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Psychiatric morbidity, disability and service use amongst primary care attenders in France

Published online by Cambridge University Press:  16 April 2020

J. Norton ,
G. de Roquefeuil ,
A. Benjamins ,
J.-P. Boulenger  and
A. Mann
J. Norton*
Affiliation:
E-0361, Institut National de la Santé et de la Recherche Médicale, Montpellier, France
G. de Roquefeuil
Affiliation:
E-0361, Institut National de la Santé et de la Recherche Médicale, Montpellier, France
A. Benjamins
Affiliation:
E-0361, Institut National de la Santé et de la Recherche Médicale, Montpellier, France
J.-P. Boulenger
Affiliation:
E-0361, Institut National de la Santé et de la Recherche Médicale, Montpellier, France Service Universitaire de Psychiatrie Adulte, Centre Hospitalo-Universitaire, Montpellier, France
A. Mann
Affiliation:
E-0361, Institut National de la Santé et de la Recherche Médicale, Montpellier, France Institute of Psychiatry, London, UK
*
*Corresponding author. Inserm E-0361, Hôpital La Colombiere—Pavillon 42 “Calixte Cavalier”, 39 av Charles Flahault, BP 34493, 34093 Montpellier cedex 5, France. E-mail address: norton@montp.inserm.fr (J. Norton).
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Abstract

Attenders (n = 124, response rate 84%) of five GPs in Montpellier completed questionnaires on health (reason for visit, cause of problem, GHQ-12), disability (WHODAS II) and service use (CSRI). For each patient, the GP filled in a brief form including a rating of severity of physical and psychological illness. Overall 30.6% of patients were classified as GHQ cases indicating probable non-psychotic psychiatric morbidity and 58.9% were rated as having a physical illness by the GP. Patients with psychiatric morbidity showed as high levels of disability as those with a physical illness, with however a greater number of domains of life affected. They also had a greatly increased number of disability days and used services to a greater extent than those without psychiatric morbidity, these links being stronger than with physical illness. Use of the WHODAS II and the CSRI has not been previously reported in France. This study shows that they could be useful instruments for depicting disability and service use in general practice. The findings from this initial study indicate the need for greater research in primary care focusing on accurate detection and treatment of patients so that disability and excess service use associated with psychiatric morbidity might be reduced.

Keywords

Primary carePsychiatric disordersPhysical illnessDisabilityService use
Type
Original article
Information
European Psychiatry , Volume 19 , Issue 3 , May 2004 , pp. 164 - 167
Copyright
Copyright © 2004 European Psychiatric Association

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