Journal of Affective Disorders
Volume 119, Issue 1 , Pages 52-58 , December 2009

Prevalence and comorbidity of common mental disorders in primary care

  • M. Roca

      Affiliations

    • Institut Universitari d'Investigació en Ciències de la Salut (IUNICS), Juan March Hospital, University of Balearic Islands, Red de Investigación de Actividades Preventivas y Promoción de la Salud (RedIAPP), Palma de Mallorca, Spain
    • Corresponding Author InformationCorresponding author. IUNICS, Universitat de les Illes Balears, Crta. Valldemossa, km. 7.5, 07122, Palma de Mallorca, Spain. Tel.: +34 971 173267.
  • ,
  • M. Gili

      Affiliations

    • Institut Universitari d'Investigació en Ciències de la Salut (IUNICS), Juan March Hospital, University of Balearic Islands, Red de Investigación de Actividades Preventivas y Promoción de la Salud (RedIAPP), Palma de Mallorca, Spain
  • ,
  • M. Garcia-Garcia

      Affiliations

    • Biométrica Institut, Barcelona, Spain
  • ,
  • J. Salva

      Affiliations

    • Institut Universitari d'Investigació en Ciències de la Salut (IUNICS), Juan March Hospital, University of Balearic Islands, Red de Investigación de Actividades Preventivas y Promoción de la Salud (RedIAPP), Palma de Mallorca, Spain
  • ,
  • M. Vives

      Affiliations

    • Institut Universitari d'Investigació en Ciències de la Salut (IUNICS), Juan March Hospital, University of Balearic Islands, Red de Investigación de Actividades Preventivas y Promoción de la Salud (RedIAPP), Palma de Mallorca, Spain
  • ,
  • J. Garcia Campayo

      Affiliations

    • Miguel Servet Hospital, University of Zaragoza, Red de Investigación de Actividades Preventivas y Promoción de la Salud (RedIAPP), Zaragoza, Spain
  • ,
  • A. Comas

      Affiliations

    • Almirall Medical Department, Barcelona, Spain

Received 6 February 2009 ,Revised 16 March 2009 ,Accepted 16 March 2009.

References 

  1. Alonso J, Codony M, Kovess V, Angermeyer MC, Katz SJ, Haro JM, et al. Population level of unmet need for mental healthcare in Europe. Br. J. Psychiatry. 2007;190:299–306
  2. Ansseau M, Dierick M, Buntinkx F, Cnockaert P, De Smedt J, Van Den Haute M, et al. High prevalence of mental disorders in primary care. J. Affect. Disord. 2004;78:49–55
  3. Arroll B, Khin N, Kerse N. Screening for depression in primary care with two verbally asked questions: cross sectional study. BMJ. 2003;327(7424):1144–1146
  4. Avasthi A, Varma SC, Kulhara P, Nehra R, Grover S, Sharma S. Diagnosis of common mental disorders by using PRIME-MD Patient Health Questionnaire. Indian J. Med. Res. 2008;127(2):159–164
  5. Baca E, Saiz J, Agüera L, Caballero L, Fernandez-Liria A, Ramos J, et al. Validation of the Spanish version of PRIME-MD: a procedure for diagnosing mental disorders in primary care. Actas Esp. Psiquiatr. 1999;27(6):375–383
  6. Baca Baldomero E, Saiz Ruiz J, Porras Chavarino A. The detection of mental disorders by physicians who are not psychiatrists: usefulness of the PRIME-MD questionnaire. Med. Clin. (Barc.). 2001;7(116(13)):504–509
  7. Broers T, Hodgetts G, Batić-Mujanović O, Petrović V, Hasanagić M, Godwin M. Prevalence of mental and social disorders in adults attending primary care centers in Bosnia and Herzegovina. Croat. Med. J. 2006;47(3):478–484
  8. De Waal MW, Arnold IA, Eekhof JA, van Hemert AM. Somatoform disorders in general practice: prevalence, functional impairment and comorbidity with anxiety and depressive disorders. Br. J. Psychiatry. 2004;184:470–476
  9. De Waal MW, Arnold IA, Spinhoven P, Eekhof JA, Assenfeldft WJ, van Hemert AM. The role of comorbidity in the detection of psychiatric disorders with checklists for mental and physical symptoms in primary care. Soc. Psychiatry Psychiatr. Epidemiol. 2009;44(1):78–85
  10. De Waal MWM, Arnold IA, Eekhof JAH, Assenfelft WJJ, Van Hemert AM. Follow-up study on health care use of patients with somatoform, anxiety and depressive disorders in primary care. BMC Fam. Pract. 2008;9:5
  11. Fernandez A, Haro JM, Martinez-Alonso M, Demyttenaere K, Brugha TS, Autonell J, et al. Treatment adequacy for anxiety and depressive disorders in six European countries. Br. J. Psychiatry. 2007;190:172–173
  12. Fraguas R, Henriques SG, De Lucia MS, Iosifescu DV, Schwartz FH, Menezes PR, et al. The detection of depression in medical setting: a study with PRIME-MD. J. Affect. Disord. 2006;91(1):11–17
  13. Goldberg DP, Lecrubier Y. Form and frequency of mental disorders across centres. In:  Üstün TB,  Sartorius N editor. Mental Illness in General Health Care. An International Study. London: John Wiley & Sons; 1995;p. 323–334
  14. Jackson JL, Houston JS, Hanling SR, Terhaar KA, Yun JS. Clinical predictors of mental disorders among medical outpatients. Arch. Intern. Med. 2001;161(6):875–879
  15. King M, Nazareth I, Levy G, Walker C, Morris R, Weich S, et al. Prevalence of common mental disorders in general practice attendees across Europe. Br. J. Psychiatry. 2008;192(5):362–367
  16. Kroenke K, Spitzer RL, deGruy FV, Hahn SR, Linzer M, Williams JB, et al. Multisomatoform disorder. An alternative to undifferentiated somatoform disorder for the somatizing patient in primary care. Arch. Gen. Psychiatry. 1997;54(4):352–358
  17. Leiknes KA, Finset A, Moum T, Sandanger I. Current somatoform disorders in Norway: prevalence, risk factors and comorbidity with anxiety, depression and musculoskeletal disorders. Soc. Psychiatry Psychiatr. Epidemiol. 2007;42(9):698–710
  18. Loerch B, Szegedi A, Kohnen R, Benkert O. The primary care evaluation of mental disorders (PRIME-MD), German version: a comparison with the CIDI. J. Psychiatr. Res. 2000;34(3):211–220
  19. Löwe B, Spitzer RL, Williams JB, Mussell M, Schellberg D, Kroenke K. Depression, anxiety and somatization in primary care: syndrome overlap and functional impairment. Gen. Hosp. Psych. 2008;30:191–199
  20. Mergl R, Seidscheck I, Allgaier AK, Moller HJ, Hegerl U, Henkel V. Depressive, anxiety and somatoform disorders in primary care: prevalence and recognition. Depress. Anxiety. 2007;24(3):185–195
  21. Murphy JM, Laird NM, Monson RR, Sobol AM, Leighton AH. A 40-year perspective on the prevalence of depression: the Stirling County Study. Arch. Gen. Psychiatry. 2000;57(3):209–215
  22. Norton J, De Roquefeuil G, Boulenger JP, Ritchie K, Mann A, Tylee A. Use of the PRIME-MD Patient Health Questionnaire for estimating the prevalence of psychiatric disorders in French primary care: comparison with family practitioner estimates and relationship to psychotropic medication use. Gen. Hosp. Psych. 2007;29(4):285–293
  23. Olfson M, Shea S, Feder A, Fuentes M, Nomura Y, Gameroff M, et al. Prevalence of anxiety, depression, and substance use disorders in an urban general medicine practice. Arch. Fam. Med. 2000;9(9):876–883
  24. Ormel J, VonKorff M, Ustun TB, Pini S, Korten A, Oldehinkel T. Common mental disorders and disability across cultures. Results from the WHO Collaborative Study on Psychological Problems in General Health Care. JAMA. 1994;272(22):1741–1748
  25. Rush AJ, Zimmerman M, Wisniewski SR, Fava M, Hollon SD, Warden D, et al. Comorbid psychiatric disorders in depressed outpatients: demographic and clinical features. J. Affect. Disord. 2005;87(1):43–55
  26. Sartorius N, Ustun TB. Mixed anxiety and depressive disorder. Psychopathology. 1995;28(Suppl 1):21–25
  27. Shorter E, Tyrer P. Separation of anxiety and depressive disorders: blind alley in psychopharmacology and classification of disease. BMJ. 2003;327(7407):158–160
  28. Spitzer RL, Kroenke K, Williams JB. Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire. JAMA. 1999;282(18):1737–1744
  29. Spitzer RL, Williams JB, Kroenke K, Linzer M, deGruy FV, Hahn SR, et al. Utility of a new procedure for diagnosing mental disorders in primary care. The PRIME-MD 1000 study. JAMA. 1994;272(22):1749–1756
  30. Tempier R, Meadows GN, Vasiliadis HM, Mosier KE, Lesage A, Stiller A, et al. Mental disorders and mental health care in Canada and Australia: comparative epidemiological findings. Soc. Psychiatry Psychiatr. Epidemiol. 2009;44(1):63–72
  31. Toft T, Fink P, Oernboel E, Christensen K, Frostholm L, Olesen F. Mental disorders in primary care: prevalence and co-morbidity among disorders. Results from the Functional Illness in Primary care (FIP) study. Psychol. Med. 2005;35(8):1175–1184
  32. In:  Ustun TB,  Sartorius N editor. Mental Illness in General Health Care: An International Study. London: John Wiley & Sons; 1995;
  33. Wittchen HU, Jacobi F. Size and burden of mental disorders in Europe—a critical review and appraisal of 27 studies. Eur. Neuropsychopharmacol. 2005;15(4):357–376

PII: S0165-0327(09)00127-X

doi: 10.1016/j.jad.2009.03.014

Journal of Affective Disorders
Volume 119, Issue 1 , Pages 52-58 , December 2009