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Social support versus chosen health status indicators in primary care patients
 
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p.o. Kierownik: dr n. med. Agnieszka Mastalerz-Migas; Rektor: dr n. o kf T. Halski, Katedra i Zakład Medycyny Rodzinnej UM we Wrocławiu; Państwowa Medyczna Wyższa Szkoła Zawodowa w Opolu
 
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Prof. dr hab. n. med. Andrzej Kiejna, Katedra Psychiatrii UM we Wrocławiu
 
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Katedra i Zakład Technologii Postaci Leku, Wydział Farmaceutyczny z Oddziałem Analityki Medycznej UM we Wrocławiu
 
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Katedra Psychiatrii UM we Wrocławiu
 
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Kierownik: dr hab. n. zdr. B. Mroczek, Zakład Nauk Humanistycznych w Medycynie, Wydział Nauk o Zdrowiu PUM w Szczecinie
 
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Kierownik: prof. dr hab. K. Wardyn, Katedra i Zakład Medycyny Rodzinnej z Oddziałem Klinicznym Chorób Wewnętrznych i Metabolicznych WUM
 
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Kierownik: dr hab. E. Demczuk-Włodarczyk prof. nadzw., Katedra Fizjoterapii i Terapii Zajęciowej, Wydział Fizjoterapii AWF we Wrocławiu
 
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Kierownik: prof. dr hab. n. zdr. B. Karakiewicz, Katedra i Zakład Zdrowia Publicznego, Wydział Nauk o Zdrowiu PUM w Szczecinie
 
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Kierownik: prof. dr hab. n. med. S. Chlabicz, Zakład Medycyny Rodzinnej i Pielęgniarstwa Środowiskowego, Wydział Nauk o Zdrowiu UM w Białymstoku
 
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Kierownik: prof. dr hab. n. med. A. Kiejna, Katedra Psychiatrii UM we Wrocławiu
 
 
Submission date: 2013-10-17
 
 
Final revision date: 2014-01-10
 
 
Acceptance date: 2014-01-14
 
 
Publication date: 2014-10-31
 
 
Corresponding author
Donata Kurpas   

p.o. Kierownik: dr n. med. Agnieszka Mastalerz-Migas; Rektor: dr n. o kf T. Halski, Katedra i Zakład Medycyny Rodzinnej UM we Wrocławiu; Państwowa Medyczna Wyższa Szkoła Zawodowa w Opolu, ul. Syrokomli 1, 51-141 Wrocław, Polska
 
 
Psychiatr Pol 2014;48(5):941-960
 
KEYWORDS
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ABSTRACT
Objectives:
The purposes of our study were to determine the level of total social support, informational support, instrumental support, appraisal support and emotional support received by patients of primary care as well as factors related to this level with reference to health status and sociodemographic variables.

Methods:
The sample for current analysis included 516 patients of primary care clinics in Poland cooperating with medical universities. Questionnaires: STAI (State-Trait Anxiety Inventory), SCL-90 (Symptom Checklist-90), EPQ-R (Eysenck Personality Questionnaire – Revised), GHQ (General Health Questionnaire) and SSS (Social Support Scale) were used in the study. Results from last two questionnaires are presented in the paper.

Results:
The highest mean levels were obtained for instrumental support, while the lowest levels were observed for emotional support. The highest means were indicated in the GHQ-28 – social dysfunction, the lowest – GHQ-severe depression. Statistically significant relation was found between the level of social support and gender. Less subjectively evaluated total social support as well as instrumental and appraisal support were obtained by women. The highest Spearman score was found in the case of total GHQ-28 score, somatic symptoms, anxiety and insomnia, severe depression and total support. Taking into account the ANOVA findings, it was observed that an increasing GHQ score was associated with intensively increasing emotional support, informative support, appraisal support and the most – instrumental support.

Conclusions:
The results display the underestimated role of emotional, informational and appraisal support and the overestimated role of instrumental support in primary care. The consequence may be a more frequent using health care accompanied by low level of patients’ satisfaction, severity of social dysfunction disorders, particularly in patients with chronic diseases, who constitute an increasingly large group of primary health care.

eISSN:2391-5854
ISSN:0033-2674
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