Hostname: page-component-848d4c4894-2pzkn Total loading time: 0 Render date: 2024-05-01T07:33:31.868Z Has data issue: false hasContentIssue false
  • English
  • Français

Agreement on diagnoses of mental disorder in the primary health care of Turku, Finland

Published online by Cambridge University Press:  16 April 2020

V Lehtinen ,
M Joukamaa ,
H Karlsson  and
E Rouhe
V Lehtinen
Affiliation:
Mental Health Unit, National Research and Development Centre for Welfare and Health, Kunnallissairaalantie 20, FIN-20700Turku Department of Psychiatry, University of Turku, Kunnallissairaalantie 20, FIN-20700Turku
M Joukamaa
Affiliation:
Department of Psychiatry, University of Oulu, FIN-90210Oulu
H Karlsson
Affiliation:
Department of Psychiatry, University of Turku, Kunnallissairaalantie 20, FIN-20700Turku
E Rouhe
Affiliation:
Health Centre of Turku, Kunnallissairaalantie 20, FIN-20700Turku, Finland
Get access

Summary

Primary health care is in the central position in the general sphere of mental health services. This article deals with, as a part of a joint Nordic project, the occurrence of mental disorders of patients in primary health care as based on the material (n = 1,000) collected in the health centre of Turku. The relation of the occurrence of mental disorders as diagnosed by means of a standardized psychiatric interview method (PSE) to the disorders, recognized by general practitioners (GPs) working in the health centre is also observed. It was found that one fourth of the patients had a clear mental disorder that required treatment, while studies in the general population, using the same method, reveal only 10% as having some kind of mental disorder. Three quarters of the evident mental disorders recognized by GPs were diagnosed as such also by the PSE, but the GPs were capable of recognizing only 43% of the cases identified by the PSE. On the basis of these results, the importance of the mental health issue in the basic and postgraduate training of the general practitioners must be emphasized.

Keywords

primary health caremental disordersoccurrencerecognition
Type
Original Articles
Information
European Psychiatry , Volume 10 , Issue 1 , 1995 , pp. 11 - 16
Copyright
Copyright © Elsevier, Paris 1995

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Anttinen, ELepistö, HNupponen, RRiippo, AOllikainen, AThe Preventive Mental Health Work in the Health Centres (in Finnish). Helsinki: Lääkintöhallituksen tutkimuksia 25,1982Google Scholar
Barrett, JEBarrett, JAOxman, TEGerber, PThe prevalence of psychiatric disorders in a primary care practice. Arch Gen Psychiatry. 1988; 45: 1100–610.1001/archpsyc.1988.01800360048007CrossRefGoogle Scholar
Boardman, AThe General Health Questionnaire and the detection of emotional disorder by general practitioners. A replicated study. Br J Psychiatry. 1987;151: 373–8110.1192/bjp.151.3.373CrossRefGoogle ScholarPubMed
Derogatis, LRLipman, RSCovi, LSCL-90: an outpatient psychiatric rating scale — preliminary report. Psychopharmacol Bull. 1973;9: 13–27Google ScholarPubMed
Goldberg, DPBlackwell, WPsychiatric illness in general practice: a detailed study using a new method of case identification. Br Med J. 1970; 2: 439–4310.1136/bmj.2.5707.439CrossRefGoogle Scholar
Goldberg, DHyxley, PMental Illness in the Community. London and New York: Tavistock Publications, 1980Google Scholar
Goldberg, DPSteele, JJSmith, CSpivey, LTraining family doctors to recognise psychiatric illness with increased accuracy. Lancet. 1980;2: 521–310.1016/S0140-6736(80)91843-7CrossRefGoogle ScholarPubMed
Henriksson, MAro, HMarttunen, MHeikkinen, MIsometsä, EKuoppasalmi, KLönnqvist, JKMental disorders and comorbidity in suicide. Am J Psychiatry. 1993;150: 935–40Google ScholarPubMed
Hesbacher, PRickels, KMorris, RJNewman, HRosenfeld, HPsychiatric illness in family practice. J Clin Psychiatry. 1980;41: 6–10Google ScholarPubMed
Johnstone, AGoldberg, DPsychiatric screening in general practice. Lancet. 1976;3: 605–810.1016/S0140-6736(76)90415-3CrossRefGoogle Scholar
Joukamaa, MLehtinen, VKarlsson, HRouhe, EThe psychiatric morbidity of patients in the primary health care (in Finnish). Suom Lääkäril. 1991;46: 3040–4Google Scholar
Kebbon, LSwartling, PGSmedby, BPsychiatric symptoms and psychosocial problems in primary health care seen by doctors. Scand J Prim Health Care. 1985;3: 23–30CrossRefGoogle ScholarPubMed
Kessler, LGTessler, RCNycz, GRCo-occurrence of psychiatric and medical morbidity in primary care. J Fam Pract. 1985;16: 319–24Google Scholar
Kourula, KLehtinen, VToivola, JMPrinssi, VPRecognition difficulties of mental problems in the health centre (in Finnish). Suom Lääkäril. 1985;40: 2875–80Google Scholar
Larivaara, PThe high Consumers of Medical Services in the Health Centre (in Finnish). Oulu: University of Oulu, 1987Google Scholar
Lehtinen, VToivola, JMKourula, KPrinssi, VPThe mental health problems of health centre patients (in Finnish). Suom sLääkäril. 1984;39: 1506–10Google Scholar
Lehtinen, VLindholm, TVeijola, JVäisänen, EThe prevalence of PSE-CATEGO disorders in a Finnish adult population cohort. Soc Psychiatry Psychiatr Epidemiol. 1990;25: 187–92Google Scholar
Lönnqvist, JNiskanen, PMental disturbances in primary health care patients (in Finnish). Suom Lääkäril. 1972;27: 49–56Google Scholar
Nettelbladt, PHansson, LStefansson, C-GBorgquist, LNordström, GTest characteristics of the Hopkins Symptom Check list-25 (HSCL-25) in Sweden, using the Present State Examination (PSE-9) as a caseness criterion. Soc Psychiatry Psychiatr Epidemiol. 1993;28: 130–3CrossRefGoogle Scholar
Ormel, Jvan den Brink, WKoeter, MWJGiel, Rvan, der Meer Kvan, de Willige GWilmink, FWRecognition, management and outcome of psychological disorders in primary care: a naturalistic follow-up study. Psychol Med. 1990;20: 909–2310.1017/S0033291700036606CrossRefGoogle ScholarPubMed
Ormel, JKoeter, MWJvan, den Brink Wvan, de Willige GRecognition, management, and course of anxiety and depression in general practice. Arch Gen Psychiatry. 1991;48: 700–610.1001/archpsyc.1991.01810320024004CrossRefGoogle ScholarPubMed
Regier, DAHirschfeld, RMAGoodwin, FKBurke, JDLazar, JBJudd, LLThe NIMH Depression Awareness, Recognition, and Treatment Program: structure, aims, and scientific basis. Am J Psychiatry. 1988;145: 1351–7Google ScholarPubMed
Shepherd, MCooper, BBrown, ACKalton, GPsychiatric Illness in General Practice. London: Oxford University Press, 1966Google Scholar
Skuse, DWilliams, PScreening for psychiatric disorder in general practice. Psychol Med. 1984;14: 365–7710.1017/S0033291700003615CrossRefGoogle ScholarPubMed
Tarnopolsky, AHand, DJMcLean, EKRoberts, HWiggins, RDValidity and uses of a screening questionnaire (GHQ) in the community. Br J Psychiatry. 1979;134: 508–1510.1192/bjp.134.5.508CrossRefGoogle Scholar
Väisänen, ENiskanen, PTienari, PPsychiatric disturbances in patients visiting health care centres in northern Finland. Psychiatr Fenn. 1979 141–48Google Scholar
Westrin, C-GGeneral practitioner and psychiatry (in Swedish). Socialmed Tidskr. 1973;50: 32–8Google Scholar
Wilmink, FWOrmel, JGiel, RKrol, BLindeboom, EGvan, der Meer KSoeteman, JHGeneral practitioners characteristics and the assessment of psychiatric illness. J Psychosom Res. 1989;23: 135–4910.1016/0022-3956(89)90004-6CrossRefGoogle ScholarPubMed
Wing, JKCooper, JESartorius, NThe Measurement and Classification of Psychiatric Symptoms. London: Cambridge University Press, 1974Google Scholar
Wing, JKMann, SALeff, JPNixon, JMThe concept of a case in psychiatric population surveys. Psychol Med. 1978;8: 203–1710.1017/S0033291700014264CrossRefGoogle ScholarPubMed
Zintl-Wiegand, ACooper, BPsychiatric morbidity and needs for care in general practice. In: Häfner, HEstimating Needs for Mental Health Care. Heidelberg: Springer, 1979 69–7910.1007/978-3-642-67338-2_8CrossRefGoogle Scholar
Submit a response

Comments

No Comments have been published for this article.