The aims of the present study were to evaluate the extent to which primary care physicians' (PCPs) identification of psychiatric distress is related to a number of nonpsychopathological factors, such as patient sociodemographic and health-related characteristics, and to assess the impact of depression on PCP identification of psychiatric distress, controlling for patient sociodemographic and health-related characteristics.
Two patients samples were chosen to explore these issues : 1) patients not fulfilling any ICD-10-defined or subthreshold psychiatric diagnosis and, 2) patients with an ICD-10 diagnosis of current depression.
Patients attending 46 primary care clinics during an index period were screened by the General Health Questionnaire (GHQ) - 12 and selected for a second stage interview according to GHQ score.
Among the 559 interviewed patients, 123 had no mental disorder and 66 had an ICD-10 current depressive disorder.
Identification of psychiatric distress by the PCP was associated with retirement among subjects without mental disorders but not among depressed patients.
Patient's negative overall health self-perception and severity of physical illness were significantly related to identification of psychiatric distress in the two groups, whereas neither disability nor reason for medical consultation had a significant effect. (...)
Mots-clés Pascal : Diagnostic, Trouble psychiatrique, Soin santé primaire, Etat dépressif, Italie, Europe, Homme, Trouble humeur
Mots-clés Pascal anglais : Diagnosis, Mental disorder, Primary health care, Depression, Italy, Europe, Human, Mood disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0100483
Code Inist : 002B18C14. Création : 22/06/1998.