Mental disorders in primary care in Israel: prevalence and risk factors
Objective Psychiatric morbidity is common among patients in primary care services and leads to disability and increased use of medical services. Comparison of primary care and community prevalence data is of interest in relation to the health services planning for mental disorders. The aim of the pr...
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Published in | Social Psychiatry and Psychiatric Epidemiology Vol. 48; no. 10; pp. 1539 - 1554 |
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Main Authors | , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Berlin/Heidelberg
Springer Berlin Heidelberg
01.10.2013
Springer Springer Nature B.V |
Subjects | |
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Abstract | Objective
Psychiatric morbidity is common among patients in primary care services and leads to disability and increased use of medical services. Comparison of primary care and community prevalence data is of interest in relation to the health services planning for mental disorders. The aim of the present study was to measure prevalence of mental disorders in six primary care clinics in Israel and to assess risk factors for these disorders.
Method
Prevalence of mental disorders was measured in a sample of 2,948 primary care consecutive attendees, using two-stage stratified sampling with the General Health Questionnaire 12 (GHQ-12) and the Composite International Diagnostic Interview (CIDI).
Results
A high rate (46.3 %) of current mental disorders was found, with rates of current depressive episode, generalized anxiety disorder, somatization disorder, and neurasthenia being relatively high in comparison with rates in other countries. Low education was a risk factor for all categories of disorders, unemployment a risk factor for depressive disorders, and parenthood was protective for most categories of disorders.
Conclusions
High rates of mental disorders were found in this Israeli primary care sample as compared to other countries, while in the community the rates were midrange as compared to other countries, pointing to a relatively higher use of primary care services by patients with mental disorders in Israel than in other countries. |
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AbstractList | Objective Psychiatric morbidity is common among patients in primary care services and leads to disability and increased use of medical services. Comparison of primary care and community prevalence data is of interest in relation to the health services planning for mental disorders. The aim of the present study was to measure prevalence of mental disorders in six primary care clinics in Israel and to assess risk factors for these disorders. Method Prevalence of mental disorders was measured in a sample of 2,948 primary care consecutive attendees, using two-stage stratified sampling with the General Health Questionnaire 12 (GHQ-12) and the Composite International Diagnostic Interview (CIDI). Results A high rate (46.3 %) of current mental disorders was found, with rates of current depressive episode, generalized anxiety disorder, somatization disorder, and neurasthenia being relatively high in comparison with rates in other countries. Low education was a risk factor for all categories of disorders, unemployment a risk factor for depressive disorders, and parenthood was protective for most categories of disorders. Conclusions High rates of mental disorders were found in this Israeli primary care sample as compared to other countries, while in the community the rates were midrange as compared to other countries, pointing to a relatively higher use of primary care services by patients with mental disorders in Israel than in other countries. Objective Psychiatric morbidity is common among patients in primary care services and leads to disability and increased use of medical services. Comparison of primary care and community prevalence data is of interest in relation to the health services planning for mental disorders. The aim of the present study was to measure prevalence of mental disorders in six primary care clinics in Israel and to assess risk factors for these disorders. Method Prevalence of mental disorders was measured in a sample of 2,948 primary care consecutive attendees, using two-stage stratified sampling with the General Health Questionnaire 12 (GHQ-12) and the Composite International Diagnostic Interview (CIDI). Results A high rate (46.3 %) of current mental disorders was found, with rates of current depressive episode, generalized anxiety disorder, somatization disorder, and neurasthenia being relatively high in comparison with rates in other countries. Low education was a risk factor for all categories of disorders, unemployment a risk factor for depressive disorders, and parenthood was protective for most categories of disorders. Conclusions High rates of mental disorders were found in this Israeli primary care sample as compared to other countries, while in the community the rates were midrange as compared to other countries, pointing to a relatively higher use of primary care services by patients with mental disorders in Israel than in other countries. Psychiatric morbidity is common among patients in primary care services and leads to disability and increased use of medical services. Comparison of primary care and community prevalence data is of interest in relation to the health services planning for mental disorders. The aim of the present study was to measure prevalence of mental disorders in six primary care clinics in Israel and to assess risk factors for these disorders. Prevalence of mental disorders was measured in a sample of 2,948 primary care consecutive attendees, using two-stage stratified sampling with the General Health Questionnaire 12 (GHQ-12) and the Composite International Diagnostic Interview (CIDI). A high rate (46.3%) of current mental disorders was found, with rates of current depressive episode, generalized anxiety disorder, somatization disorder, and neurasthenia being relatively high in comparison with rates in other countries. Low education was a risk factor for all categories of disorders, unemployment a risk factor for depressive disorders, and parenthood was protective for most categories of disorders. High rates of mental disorders were found in this Israeli primary care sample as compared to other countries, while in the community the rates were midrange as compared to other countries, pointing to a relatively higher use of primary care services by patients with mental disorders in Israel than in other countries. Psychiatric morbidity is common among patients in primary care services and leads to disability and increased use of medical services. Comparison of primary care and community prevalence data is of interest in relation to the health services planning for mental disorders. The aim of the present study was to measure prevalence of mental disorders in six primary care clinics in Israel and to assess risk factors for these disorders. Prevalence of mental disorders was measured in a sample of 2,948 primary care consecutive attendees, using two-stage stratified sampling with the General Health Questionnaire 12 (GHQ-12) and the Composite International Diagnostic Interview (CIDI). A high rate (46.3 %) of current mental disorders was found, with rates of current depressive episode, generalized anxiety disorder, somatization disorder, and neurasthenia being relatively high in comparison with rates in other countries. Low education was a risk factor for all categories of disorders, unemployment a risk factor for depressive disorders, and parenthood was protective for most categories of disorders. High rates of mental disorders were found in this Israeli primary care sample as compared to other countries, while in the community the rates were midrange as compared to other countries, pointing to a relatively higher use of primary care services by patients with mental disorders in Israel than in other countries.[PUBLICATION ABSTRACT] OBJECTIVEPsychiatric morbidity is common among patients in primary care services and leads to disability and increased use of medical services. Comparison of primary care and community prevalence data is of interest in relation to the health services planning for mental disorders. The aim of the present study was to measure prevalence of mental disorders in six primary care clinics in Israel and to assess risk factors for these disorders. METHODPrevalence of mental disorders was measured in a sample of 2,948 primary care consecutive attendees, using two-stage stratified sampling with the General Health Questionnaire 12 (GHQ-12) and the Composite International Diagnostic Interview (CIDI). RESULTSA high rate (46.3%) of current mental disorders was found, with rates of current depressive episode, generalized anxiety disorder, somatization disorder, and neurasthenia being relatively high in comparison with rates in other countries. Low education was a risk factor for all categories of disorders, unemployment a risk factor for depressive disorders, and parenthood was protective for most categories of disorders. CONCLUSIONSHigh rates of mental disorders were found in this Israeli primary care sample as compared to other countries, while in the community the rates were midrange as compared to other countries, pointing to a relatively higher use of primary care services by patients with mental disorders in Israel than in other countries. Psychiatric morbidity is common among patients in primary care services and leads to disability and increased use of medical services. Comparison of primary care and community prevalence data is of interest in relation to the health services planning for mental disorders. The aim of the present study was to measure prevalence of mental disorders in six primary care clinics in Israel and to assess risk factors for these disorders. Prevalence of mental disorders was measured in a sample of 2,948 primary care consecutive attendees, using two-stage stratified sampling with the General Health Questionnaire 12 (GHQ-12) and the Composite International Diagnostic Interview (CIDI). A high rate (46.3 %) of current mental disorders was found, with rates of current depressive episode, generalized anxiety disorder, somatization disorder, and neurasthenia being relatively high in comparison with rates in other countries. Low education was a risk factor for all categories of disorders, unemployment a risk factor for depressive disorders, and parenthood was protective for most categories of disorders. High rates of mental disorders were found in this Israeli primary care sample as compared to other countries, while in the community the rates were midrange as compared to other countries, pointing to a relatively higher use of primary care services by patients with mental disorders in Israel than in other countries. |
Audience | Academic |
Author | Hermesh, Haggai Maoz, Binyamin Grupper, Daniel Gilad, Royi Munitz, Hanan Laufer, Neil Weizman, Abraham Jecsmien, Pablo Zilber, Nelly |
Author_xml | – sequence: 1 givenname: Neil surname: Laufer fullname: Laufer, Neil email: Neil.Laufer@MKY.HEALTH.GOV.IL, neil.laufer@mkyafo.health.gov.il organization: Herzliya Mental Health Clinic, Jaffa Mental Health Centre, Sackler Faculty of Medicine, Tel Aviv University – sequence: 2 givenname: Nelly surname: Zilber fullname: Zilber, Nelly organization: The Falk Institute for Mental Health Studies, Kfar Shaul Hospital – sequence: 3 givenname: Pablo surname: Jecsmien fullname: Jecsmien, Pablo organization: Davidson Mental Health Clinic, Shalvata Mental Health Centre – sequence: 4 givenname: Binyamin surname: Maoz fullname: Maoz, Binyamin organization: Goldman Medical School, Ben Gurion University – sequence: 5 givenname: Daniel surname: Grupper fullname: Grupper, Daniel organization: Beer Yaakov Mental Health Centre – sequence: 6 givenname: Haggai surname: Hermesh fullname: Hermesh, Haggai organization: Sackler Faculty of Medicine, Tel Aviv University, Outpatient Services and Research Unit, Geha Mental Health Centre – sequence: 7 givenname: Royi surname: Gilad fullname: Gilad, Royi organization: Outpatient Services and Research Unit, Geha Mental Health Centre – sequence: 8 givenname: Abraham surname: Weizman fullname: Weizman, Abraham organization: Sackler Faculty of Medicine, Tel Aviv University, Outpatient Services and Research Unit, Geha Mental Health Centre – sequence: 9 givenname: Hanan surname: Munitz fullname: Munitz, Hanan organization: Clalit Health Services |
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Keywords | Prevalence Mental disorders Epidemiology Primary care Risk factors Social environment Human Primary health care Risk factor Mental health Mental disorder Public health |
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Psychiatric morbidity is common among patients in primary care services and leads to disability and increased use of medical services. Comparison of... Psychiatric morbidity is common among patients in primary care services and leads to disability and increased use of medical services. Comparison of primary... Objective Psychiatric morbidity is common among patients in primary care services and leads to disability and increased use of medical services. Comparison of... OBJECTIVEPsychiatric morbidity is common among patients in primary care services and leads to disability and increased use of medical services. Comparison of... Objective: Psychiatric morbidity is common among patients in primary care services and leads to disability and increased use of medical services. Comparison of... |
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SubjectTerms | Adult Aged Anxiety Biological and medical sciences Clinics Comparative analysis Epidemiology Female General aspects Generalized anxiety disorder Health planning Health services Humans Interviews as Topic Israel - epidemiology Male Medical research Medical sciences Medicine Medicine & Public Health Medicine, Experimental Mental disorders Mental Disorders - diagnosis Mental Disorders - epidemiology Mental Disorders - psychology Mental health care Mentally ill Middle Aged Morbidity Original Paper Post traumatic stress disorder Prevalence Primary care Primary Health Care - statistics & numerical data Psychiatry Psychology. Psychoanalysis. Psychiatry Psychopathology Psychopathology. Psychiatry Questionnaires Risk Factors Socioeconomic Factors Surveys and Questionnaires |
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Title | Mental disorders in primary care in Israel: prevalence and risk factors |
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