Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Psychotic symptoms in primary care

M Olfson1, M M Weissman, A C Leon

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

The Journal of Family Practice
|November 1, 1996
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

[Medical care situation of patients with ankylosing spondylitis and psoriatic arthritis in Germany : Medical care situation of patients with spondyloarthritis (SpA): ankylosing spondylitis (AS) and psoriatic arthritis (PsA) from the perspective of rheumatologists in private practice and hospitals in Germany-Results of the research project "SpA Loop-Life of Outpatients"].

Zeitschrift fur Rheumatologie·2019
Same author

Assessment of Anxiety in Clinical Trials with Depressed Patients Using the Hamilton Depression Rating Scale.

Psychopharmacology bulletin·2016
Same author

[Hermann Oppenheim. Comments on his life and works].

Der Nervenarzt·2016
Same author

Obesity, but not metabolic syndrome, negatively affects outcome in bipolar disorder.

Acta psychiatrica Scandinavica·2015
Same author

Medication adherence in a comparative effectiveness trial for bipolar disorder.

Acta psychiatrica Scandinavica·2013
Same author

Using comparative effectiveness design to improve the generalizability of bipolar treatment trials data: contrasting LiTMUS baseline data with pre-existing placebo controlled trials.

Journal of affective disorders·2013
Same journal

Does taking BP medicine at night (vs morning) result in fewer cardiovascular events?

The Journal of family practice·2023
Same journal

Preventing RSV in children and adults: A vaccine update.

The Journal of family practice·2023
Same journal

Essential oils: How safe? How effective?

The Journal of family practice·2023
Same journal

51-year-old woman • History of Graves disease • General fatigue, palpitations, and hand tremors • Dx?

The Journal of family practice·2023
Same journal

Renewing the dream.

The Journal of family practice·2023
Same journal

55-year-old woman • Myalgias and progressive symmetrical proximal weakness • History of unilateral renal agenesis, type 2 diabetes, and hyperlipidemia • Dx?

The Journal of family practice·2023
See all related articles

Psychotic symptoms are common in primary care, affecting 3.7% of patients. These symptoms significantly increase functional impairment and the risk of other mental health disorders.

Area of Science:

  • Psychiatry
  • Primary Care Medicine
  • Mental Health

Background:

  • Psychotic symptoms encompass disturbances in perception, reality testing, speech, and behavior.
  • Primary care settings serve as a crucial point for identifying these symptoms.

Purpose of the Study:

  • To determine the prevalence and distribution of psychotic symptoms in primary care patients.
  • To investigate the association between psychotic symptoms and functional impairment, as well as other mental health disorders.
  • To examine the treatment patterns for patients experiencing psychotic symptoms in primary care.

Main Methods:

  • A study involving 1001 adult primary care patients from a large, urban group practice.
  • Patients completed questionnaires on demographics, health status, and mental health utilization.

Related Experiment Videos

  • A structured psychiatric interview assessed for 11 psychotic symptoms post-medical visit; medication data were also collected.

    • Main Results:

    • 3.7% of patients reported at least one psychotic symptom, with paranoia being the most common.
    • Patients with psychotic symptoms showed significantly higher rates of mental health-related work loss, suicidal ideation, major depressive disorder, and bipolar disorder.
    • Antipsychotic medication was prescribed to only 5.4% of patients with psychotic symptoms during the study period.

    Conclusions:

    • Psychotic symptoms are relatively common in primary care and strongly linked to functional impairment and other mental health conditions.
    • Primary care physicians should screen patients with existing mental health disorders for psychotic symptoms.
    • Improved identification and treatment of psychotic symptoms in primary care can mitigate functional impairment and co-occurring disorders.