THE IDENTIFICATION OF PSYCHIATRIC-ILLNESS BY PRIMARY CARE PHYSICIANS - THE EFFECT OF PATIENT GENDER

被引：10

作者：

CLEARY, PD

BURNS, BJ

NYCZ, GR

机构：

[1] Department of Health Care Policy, Harvard Medical School, Boston, 02115, MA, 25 Shattuck Street, Parcel B

[2] Duke University, Durham, North Carolina

[3] Marshfield Medical Foundation, Marshfield, Wisconsin

来源：

JOURNAL OF GENERAL INTERNAL MEDICINE | 1990年 / 5卷 / 04期

关键词：

diagnosis; gender; mental illness; psychiatric illness;

D O I：

10.1007/BF02600406

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Objective:This study tested several hypotheses about why women are more likely than men to have psychiatric disorders noted by their primary care physicians. Design:Patients were screened for mental disorders using the General Health Questionnaire. A stratified sample was assessed using the Schedule for Affective Disorders and Schizophrenia. Information on utilization and identification of mental bealth problems was abstracted from the medical records. Setting:The study was conducted at a multispecialty group practice in a semirural area of Wisconsin. Patients:Study participants consisted of a stratified probability sample of 247 patients seeking primary care. Results:Patients with a psychiatric illness who were relatively frequent users of the clinic were most likely to be identified by a physician as having a mental health problem. When psychiatric illness and utilization rates were statistically controlled, men and women had comparable identification rates. © 1990 Society of General Internal Medicine.

引用

页码：355 / 360

页数：6

共 32 条

[21]

Seller R.H., Blascovich J., Lenkei E., Influence of stereotypes in the diagnosis of depression by family practice residents, J Fam Pract, 12, pp. 849-54, (1981)

[22]

Colameco S., Becker L.A., Simpson M., Sex bias in the assessment of patient complaints, J Fam Pract, 16, pp. 1117-21, (1983)

[23]

Goldberg D.P., The detection of psychiatric illness by questionnaire, (1972)

[24]

Cleary P.D., Goldberg I.D., Kessler L.G., Nycz G.R., Screening for mental disorder among primary care patients: usefulness of the general health questionnaire, Arch Gen Psychiat, 39, pp. 837-40, (1982)

[25]

Endicott J., Spitzer R.L., A diagnostic interview: the schedule for affective disorders and schizophrenia, Arch Gen Psychiat, 35, pp. 837-44, (1978)

[26]

Spitzer R.L., Endicott J., Robins L., Research diagnostic criteria: rationale and reliability, Arch Gen Psychiat, 35, pp. 773-82, (1968)

[27]

Kessler L.G., Tessler R.C., Nycz G.R., Co-occurrence of psychiatric and medical morbidity in primary care, J Fam Pract, 16, pp. 319-24, (1983)

[28]

Bishop Y.M.M., Fienberg S.E., Holland P.W., Discrete multivariate analysis: theory and practice, (1975)

[29]

McCauley C., Stitt C.L., Segal M., Stereotyping: from prejudice to prediction, Psychol Bull, 87, pp. 195-208, (1980)

[30]

German P.S., Shapiro S., Skinner E.A., Et al., Detection and management of mental health problems of older patients by primary care providers, JAMA, 257, pp. 489-93, (1987)

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