Mental disorders and disability among patients in a primary care group practice.
This article examines social and occupational disability associated with several DSM-IV mental disorders in a group of adult primary care outpatients.
The subjects were 1,001 primary care patients (aged 18-70 years) in a large health maintenance organization.
Data on each patient's sociodemographic characteristics and functional disability, including scores on the Sheehan Disability Scale, were collected at the time ofa medical visit.
A structured diagnostic interview for current DSM-IV disorders was then completed by a mental health professional over the telephone within 4 days of the visit.
The most prevalent disorders were phobias (7.7%), major depressive disorder (7.3%), alcohol use disorders (5.2%), generalized anxiety disorder (3.7%), and panic disorder (3.0%). A total of 8.3% of the patients met the criteria for more than one mental disorder.
The proportion of patients with co-occurring mental disorders varied by index disorder from 50.0% (alcohol use disorder) to 89.2% (generalized anxiety disorder).
Compared with patients who had a single mental disorder, patients with co-occurring disorders reported significantly more disability in social and occupational functioning. (...)
Mots-clés Pascal : Trouble psychiatrique, Soin santé primaire, Aptitude sociale, Aptitude professionnelle, Facteur sociodémographique, Capacité fonctionnelle, Epidémiologie, Homme, Psychopathologie
Mots-clés Pascal anglais : Mental disorder, Primary health care, Social aptitude, Vocational aptitude, Sociodemographic factor, Functional capacity, Epidemiology, Human, Psychopathology
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0073342
Code Inist : 002B18C14. Création : 14/05/1998.