Common mental disorders and disability across cultures. Results from the WHO Collaborative Study on Psychological Problems in General Health Care

1995 ◽  
Author(s):  
J. Ormel, et al
Keyword(s):  
Health Care ◽  
Mental Disorders ◽  
General Health ◽  
Common Mental Disorders ◽  
Collaborative Study ◽  
Psychological Problems

Form, frequency and burden of sleep problems in general health care: a report from the WHO Collaborative Study on Psychological Problems in General Health Care

1996 ◽  
Vol 11 (S1) ◽  
pp. 5s-10s ◽  
Author(s):  
TB Üstün ◽  
M Privett ◽  
Y Lecrubier ◽  
E Weiller ◽  
G Simon ◽  
...  
Keyword(s):  
Health Care ◽  
General Health ◽  
Sleep Problems ◽  
Somatoform Disorders ◽  
General Health Questionnaire ◽  
Collaborative Study ◽  
Alcohol Problems ◽  
Psychological Problems ◽  
Health Questionnaire ◽  
Icd 10

SummaryThe WHO Collaborative Study on Psychological Problems in General Health Care examined the frequency, form, course and outcome of psychological problems in general health care settings. A total of 25,916 general health care attenders at 15 sites in 14 countries were screened using the 12-item General Health Questionnaire (GHQ-12). Of those screened, 5,438 were assessed in detail using a Primary Health Care version of the Composite International Diagnostic Interview (CIDI-PHC) in conjunction with the Brief Disability Questionnaire, the Social Disability Schedules, a self rated overall health status form and the 28-item General Health Questionnaire. The analysis has shown that sleep problems were common at all sites with: 26.8% of all patients having some form of sleep problem and 15% of the patients examined had trouble falling or staying asleep. Of those with sleep problems, 51.5% had a well-defined International Classification of Diseases 10th Revision (ICD-10) mental disorder (such as depression, anxiety, somatoform disorders or alcohol problems) and 48.5% of those with sleep problems for at least two weeks or more did not fulfil the criteria for any well defined ICD-10 diagnosis. Persons with sleep problems reported a degree of disability in the performance of their daily activities and social roles even when they had no symptoms of psychological disorders. When such symptoms were present the disability was significantly increased.

The prevalence of psychiatric morbidity and its associated factors in general health care in Taiwan

2001 ◽  
Vol 32 (4) ◽  
pp. 629-637 ◽  
Author(s):  
S. I. LIU ◽  
M. PRINCE ◽  
B. BLIZARD ◽  
A. MANN
Keyword(s):  
Health Care ◽  
Mental Disorders ◽  
General Health ◽  
Depressive Disorders ◽  
Common Mental Disorders ◽  
Psychiatric Morbidity ◽  
Second Phase ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Major Health Problem

Background. This paper reports the prevalence, disability, sociodemographic and clinical association of psychiatric morbidity among attenders in general health care in Taiwan where, as in the rest of non-Western countries, few studies have been carried out.Methods. A cross-sectional survey with a two-phase design was carried out at out-patient clinics of three health stations and a general hospital.Results. A total of 990 patients completed the brief screen in the first phase, 486 of whom completed the independent assessment in the second phase. The proportion of screening positives was 46·0% and the weighted prevalence of definite psychiatric disorder was 38·2%. Common mental disorders were associated with female gender and unemployment. Housewives, students and patients with higher educational attainment were at lower risk of having alcohol use disorders. Patients with common mental disorders were more likely to present with psychological complaints, to attribute their illness to psychosocial causes and to perceive their mental and physical health as poor. Psychiatric morbidity was associated with excess life events. Common mental disorders, particularly depressive disorders, were significantly associated with self-reported disability.Conclusions. Psychiatric morbidity is a major health problem in general health care in Taiwan. Physicians should be aware of these health problems.

Depression Comorbid with Anxiety: Results from the WHO Study on Psychological Disorders in Primary Health Care

1996 ◽  
Vol 168 (S30) ◽  
pp. 38-43 ◽  
Author(s):  
Nornam Sartorius ◽  
T. Bedirhan Üstün ◽  
Yves Lecrubier ◽  
Hans-Ulrich Wittchen
Keyword(s):  
Health Care ◽  
General Health ◽  
Health Care Services ◽  
Somatoform Disorders ◽  
Collaborative Study ◽  
Composite International Diagnostic Interview ◽  
Diagnostic Interview ◽  
Psychological Problems ◽  
World Health ◽  
Health Organization

The World Health Organization collaborative study on “Psychological Problems in General Health Care” investigated the form, frequency, course and outcome of common psychological problems in primary care settings at 15 international sites. The research employed a two-stage case-finding procedure. GHQ–12 was administered to 25 916 adults who consulted health-care services. The second-stage assessment (n=5438) consisted of the Composite International Diagnostic Interview (GDI), the Social Disability Schedule, and questionnaires. Possible cases or borderline cases of mental disorder, and a sample of known cases, were followed up at three months and one year. Using standard diagnostic algorithms (ICD–10), prevalence rates were calculated for current disorder (one-month) and lifetime experience disorder. Well-defined psychological problems are frequent in all the general health-care settings examined (median 24.0%). Among the most common were depression, anxiety, alcohol misuse, somatoform disorders, and neurasthenia. Nine per cent of patients suffered from a “subthreshold condition” that did not meet diagnostic criteria but had clinically significant symptoms and functional impairment. The most common co-occurrence was depression and anxiety. Comorbidity increases the likelihood of recognition of mental disorders in general health care, and the likelihood of receiving treatment.

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