iatrogenic damage. All of the patients whose sick-leave had been of short duration prior to their first visit to the health centre could be rehabilitated. Psycho-social counselling given to the Greek patients in their native tongue had only marginal effect.

Keywords

Greeks immigrants primary health care psycho-social stressors sick-leave patterns.

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References

1. Haglund B , Palm O , Pettersson S , Svanström L. Sjukfrånvaron 1981 (The sick-leave rate 1981). In: Hälso och samhällsprofil för AB-län. (Brun serie nr. 26). Sundbyberg: Landstingets hälsovård, Vårdcentralen Kronan, 1984 (in Swedish).

2. Antonopoulos K , Beis A , Larsson S. CHAOS-Grekiska kvinnor i mötet med svensk sjukvård (CHAOS-Greek women's encounter with Swedish health care). Stockholm: SPRI – Utredningsbanken 2846, 1983 (in Swedish with Greek summary).

3. Gadd K. Grekiska patienter på en allmän psykiatrisk specialistmottagning – en behandlingsmodell (Greek patients at a general psychiatric health centre – a therapeutic model). Läkartidningen 1985; 38: 3143–46 (in Swedish).

4. Banchevska R. Uprooting and setting: The transplanted family. In: Eitinger L , Schwarz D , eds. Strangers in the world. Bern: Hans Huber Publishers, 1981: 107–32.

5. Jansson B , Papastavrou D. Sjukskrivningsmönster och slutenvårdskonsumtion hos greker, jugoslaver och svenskar sett ur psykiatriskt perspektiv (A psychiatric perspective on sick-listing patterns and in-care consumption among Greeks, Yougoslavs and Swedes). Nordisk Psykiatrisk Tidskrift 1984; 5: 85–92 (in Swedish with English summary).

6. åsberg M , Perris C , Schalling D , Sedvall G. The CPRS – Development and applications of a psychiatric rating scale. Acta Psychiat Scand, Suppl 271, 1978.

7. Diagnostic & Statistical Manual of Mental Disorders. Third ed. Washington DC: American Psychiatric Association, 1980.

8. France RD , Houpt JL , Skott A , Krishnan K , Varia I. Depression as a psychopathological disorder in chronic low back pain patients. J Psychosom Res 1986; 2: 127–33.

9. Carlsson A-M. Psykologiska aspekter på behandling av patienter med kroniska smärtor (Psychological aspects of the rehabilitation of patients with chronic pain). Opuscula Medica 1986; 1: 9–12 (in Swedish with English summary).

10.

10. Arner S. Kronisk smärta – klinisk analys (Clinical analysis of chronic pain). Opuscula Medica 1986; 1: 2–8 (in Swedish with English summary).

11.

11. Zborowski M. Cultural components in responses to pain. J Social Issues 1952; 8: 16–30.

12.

12. Dahlman A. Rapport över studie av långtidssjukskrivna städerskor hos ASAB (A report on female cleaners on long-term sick-leave at ASAB). Borlängc: Företagshälsovärden, 1985 (in Swedish).

13.

13. Corvino T , Kazana V. Grekiska kvinnor – deras situation i Stockholm (Greek women – their situation in Stockholm). Norrköping: Statens invandrarverk, SIV-rapport 1984 (in Swedish).

14.

14. Antonopoulos K , Beis A , Larsson S. Chaos: Grekiska kvinnor i mötet med svensk sjukvård. (Chaos. Greek women and Swedish health care services). Stockholm: Stockholms läns landsting, Rapport 1985 (in Swedish with Greek summary).