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Psychiatric disorder in patients with insulin-dependent diabetes mellitus attending a general hospital clinic: (i) two-stage screening and (ii) detection by physicians

Published online by Cambridge University Press:  09 July 2009

G. Wilkinson*
Affiliation:
Institute of Psychiatry, London; Division of Medicine, Ninewells Hospital and Medical School, Dundee, Dundee Psychiatric Service, Royal Dundee Liff Hospital, Liff by Dundee
D. Q. Borsey
Affiliation:
Institute of Psychiatry, London; Division of Medicine, Ninewells Hospital and Medical School, Dundee, Dundee Psychiatric Service, Royal Dundee Liff Hospital, Liff by Dundee
P. Leslie
Affiliation:
Institute of Psychiatry, London; Division of Medicine, Ninewells Hospital and Medical School, Dundee, Dundee Psychiatric Service, Royal Dundee Liff Hospital, Liff by Dundee
R. W. Newton
Affiliation:
Institute of Psychiatry, London; Division of Medicine, Ninewells Hospital and Medical School, Dundee, Dundee Psychiatric Service, Royal Dundee Liff Hospital, Liff by Dundee
C. Lind
Affiliation:
Institute of Psychiatry, London; Division of Medicine, Ninewells Hospital and Medical School, Dundee, Dundee Psychiatric Service, Royal Dundee Liff Hospital, Liff by Dundee
C. B. Ballinger
Affiliation:
Institute of Psychiatry, London; Division of Medicine, Ninewells Hospital and Medical School, Dundee, Dundee Psychiatric Service, Royal Dundee Liff Hospital, Liff by Dundee
*
1Address for correspondence: Dr G. Wilkinson,General Practice Research Unit, Institute of Psychiatry, De Crespigny Park, Denmark Hill, London 5E5 SAF.

Synopsis

Two-stage screening for psychiatric disorder was carried out with a sample of 99 male and 95 female outpatients with insulin-dependent diabetes mellitus, using the General Health Questionnaire and the Clinical Interview Schedule. The estimated prevalence of psychiatric disorder in this sample was 18%: only 28% of the psychiatric morbidity so identified was detected by physicians. In contrast, physicians rated 10% of the sample as psychiatric ‘cases’ using a simple 6-point scale.

Type
Preliminary Report
Copyright
Copyright © Cambridge University Press 1987

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