Anxiety and mood disorders in primary care practice

Erika Szádóczky, S. Rózsa, János Zámbori, Jénos Füredi

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Anxiety and mood disorders are common conditions in primary health care service. Primary care physicians (PCPs) have a privileged role in the early recognition of these conditions. In this study, the prevalence rates of threshold and subthreshold mood and anxiety disorders were surveyed among 1815 primary care attendees in 12 PCPs' offices in Budapest, using the Diagnostic Interview Schedule (DIS). The 1-year prevalence of DIS/ DSM-III-R anxiety and/or mood disorders was 16.8%, and the 1-month prevalence was 12.5%. The occurrence rates of subthreshold anxiety and/ or depression were 25.7 and 13.1%, respectively. The impact of threshold anxiety and mood disorders on work performance was considerably higher than the impact of subthreshold symptoms. At the time of the interview, 6.7% of the patients received mood and/or anxiety disorder diagnoses by their PCPs. The measure of agreement between the diagnoses generated by the DIS and the ones given by the PCPs was low. The presence of an acute or chronic physical illness made it more difficult for the PCPs to recognize a psychiatric disorder. Conversely, patients' psychological complaints significantly improved the recognition of anxiety and/or mood disorders. The use of the Beck Depression inventory (BDI) brief version would help the patients to reveal their psychological symptoms, and the physicians to recognize an underlying psychiatric disorder.

Original languageEnglish
Pages (from-to)77-84
Number of pages8
JournalInternational Journal of Psychiatry in Clinical Practice
Volume8
Issue number2
DOIs
Publication statusPublished - Jun 2004

Fingerprint

Anxiety Disorders
Mood Disorders
Primary Care Physicians
Primary Health Care
Interviews
Appointments and Schedules
Psychiatry
Depression
Psychology
Physicians' Offices
Diagnostic and Statistical Manual of Mental Disorders
Health Services
Chronic Disease
Anxiety
Physicians
Equipment and Supplies

Keywords

  • Anxiety disorder
  • Mood disorder
  • Primary care-recognition

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Anxiety and mood disorders in primary care practice. / Szádóczky, Erika; Rózsa, S.; Zámbori, János; Füredi, Jénos.

In: International Journal of Psychiatry in Clinical Practice, Vol. 8, No. 2, 06.2004, p. 77-84.

Research output: Contribution to journalArticle

Szádóczky, Erika ; Rózsa, S. ; Zámbori, János ; Füredi, Jénos. / Anxiety and mood disorders in primary care practice. In: International Journal of Psychiatry in Clinical Practice. 2004 ; Vol. 8, No. 2. pp. 77-84.
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