Background The main objectives of the survey were : (a) to analyse the sociological, clinical and illness-related correlates of mental illness in primary care ; (b) to study, during one-year follow-up, outcome and use of health resources.
Method The survey comprised a two-phase cross-sectional study In the first phase patients were classified using the GHQ-28 or by the general practitioner (GP).
In the second phase they were assessed by the SCAN system.
Results The prevalence rate of mental illness (in attenders) using the GHQ was 33.2%. The corresponding rate for the GP was 14.1%, and for the SCAN 31.5%. Mental illness mainly comprised depression, anxiety and alcohol-related diagnoses.
The presence of mental illness and the use of health resources during follow-up were dependent on demographic characteristics and on their original psychiatric status.
Conclusions In primary care, mental illness constitutes a major health problem.
Despite this fact, GPs do not recognise a substantial proportion ofthese health problems.
Mots-clés Pascal : Trouble psychiatrique, Soin santé primaire, Espagne, Europe, Epidémiologie, Diagnostic, Utilisation, Service santé, Etude longitudinale, Homme
Mots-clés Pascal anglais : Mental disorder, Primary health care, Spain, Europe, Epidemiology, Diagnosis, Use, Health service, Follow up study, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0394183
Code Inist : 002B18H05B. Création : 12/09/1997.