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[Prevalence of psychopathology at a primary care center]
L Chocrón Bentata1, J Vilalta Franch, I Legazpi Rodríguez
1Centro de Salud Maluquer Salvador, Area Básica de Salud Girona 3.
Objectives:
To determine the prevalence of psychopathology among those attending a primary care centre and discover its diagnostic distribution using the criteria of the DSM-III-R.
Design:
A crossover study of the prevalence of psychopathology. A two-phase study was performed by systematic sampling of one of every four visits. In the first phase the GHQ-28 was used. For those with suspected psychopathology (cut-off point 5/6) a semi-structured interview, Goldberg's CIS, was performed. They were assigned a diagnosis from the DSM-III-R.
Setting:
Maluquer Salvador Health Centre, Girona.
Patients:
A sample of 400 patients between 15 and 65 who attended the Centre for any reason. There were only 2.9% losses (2.1% in the first phase and 0.8% in the second).
Measurements And Main Results:
Overall prevalence of psychopathology was 38.8% (Cl 34.05-43.55), with depression accounting for 10.3% (major depression 6% and dysthymia 4.3%), anxiety 13.8% (generalised 7.3%, panic 3% and obsessive/compulsive 3%) and adaptive disorder 9.5%.
Conclusions:
One of every three patients attending a health centre suffers from some kind of psychiatric disorder.