Estimated Prevalence of RDC Mental Disorder in Primary Medical Care

Hoeper, Edwin W.; Nycz, Greg; Cleary, Paul D.; Regier, Darrel A.; Goldberg, Irving D.

doi:10.1080/00207411.1979.11448829

Cited by 228 publications

(54 citation statements)

References 17 publications

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“…These ECA data contrast with previous research. Substance abuse disorders are as common among persons using outpatient medical services (8 per cent to 14 per cent of male users) as among those who do not do so (9 per cent to 11 per cent of male non-users). One plausible explanation for these apparent contradictory findings can be found in the different methods of case and use ascertainment.…”

Section: Methodsmentioning

confidence: 99%

Psychiatric diagnoses of medical service users: evidence from the Epidemiologic Catchment Area Program.

Kessler¹,

Burns²,

Shapiro³

et al. 1987

Am J Public Health

162

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Section: Methodsmentioning

confidence: 99%

Psychiatric diagnoses of medical service users: evidence from the Epidemiologic Catchment Area Program.

Kessler¹,

Burns²,

Shapiro³

et al. 1987

Am J Public Health

162

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“…[4][5][6][7][8][9][10] Reducing the burden of suffering from depression in the population will therefore require enhancing diagnosis, treatment, and referral in primary care settings. Despite the availability of several treatment options with similar effectiveness in clinical trials, underrecognition and suboptimal treatment are common.…”

mentioning

confidence: 99%

Identification of patient attitudes and preferences regarding treatment of depression

et al. 1997

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OBJECTIVES:To identify attitudes that influence patient help-seeking behavior and aspects of treatment that influence patient preferences for management of depression. DESIGN:Three focus group discussions (two patient groups stratified by race and one professional group). Questions addressed experience with depression, help-seeking behaviors, treatment preferences, and perceived barriers to mental health care. SETTING: Academic medical center. PATIENTS/PARTICIPANTS:Eight black patients and eight white patients with depression; seven health care professionals (four physicians and three social workers). MEASUREMENTS AND MAIN RESULTS:Discussions were audiotaped, transcribed, and reviewed independently by two investigators to identify and group distinct comments into categories with specific themes. Differences were adjudicated by a third investigator. Comments within categories were then checked for relevance and consistency by a health services researcher and a psychiatrist. More than 90% of the 806 comments could be grouped into one of 16 categories. Black patients raised more concerns than white patients regarding spirituality and stigma. Patients made more comments than professionals regarding the impact of spirituality, social support systems, coping strategies, life experiences, patientprovider relationships, and attributes of specific treatments. They discussed the role these factors played in their helpseeking behavior and adherence to treatment. epression is one of the most common major mental disorders, affecting approximately 5% of the general population, mostly young adults and women, in any one year. 1 Depressive disorders have a substantial effect on the individual, the family, and society and are associated with more functional disability than most chronic medical illnesses. 2,3 Individuals with depression utilize health care services in the general medical and mental health sector three times as often as nondepressed controls, even after controlling for medical comorbidity. 4 The majority of individuals with depression in the United States who seek care receive all or part of their CONCLUSIONS:

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“…Prior studies have suggested that primary care medical practitioners diagnose the existence of mental illness in 2% to 16% of their patients (Shepherd et al, 1966;Hoeper et al, 1979;Eastwood, 1971;Patrick et al, 1978;Hankin et al, 1982;Locke and Gardner, 1969). Prevalence rates for diagnosable mental disorders in primary care patients range from 15% to 40% (Shepherd et al, 1966;Hoeper, 1979).…”

Section: Discussionmentioning

confidence: 98%

Ability of internists to recognize and manage depression in the elderly

Barsa

Toner

Gurland

et al. 1986

Int J Geriat Psychiatry

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SUMMARYSeventy-seven randomly selected elderly patients in a primary care internal medicine practice were assessed and rated by their internists for the presence and severity of depression. Management recommendations were recorded by internists in each case. On the same day, the patients were interviewed and scored using the SHORT-CARE Instrument, which includes a scale of depression. A chart review a year and a half later was made to demonstrate compliance with the internists' recommendations. Results showed that internists were quite skilled at recognizing depression and responded with specific management plans, but did not follow through with their own plans for counselling of patients or referral of patients to mental health practitioners.

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Estimated Prevalence of RDC Mental Disorder in Primary Medical Care

Cited by 228 publications

References 17 publications

Psychiatric diagnoses of medical service users: evidence from the Epidemiologic Catchment Area Program.

Psychiatric diagnoses of medical service users: evidence from the Epidemiologic Catchment Area Program.

Identification of patient attitudes and preferences regarding treatment of depression

Ability of internists to recognize and manage depression in the elderly

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