Document Detail

Brief screens for mental disorders in primary care.
MedLine Citation:
PMID:  8842936     Owner:  NLM     Status:  MEDLINE    
We evaluated a set of diagnostic screens for mental disorders in primary care. A self-administered screening questionnaire containing 26 items testing for multiple mental disorders was completed by 1,001 patients. Brief diagnostic modules, structured for psychiatric diagnoses, were subsequently administered to each patient by a research nurse. Operating characteristics of the screens were as follows: alcohol dependence (sensitivity [SE] 0.75; positive predictive value [PPV] 0.58; [kappa] 0.63), drug dependence (SE 0.50; PPV 0.50; kappa 0.50), generalized anxiety disorder (SE 0.74; PPV 0.44; kappa 0.44), major depressive disorder (SE 0.71; PPV 0.52; kappa 0.50), obsessive compulsive disorder (SE 0.71; PPV 0.15; kappa 0.21), and panic disorder (SE 0.71; PPV 0.43; kappa 0.48). Other chance-corrected measures of agreement are also reported, and criterion validity of the screens is examined. The results provide evidence that the screens discriminate between patients with symptomatology meeting established diagnostic criteria and those without. They detected previously unrecognized cases in this study and may prove to be valuable tools for psychiatric diagnosis in primary care.
A C Leon; M Olfson; M M Weissman; L Portera; B H Fireman; R S Blacklow; C Hoven; W E Broadhead
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of general internal medicine     Volume:  11     ISSN:  0884-8734     ISO Abbreviation:  J Gen Intern Med     Publication Date:  1996 Jul 
Date Detail:
Created Date:  1996-12-27     Completed Date:  1996-12-27     Revised Date:  2009-02-24    
Medline Journal Info:
Nlm Unique ID:  8605834     Medline TA:  J Gen Intern Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  426-30     Citation Subset:  IM    
Department of Psychiatry, Cornell University Medical College, New York, NY 10021, USA.
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MeSH Terms
Evaluation Studies as Topic
Mental Disorders / diagnosis*,  physiopathology
Middle Aged
Predictive Value of Tests
Primary Health Care*
Reproducibility of Results
Sampling Studies

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