TY - JOUR
KW - Adolescent
KW - Adult
KW - Age Factors
KW - Aged
KW - Brazil
KW - Cross-Sectional Studies
KW - Female
KW - Humans
KW - Male
KW - Mental Disorders/diagnosis/epidemiology
KW - Middle Aged
KW - Physicians, Primary Care
KW - Prevalence
KW - Primary Health Care
KW - Psychiatric Status Rating Scales
KW - Questionnaires
KW - Sex Factors
AU - D. A. Goncalves
AU - S. Fortes
AU - L. F. Tofoli
AU - M. R. Campos
AU - Mari Jde
A1 - 
AB - OBJECTIVE: Common mental disorders (CMD) are highly prevalent among patients attending primary care. Many of these disorders remain unrecognized by general practitioners (GPs), with the detection rates varying from 30 to 60%. This study aims to evaluate the CMD detection rates by Primary Heath Care (PHC) practitioners in Brazil-and factors that affect CMD detection. METHODS: A cross sectional study was conducted with users of five PHC units in the city of Petropolis. The CMD prevalence of psychiatric morbidity was estimated by the General Health Questionnaire-12, and the physician's CMD detection was evaluated by a questionnaire completed by GPs after each consultation. RESULTS: Seven hundred and fourteen subjects participated of the study, and 400 (56%) were screened positive using GHQ-12 cut-off point of 2/3. GPs diagnosed 379 people with CMD (53.1%), and 256(36%) subjects were detected by both GHQ and the GPs with an OR of 3.04 (95% CI 2.23-4.13). CMD detection accuracy by GPs was 65%. There was a strong association between the detection of CMD and the report of medically unexplained physical symptoms by GPs. Being female, married, and a frequent service user was also related to higher detection rates. CONCLUSION: CMD detection rate was similar to those reported worldwide, but contrary to other studies, the presence of MUS increased detection rates. The high frequency of CMD in Primary Health Care highlights the need for improving GP and health worker's training in order to enable them to accurately recognize and treat psychological distress with evidence-based interventions.
BT - International journal of psychiatry in medicine
C5 - Education & Workforce
CP - 1
CY - United States
DO - 10.2190/PM.41.1.b
IS - 1
JF - International journal of psychiatry in medicine
N2 - OBJECTIVE: Common mental disorders (CMD) are highly prevalent among patients attending primary care. Many of these disorders remain unrecognized by general practitioners (GPs), with the detection rates varying from 30 to 60%. This study aims to evaluate the CMD detection rates by Primary Heath Care (PHC) practitioners in Brazil-and factors that affect CMD detection. METHODS: A cross sectional study was conducted with users of five PHC units in the city of Petropolis. The CMD prevalence of psychiatric morbidity was estimated by the General Health Questionnaire-12, and the physician's CMD detection was evaluated by a questionnaire completed by GPs after each consultation. RESULTS: Seven hundred and fourteen subjects participated of the study, and 400 (56%) were screened positive using GHQ-12 cut-off point of 2/3. GPs diagnosed 379 people with CMD (53.1%), and 256(36%) subjects were detected by both GHQ and the GPs with an OR of 3.04 (95% CI 2.23-4.13). CMD detection accuracy by GPs was 65%. There was a strong association between the detection of CMD and the report of medically unexplained physical symptoms by GPs. Being female, married, and a frequent service user was also related to higher detection rates. CONCLUSION: CMD detection rate was similar to those reported worldwide, but contrary to other studies, the presence of MUS increased detection rates. The high frequency of CMD in Primary Health Care highlights the need for improving GP and health worker's training in order to enable them to accurately recognize and treat psychological distress with evidence-based interventions.
PP - United States
PY - 2011
SN - 0091-2174; 0091-2174
SP - 3
EP - 13
EP - 
T1 - Determinants of common mental disorders detection by general practitioners in primary health care in Brazil
T2 - International journal of psychiatry in medicine
TI - Determinants of common mental disorders detection by general practitioners in primary health care in Brazil
U1 - Education & Workforce
U2 - 21495518
U3 - 10.2190/PM.41.1.b
VL - 41
VO - 0091-2174; 0091-2174
Y1 - 2011
ER -