Psychiatric Disorders in Primary Care

Larry G. Kessler

288 citations0/0 files storedArchives of General Psychiatry

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Mental Health Treatment and Access Psychiatric care and mental health services Primary Care and Health Outcomes

Abstract

Despite extensive documentation of high rates of psychiatric morbidity among primary care patients, there have been, to our knowledge, no US studies following up these patients over time. We analyzed data based on two administrations of the Schedule for Affective Disorders and Schizophrenia-Life-time version (SADS-L) six months apart to 166 attenders at a primary care clinic in Marshfield, Wis. In the short span between interviews, 35% of the study group exhibited at least one Research Diagnostic Criteria disorder, and almost two thirds of these individuals had significant changes in diagnostic status based on SADS-L data. Diagnosis of these transient and episodic cases by the primary care physicians was under 10%, demonstrating the need for careful evaluation of the psychiatric status of primary care patients.

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References

1976The Global Assessment Scale 1984Six-Month Prevalence of Psychiatric Disorders in Three Communities 1982Best Estimate of Lifetime Psychiatric Diagnosis 1966Psychiatric illness in general practice 1976A Comparison of Two Psychiatric Screening Tests 1981Reliability of Lifetime Diagnosis 1979Blindness and Reliability in Lifetime Psychiatric Diagnosis

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1989Patient variable biases in clinical judgment: Conceptual overview and methodological considerations.1997Competing demands in psychosocial care 1993Depression, anxiety, and social disability show synchrony of change in primary care patients.1996Occurrence, recognition, and outcome of psychological disorders in primary care 1997A Computer-Administered Telephone Interview to Identify Mental Disorders 1988Factors Affecting the Utilization of Specialty and General Medical Mental Health Services 1993Outcome of Depression and Anxiety in Primary Care

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