General Hospital Psychiatry
Volume 17, Issue 3 , Pages 160-164 , May 1995

Recognition and treatment of mental illness in primary care: Towards a better understanding of a multifaceted problem

  • Johan Ormel, Ph.D.

      Affiliations

    • Corresponding Author InformationAddress reprint requests to: Johan Ormel, Ph.D., RUG Afd. Social Psychiatry, University of Groningen, Postbus 30.001, 9700 RB Groningen, The Netherlands.
    • Departments of Health Sciences and Psychiatry, University of Groningen, The Netherlands
    • ,
  • Bea Tiemens, M.Sc.

      Affiliations

    • Department of Psychiatry, University of Groningen, The Netherlands

References 

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  2. Eisenberg L. Treating depression and anxiety in primary care. Closing the gap between knowledge and practice. N Engl J Med. 1992;326:1080–1083
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  4. Ormel J, Koeter MWJ, Brink W van den, Willige G van de. Recognition, management, and course of anxiety and depression in general practice. Arch Gen Psychiatry. 1991;48:700–706
  5. Giel R, Koeter MWJ, Ormel J. Detection and referral of primary care patients with mental health problems: the second and third filter. In:  Goldberg D,  Tantam D editor. The Public Health Impact of Mental Disorder. Toronto: Hogrefe & Huber Publishers; 1990;p. 25–34 AEP, WHO
  6. Coyne JC, Schwenk TL, Fechner-Bates S. Nondetection of depression by primary care physicians reconsidered. Gen Hosp Psychiatry. 1995;17:3–12
  7. Ormel J, Brink W van den, Koeter MWJ, Giel R, Meer K van der, Willige G van de, et al. Recognition, management and outcome of psychological disorders in primary care: a naturalistic follow-up study. Psychol Med. 1990;20:909–923
  8. Tiemens BG, Ormel J. Detection of psychological disorders in primary care; consequences on outcome. In: Presented at the 8th Annual NIMH Int Res Conf on Mental Health Problems in the General Health Care Sector. McLean, Virginia. September 7–9, 1994;
  9. Cooper-Patrick L, Crum RM, Ford DE. Characteristics of patients with major depression who required care in general medical and specialty health settings. Med Care. 1994;32:15–24
  10. Ormel J, Oldehinkel T, Brilman E, Brink W van den. Outcome of depression and anxiety in primary care. A three-wave study of psychopathology and disability. Arch Gen Psychiatry. 1993;50:759–766
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  12. Wohlfarth TD, Brink W van den, Ormel J, Koeter MWJ, Oldehinkel AJ. The relationship between social dysfunctioning and psychopathology. Br J Psychiatry. 1993;163:37–44
  13. Ormel J, VonKorff M, Brink W van den, Katon W, Brilman E, Oldehinkel AJ. Depression, anxiety and social disability show synchony of change in primary care patients. Am J Public Health. 1993;83:385–390
  14. VonKorff M, Ormel J, Katon W, Lin EHB. Disability and depression among high utilizers of health care: a longitudinal analysis. Arch Gen Psychiatry. 1992;49:91–100
  15. Ormel J, Vonkorff M, Ustün TB, Pini S, Korten A, Oldehinkel T. Common mental disorders and disability across cultures: results from the WHO Collaborative Primary Care study. JAMA. 1994;272:1741–1748
  16. Johnstone A, Goldberg D. Psychiatric screening in general practice. A controlled trial. Lancet. 1976;20:605–609
  17. Zung WWK, Magill M, Moore JT, George DT. Recognition and treatment of depression in a family medicine practice. J Clin Psychiatry. 1983;44:3–6
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  19. Rand E, Badger L, Coggings D. Towards a resolution of contradictions—utility of feedback from the GHQ. Gen Hosp Psychiatry. 1988;10:189–196
  20. Katon W, Gonzales J. A review of randomized trials of psychiatric consultation-liaison studies in primary care. Psychosomatics. 1994;35:268–278
  21. Ormel J, Giel R. Medical effects of nonrecognition of affective disorders in primary care. In:  Sartorius N,  Goldberg D, et al. editor. Psychological Disorders in General Medical Settings. Toronto: Hogrefe & Huber Publishers; 1990; WHO
  22. Agency for Health Care Policy and Research . Depression in Primary Care. 1993;Vol 2(No. 5): AHCPR Publication No. 93-0551, Rockville
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  26. Kirmayer LJ, Robbins JM, Dworkind M, Yaffe MJ. Somatization and the recognition of depression and enxiety in primary care. Am J Psychiatry. 1993;150:734–741
  27. Goldberg DP, Jenkins L, Millar T, Faragher EB. The ability of trainee general practitioners to identify psychological distress among their patients. Psychiatr Med. 1993;23:185–193
  28. Gask L, Goldberg D. Impact on patient care, satisfaction and clinical outcome of improving the psychiatric skills of general practitioners. Eur J Psychiatry. 1993;7:203–218
  29. Robbins JM, Kirmayer LJ, Cathebras P, Yaffe MJ, Dworkind M. Physician characteristics and the recognition of depression and anxiety in primary care. Med Care. 1994;32:795–812
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  32. In:  Ustün TB,  Sartorius N editor. Mental Illness in Primary Care: An International Study. New York: John Wiley & Sons; 1995; WHO
  33. Ormel J. Depression in primary care. In: Presented at the symposium of the World Psychiatric Association. Section of Epidemiology and Community Psychiatry. Groningen, The Netherlands. September 1–3, 1993;

PII: 0163-8343(95)00022-J

General Hospital Psychiatry
Volume 17, Issue 3 , Pages 160-164 , May 1995

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