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Mental health in primary care: An epidemiological study of morbidity and use of health resources

  • José Luis Vázquez-Barquero (a1), José Garcia (a2), Jesús Artal Simón (a1), Celso Iglesias (a2), Javier Montejo (a2), AndréS Herrán (a1) and Graham Dunn (a3)...

Abstract

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.

Copyright

Corresponding author

Professor J.L. Vázquez-Barquero, Unidad de Investigación en Psiquiatría Clínicay Social. Hospital Universitario “Marqués de Valdecilla”. Av. Valdecilla s/n. Santander 39008, Spain

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Mental health in primary care: An epidemiological study of morbidity and use of health resources

  • José Luis Vázquez-Barquero (a1), José Garcia (a2), Jesús Artal Simón (a1), Celso Iglesias (a2), Javier Montejo (a2), AndréS Herrán (a1) and Graham Dunn (a3)...

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Mental health in primary care: An epidemiological study of morbidity and use of health resources

  • José Luis Vázquez-Barquero (a1), José Garcia (a2), Jesús Artal Simón (a1), Celso Iglesias (a2), Javier Montejo (a2), AndréS Herrán (a1) and Graham Dunn (a3)...
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