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The diagnostic status of patients with conspicuous psychiatric morbidity in primary care

Published online by Cambridge University Press:  09 July 2009

Patricia R. Casey
Affiliation:
Mapperley Hospital, Nottingham
S. Dillon
Affiliation:
Mapperley Hospital, Nottingham
P. J. Tyrer*
Affiliation:
Mapperley Hospital, Nottingham
*
1Address for correspondence: Dr P. J. Tyrer, Mapperley Hospital, Porchester Road, Nottingham NG3 6AA.

Synopsis

A 7% one-year prevalence rate of conspicuous psychiatric morbidity was found in patients attending a single general practice. The nature of the morbidity was examined by a detailed assessment of mental state and personality, using interview schedules administered by a psychiatrist. Depressive disorders were presented by nearly half of the patients. The overall sex incidence of the disorders was equal, but alcohol abuse was more common in males. A personality disorder was present in 33·9% of all patients seen, although it was rarely diagnosed as the primary problem and was linked to the diagnosis of anxiety states, rather than depressive neurosis. These findings are discussed in relation to other epidemiological studies in primary care.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1984

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References

REFERENCES

Brodman, K., Erdmann, A. K., Lorge, J., Wolff, H. G. & Broadbent, T. H. (1949). The Cornell Medical Index: an adjunct to medical interview. Journal of the American Medical Association 140, 530.Google Scholar
Burvill, P. W. & Kidd, C. B. (1975). The two town study: A comparison of psychiatric illness in two contrasting Western Australian mining towns. Australian and New Zealand Journal of Psychiatry 9, 8592.CrossRefGoogle ScholarPubMed
Eastwood, M. R. (1971). Screening for psychiatric disorder. Psychological Medicine 1, 197208.Google Scholar
Fagin, L. (1981). Unemployment and Health in Families. DHSS. London.Google Scholar
Faris, R. E. L. & Dunham, H. W. (1939). Mental Disorders in Urban Areas. An Ecological Study of Schizophrenia and Other Psychoses. University of Chicago Press: Chicago.Google Scholar
Freed, E. X. (1975). Alcoholism and schizophrenia: the search for perspectives. Journal of Studies on Alcohol 36, 853881.CrossRefGoogle ScholarPubMed
Glasser, M. A., Duggan, T. J. & Hoffman, W. (1969). Prepaid psychiatric care experience with UAW members. American Journal of Psychiatry 126, 675681.CrossRefGoogle Scholar
Goldberg, D. P. (1972). The Detection of Psychiatric Illness by Questionnaire. Maudsley Monograph No. 21. Oxford University Press: London.Google Scholar
Goldberg, D. P. (1982). The concept of a psychiatric ‘case’ in general practice. Social Psychiatry 17, 6165.Google Scholar
Goldberg, D. P. & Blackwell, B. (1970). Psychiatric illness in general practice. A detailed study using a new method of case identification. British Medical Journal ii, 439443.Google Scholar
Goldberg, D. P. & Huxley, P. (1980). Mental Illness in the Community. Tavistock Publications: London.Google Scholar
Hensman, C., Chandler, J., Edwards, G., Hawker, A. & Williamson, V. (1968). Identifying abnormal drinkers: prevalence estimates by general practitioner and clergymen. Medical Officer 120, 215220.Google Scholar
Hoeper, E. W., Nycz, G. R., Cleary, P. D., Regier, D. A. & Goldberg, I. D. (1979). Estimated prevalence of RDC mental disorder in primary medical care. International Journal of Mental Health 8, 615.Google Scholar
Kendell, R. E. (1976). The classification of depressions: a review of contemporary confusion. British Journal of Psychiatry 129, 1528.Google Scholar
Kessel, N. (1960). Psychiatric morbidity in a London general practice. British Journal of Preventive and Social Medicine 14, 1622.Google Scholar
Mann, A. H., Jenkins, R. & Belsey, E. (1981). The twelve month outcome of patients with neurotic illness in general practice. Psychological Medicine 11, 1528.CrossRefGoogle ScholarPubMed
Marks, J., Goldberg, D. P. & Hillier, V. F. (1979). Determinants of the ability of general practitioners to detect psychiatric illness. Psychological Medicine 9, 337353.CrossRefGoogle ScholarPubMed
Moffic, H. S. & Paykel, E. S. (1975). Depression in medical in-patients. British Journal of Psychiatry 126, 346351.Google Scholar
Parr, D. (1957). Alcoholism in general practice. British Journal of Addiction 54, 2553.Google Scholar
Pollak, B. (1971). Prevalence of alcoholism in a London practice. Practitioner 206, 531.Google Scholar
Procci, W. R. (1976). Schizo-affective psychosis: fact or fiction? Archives of General Psychiatry 33, 11671178.CrossRefGoogle ScholarPubMed
Selzer, M. L. (1971). The Michigan alcoholism screening test: the quest for a new diagnostic instrument. American Journal of Psychiatry 127, 16531658.Google Scholar
Shepherd, M., Cooper, B., Brown, A. C. & Kalton, G. W. (1966). Psychiatric Illness in General Practice. Oxford University Press: Oxford.Google Scholar
Snaith, R. P., McGuire, R. J. & Fox, K. (1971). Aspects of personality and depression. British Journal of Psychiatry 1, 239246.Google ScholarPubMed
Tyrer, P. J. & Alexander, J. (1979). Classification of personality disorder. British Journal of Psychiatry 135, 163167.Google Scholar
Tyrer, P. J., Alexander, M. S., Cicchetti, D., Cohen, M. S. & Remington, M. (1979). Reliability of a schedule for rating personality disorder. British Journal of Psychiatry 135, 168174.Google Scholar
Tyrer, P. J., Casey, P. R. & Gall, J. (1983). Relationship between neurosis and personality disorder. British Journal of Psychiatry 142, 404408.Google Scholar
Wilkins, R. H. (1974). The Hidden Alcoholic in General Practice. Elek Science: London.Google Scholar
Wing, J. K. (1976). A technique for studying psychiatric morbidity in in-patient and out-patient series and in general population samples. Psychological Medicine 6, 665671.Google Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974). The Measurement and Classification of Psychiatric Symptoms. Cambridge University Press: Cambridge.Google Scholar
Wing, J. K., Bebbington, P. E. & Robins, L. N. (eds.) (1981). What is a Case? The Problem of Definition in Psychiatric Community Surveys. Grant-McIntyre: London.Google Scholar
World Health Organization (1973). Psychiatry in Primary Medical Care. WHO: Oslo.Google Scholar
World Health Organization (1978). Mental Disorders: A Glossary and Guide to Their Classification in Accordance with the Ninth Revision of the International Classification of Diseases. WHO: Geneva.Google Scholar