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Screening for psychiatric disorder in general practice.

D Skuse, P Williams

    Psychological Medicine
    |May 1, 1984
    PubMed
    Summary
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    A study found that 34% of patients visiting a South London general practitioner had psychiatric morbidity. This highlights the need for effective screening strategies for mental health disorders in primary care settings.

    Area of Science:

    • General Practice
    • Psychiatry
    • Public Health

    Background:

    • Psychiatric morbidity is a significant issue in primary care.
    • General practitioners (GPs) play a crucial role in identifying mental health conditions.
    • Estimating the prevalence of psychiatric disorders in general practice is essential for resource allocation and treatment planning.

    Purpose of the Study:

    • To investigate the extent of psychiatric morbidity in patients attending a general practitioner.
    • To estimate the true prevalence of psychiatric disorders in a primary care setting.
    • To inform theoretical discussions on screening strategies for psychiatric disorders in general practice.

    Main Methods:

    • A consecutive series of patients attending a South London general practitioner were studied.

    Related Experiment Videos

  • The GP identified psychiatric components in reasons for consultation.
  • Prevalence was estimated based on the GP's assessment and consultation data.

    • Main Results:

    • A psychiatric component was identified in 40% of consultations.
    • The GP classified 24% of patients as 'psychiatric cases'.
    • The estimated true prevalence of psychiatric morbidity was 34%.

    Conclusions:

    • A substantial proportion of patients in general practice present with psychiatric morbidity.
    • The findings support the development and implementation of targeted screening strategies.
    • Effective screening can improve the detection and management of mental health disorders in primary care.