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 of these health problems.
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 of these health problems.
Authors: Antoni Serrano-Blanco; Diego J Palao; Juan V Luciano; Alejandra Pinto-Meza; Leila Luján; Ana Fernández; Pere Roura; Jordan Bertsch; Mercè Mercader; Josep M Haro Journal: Soc Psychiatry Psychiatr Epidemiol Date: 2009-05-19 Impact factor: 4.328
Authors: Juan Vicente Luciano Devis; Ana Fernández Sánchez; Antoni Serrano-Blanco; Alejandra Pinto-Meza; Diego José Palao Vidal; Mercè Mercader Menéndez; Josep Maria Haro Abad Journal: Aten Primaria Date: 2009-03-20 Impact factor: 1.137
Authors: Michael King; Scott Weich; Francisco Torres-González; Igor Svab; Heidi-Ingrid Maaroos; Jan Neeleman; Miguel Xavier; Richard Morris; Carl Walker; Juan A Bellón-Saameño; Berta Moreno-Küstner; Danica Rotar; Janez Rifel; Anu Aluoja; Ruth Kalda; Mirjam I Geerlings; Idalmiro Carraça; Manuel Caldas de Almeida; Benjamin Vicente; Sandra Saldivia; Pedro Rioseco; Irwin Nazareth Journal: BMC Public Health Date: 2006-01-12 Impact factor: 3.295