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Psychiatric diagnosisin primary carepatients withincreased depressivesymptoms Satu KotiahoKatariina KorniloffMauno Vanhala2019 год

Psychiatric diagnosis in primary care patients with increased depressive symptoms
статья из журнала

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Аннотация: Background: Screening of depression has been recommended in primary care and Beck's 21-item Depression Inventory (BDI-21) is a commonly used tool for screening. Depression has been shown to be frequently accompanied by comorbidities.Aims: This study aimed to analyze the characteristics, psychiatric diagnoses, and psychiatric comorbidity of primary care patients who have been screened for depression and referred to a depression nurse.Methods: The study subjects were primary care patients aged ≥ 35 years with depressive symptoms (BDI-21 > 9). Their psychiatric diagnosis were based on a diagnostic interview (Mini-International Neuropsychiatric Interview; M.I.N.I.) conducted by a trained study nurse.Results: Of the 705 study subjects, 617 (87.5%) had at least one and 66.1% had at least two psychiatric diagnoses. The most common diagnosis was depression (63.4%). The next most common diagnoses were generalized anxiety disorder (GAD) (48.1%) and panic disorder (22.8%). Only 8.8% of the study subjects had depression without other psychiatric disorders. Ten percent of the subjects had both depression and a generalized anxiety disorder (GAD). Also other psychiatric comorbidities were common. Age was inversely associated with the psychiatric diagnosis in the M.I.N.I.Conclusions: This study suggests that most of the primary care patients with increased depressive symptoms have a psychiatric disorder. Although depression is the most common diagnosis, there are several other concurrent psychiatric comorbidities. Therefore, diagnostic assessment of primary care patients with a screening score over 9 in the BDI-21 should be reconsidered.
Год издания: 2019
Авторы: Satu Kotiaho, Katariina Korniloff, Mauno Vanhala, Hannu Kautiainen, Hannu Koponen, Tiina Ahonen, Pekka Mäntyselkä
Издательство: Taylor & Francis
Источник: Nordic Journal of Psychiatry
Ключевые слова: Mental Health Treatment and Access, Child and Adolescent Psychosocial and Emotional Development, Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Другие ссылки: Nordic Journal of Psychiatry (HTML)
PubMed (HTML)