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Depression in general practice.

G Parker, B Abeshouse, E Morey

    The Medical Journal of Australia
    |August 4, 1984
    PubMed
    Summary

    General practice patients screened for depression found high symptom rates in women and men. Most identified individuals met psychiatric case criteria, with depression lasting nine months on average.

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    Area of Science:

    • Psychiatry
    • General Practice
    • Mental Health Research

    Background:

    • Depressive disorders are a significant public health concern.
    • Understanding the prevalence and course of depression in primary care is crucial for effective intervention.
    • General practices serve as a key point of contact for individuals experiencing mental health issues.

    Purpose of the Study:

    • To assess the nature and course of depressive disorders in general practice patients.
    • To determine the prevalence of significant depressive symptoms in a primary care setting.
    • To evaluate the psychiatric status and duration of depression in identified individuals.

    Main Methods:

    • Screening of 564 general practice attendees in Sydney using a self-report depression inventory.
    • Inclusion of individuals reporting significant depressive symptoms for further assessment.
    • Utilizing the Present State Examination (PSE) case-finding procedure for psychiatric diagnosis.
    • Conducting longitudinal follow-up assessments at six and 20 weeks.

    Main Results:

    • 25% of women and 17% of men reported significant depressive symptoms.
    • 83% of interviewed "potential depressives" met psychiatric case criteria.
    • The mean duration of depression among cases was nine months.
    • Minimal improvement in mental condition was observed at six and 20-week follow-ups.

    Conclusions:

    • Depressive disorders are prevalent in general practice populations.
    • A substantial proportion of individuals with depressive symptoms meet criteria for psychiatric disorders.
    • Depression in this primary care sample exhibited a prolonged course with limited spontaneous recovery over 20 weeks.
    • Further research into effective interventions for depression in primary care is warranted.

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