TY - JOUR KW - Adolescent KW - Adult KW - Aged KW - Aged, 80 and over KW - Anxiety Disorders/epidemiology KW - Comorbidity KW - Cross-Sectional Studies KW - Female KW - Humans KW - Male KW - Mental Disorders/epidemiology KW - Middle Aged KW - Mood Disorders/epidemiology KW - Prevalence KW - Primary Health Care KW - Somatoform Disorders/epidemiology KW - Spain/epidemiology KW - Young Adult AU - M. Roca AU - M. Gili AU - M. Garcia-Garcia AU - J. Salva AU - M. Vives AU - Garcia Campayo AU - A. Comas A1 - AB - OBJECTIVE: To estimate the prevalence and comorbidity of the most common mental disorders in primary care practice in Spain, using the Primary Care Evaluation of Mental Disorders (PRIME-MD) questionnaire. DESIGN: A systematic sample of 7936 adult primary care patients was recruited by 1925 general practitioners in a large cross-sectional national epidemiological study. The PRIME-MD was used to diagnose psychiatric disorders. SETTING: 1356 primary care units proportionally distributed throughout the country. RESULTS: 53.6% of the sample presented one or more psychiatric disorder. The most prevalent were affective (35.8%), anxiety (25.6%), and somatoform (28.8%) disorders. 30.3% of the patients had more than one current mental disorder. 11.5% presented comorbidity between affective, anxiety, and somatoform disorders. CONCLUSIONS: The study provides further evidence of the high prevalence and high comorbidity of mental disorders in primary care. Given the large overlap between affective, anxiety and somatoform disorders, future diagnostic classifications should reconsider the current separation between these entities. BT - Journal of affective disorders C5 - Medically Unexplained Symptoms CP - 1-3 CY - Netherlands DO - 10.1016/j.jad.2009.03.014 IS - 1-3 JF - Journal of affective disorders N2 - OBJECTIVE: To estimate the prevalence and comorbidity of the most common mental disorders in primary care practice in Spain, using the Primary Care Evaluation of Mental Disorders (PRIME-MD) questionnaire. DESIGN: A systematic sample of 7936 adult primary care patients was recruited by 1925 general practitioners in a large cross-sectional national epidemiological study. The PRIME-MD was used to diagnose psychiatric disorders. SETTING: 1356 primary care units proportionally distributed throughout the country. RESULTS: 53.6% of the sample presented one or more psychiatric disorder. The most prevalent were affective (35.8%), anxiety (25.6%), and somatoform (28.8%) disorders. 30.3% of the patients had more than one current mental disorder. 11.5% presented comorbidity between affective, anxiety, and somatoform disorders. CONCLUSIONS: The study provides further evidence of the high prevalence and high comorbidity of mental disorders in primary care. Given the large overlap between affective, anxiety and somatoform disorders, future diagnostic classifications should reconsider the current separation between these entities. PP - Netherlands PY - 2009 SN - 1573-2517; 0165-0327 SP - 52 EP - 58 EP - T1 - Prevalence and comorbidity of common mental disorders in primary care T2 - Journal of affective disorders TI - Prevalence and comorbidity of common mental disorders in primary care U1 - Medically Unexplained Symptoms U2 - 19361865 U3 - 10.1016/j.jad.2009.03.014 VL - 119 VO - 1573-2517; 0165-0327 Y1 - 2009 ER -