• Atencion primaria · Aug 2016

    [Ability to detect psychiatric disorders by the family physician].

    • Sofía Garrido-Elustondo, Blanca Reneses, Aida Navalón, Olga Martín, Isabel Ramos, and Manuel Fuentes.
    • Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISECC). Unidad de Apoyo a la Investigación, Gerencia de Atención Primaria, Madrid, España. Electronic address: sgarrido@salud.madrid.org.
    • Aten Primaria. 2016 Aug 1; 48 (7): 449457449-57.

    ObjectiveTo determine the ability of family physicians to detect psychiatric disorders, comparing the presence of psychiatric disorders detected using validated tests and referrals by family physicians.DesignCross-sectional, two-phase study.LocationPrimary healthcare centres in an urban area of Madrid.ParticipantsPatients between 18 and 65years attending primary healthcare centres for non-administrative purposes.Main MeasurementsTo detect psychiatric disorders in the waiting room, an interview was performed using GHQ-28 and MULTICAGE CAD-4 in the screening phase (considered positive: score of 6 or higher on the GHQ-28 or a score 2 or higher on MULTICAGE CAD-4). Patients with a positive score and 20% with negative were recruited for the second phase (case identification) using MINI interview. During family physician consultation, the patient gave his doctor a card with an identification number to record the presence of psychiatric illness in his/her opinion and whether there was treatment with psychotropic drugs.ResultsA total of 628 subjects participated. The prevalence of psychiatric disorders corrected by two phase methodology was 31.7% (95%CI: 27.9 to 35.5). Of the 185 patients with a psychiatric disorder detected, 44.2% (95%CI: 36.7 to 51.7) were identified as patients with psychiatric disorders by their family physician. Disorders best detected were: hypomania, dysthymic disorder, depressive episode with melancholic symptoms, and panic disorder.ConclusionsA significant percentage of patients with possible psychiatric disorders detected with validated test have not been identified by their family physician.Copyright © 2015 Elsevier España, S.L.U. All rights reserved.

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