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This study examined the rate of psychological disturbance in a series of new patients attending a clinic for sexually transmitted diseases. Forty three per cent of patients were identified as probable psychiatric cases by the General Health Questionnaire. Medical staff in the clinic were asked to assess patients' level of psychological disturbance. Disagreement between GHQ and doctors' ratings occurred in 41% of patients. Some patient and doctor characteristics were examined that might be associated with disagreement, and the results are discussed in terms of possible social--psychological influences upon doctors' recognition of psychological disturbance.

Original publication




Journal article


Int J Soc Psychiatry

Publication Date





306 - 314


Adult, Age Factors, Female, Humans, Male, Mental Disorders, Personality Inventory, Sex Factors, Sexually Transmitted Diseases, Social Class