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Related Experiment Videos

[Mental problems in family practice more variable and diffuse that in psychiatry]

J M Bensing1, P F Verhaak

  • 1Nederlands Instituut voor Onderzoek van de Eerstelijnsgezondheidszorg (NIVEL), Utrecht.

Nederlands Tijdschrift Voor Geneeskunde
|January 15, 1994
PubMed
Summary

General practitioners (GPs) recognized psychological problems in only a fraction of patients screening high for mental illness. Prevention strategies should target frequent attendees with physical complaints.

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Area of Science:

  • Epidemiology
  • General Practice
  • Mental Health

Context:

  • Mental health issues are prevalent in general practice settings.
  • Understanding the general practitioner's perspective is crucial for effective mental healthcare delivery.
  • The study utilized data from the National Study of Morbidity and Interventions in General Practice.

Purpose:

  • To describe the epidemiology of mental health problems in general practice.
  • To assess the recognition of psychological issues by general practitioners (GPs).
  • To explore the relationship between mental health, physical illness, and healthcare utilization.

Summary:

  • A descriptive population survey involving 10,350 individuals aged 15 and over was conducted.
  • The General Health Questionnaire (GHQ) screened for mental illness, with data on doctor-patient contacts and GP assessments recorded.

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  • Only one-third of high-GHQ-scoring patients disclosed psychological problems; GPs recognized psychological issues in 70% of these patients, who also presented with more physical illness.

    • Impact:

    • Screening programs for mental illness in general practice are not recommended due to difficulties in identifying at-risk groups.
    • Prevention efforts may be more effective by focusing on patients with frequent doctor-patient contacts and numerous physical complaints.
    • A public health approach encouraging direct patient-GP discussion of psychological problems is suggested.