OBJECTIVE:To determine patient and provider characteristics associated with increased risk of nondetection of mental health problems by primary care physicians. DESIGN:Cross-sectional patient and physician surveys conducted as part of the Medical Outcomes Study. PARTICIPANTS:We studied 19,309 patients and 349 internists and family physicians. MEASUREMENTS AND MAIN RESULTS:We counted "detection" of a mental health problem whenever physicians reported, in a postvisit survey, that they thought the patient had a mental health problem or that they had counseled or referred the patient for mental health. Key independent variables included patient self-reported demographic characteristics, health-related quality of life (

Airway wall thickening and emphysema make independent contributions to airflow obstruction in COPD. These phenotypes show independent aggregation within families of individuals with COPD, suggesting that different genetic factors influence these disease processes.

The finding of substantial differences in the quality of life between hypertensive and diabetic patients with and without comorbid anxiety disorder highlights the clinical and societal importance of identifying comorbid anxiety in these patients.

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