[Correlation between specific and nonspecific XXXX symptoms with healthcare consumption among 340  French soldiers].

@entity308 @entity73 @entity1005 @entity148 @entity2915 @entity2531 @entity74 @entity158 @entity1317 @entity130
BACKGROUND: The @entity74 are often difficult to diagnose because the specific symptoms of @entity1005 (revival, hyperarousal, avoidance) are rarely a direct demand for health care: for reasons determined by the psychopathological structure of @entity130 , its symptomatology and course, the psychotraumatised subjects seek a care system for nonspecific @entity2531 : @entity308 , @entity73 , other @entity148 , histrionic and obsessive symptoms, changes in personality, @entity2531 and @entity2531 . @entity158 may also result from a @entity1317 , addictive or consequences of risk behaviours during the evolution of @entity1005 . OBJECTIVES: To establish a correlation between the PCLS and the evaluation of the healthcare consumption in a military population. METHODS: We conducted a multicenter epidemiological study analyzing the PCLS and a questionnaire assessing health care consumption. The PCLS has been studied in various forms: quantitative (17  to 85), in qualitative classes (<33, 33  to 43  and >= 44), and in five sub-dimensions (flashbacks, avoidance, dissociation, @entity308 and @entity2915 ). The sub-dimension revival was then studied item by item. The criteria used care consumption over the last twelve months is the numbers of days of sick leave, days of unavailability (of certain jobs or military activities) and consultations. RESULTS: Our population of 340  subjects cannot be considered representative of the French military population even if only a few characteristics differ. Sixteen of 340  subjects show a positive PCLS is 4.70% of our sample. PCLS average of 23 (  9.4) with a median of 19  objectifying much of PCLS have almost zero score. Validating our main hypothesis, we found a statistically significant relationship between elements of the PCLS and variables care consumption: this link exists mainly between the score, classes and sub-dimensions of the PCLS in one hand and number of days of sick leave and unavailability on the other hand. DISCUSSION: Towards a strategy for tracking @entity74 , could be developed a score of health care consumption which would include the number of days of sick leave and unavailability, the number and quality of medical consultations, the number and quality of drug and laboratory requirements, the number of hospitalisations. To the identification of @entity1005 , the PCLS score as well as the consumer healthcare score are valuable tools but do not replace the subjectivity of the clinical relationship: return to this shared subjectivity with the practitioner remains a diagnostic dimension, but also therapeutic, fundamental.
