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Related Experiment Videos

Psychological management by family physicians

M Olfson1, M M Weissman, A C Leon

  • 1Department of Psychiatry, College of Physicians and Surgeons of Columbia University, New York, NY 10032, USA.

The Journal of Family Practice
|December 1, 1995
PubMed
Summary

Primary care physicians provide psychological interventions more often than assumed. Nearly a quarter of patients received interventions like listening or advice for mental health concerns.

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Area of Science:

  • Primary Care Medicine
  • Mental Health Services
  • Psychological Interventions

Background:

  • Common assumption: primary care physicians rarely offer psychological interventions.
  • This study investigates self-reported psychological interventions by family physicians.

Purpose of the Study:

  • To assess the frequency and types of psychological interventions delivered by primary care physicians.
  • To identify patient factors associated with receiving these interventions.

Main Methods:

  • 937 primary care patients completed mental health screening forms.
  • Physicians reported psychological interventions used during patient visits.
  • A subgroup of patients (n=388) received diagnostic interviews.

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Main Results:

  • 24.1% of patients received at least one psychological intervention.
  • Interventions included listening, advice, diagnosis discussion, and counseling.
  • Patients with poor emotional health or positive screening for specific disorders were more likely to receive interventions.

Conclusions:

  • Primary care physicians are more involved in psychological interventions than commonly believed.
  • Findings challenge the assumption of limited physician involvement in mental health care.