THE SDDS-PC(TM) - A DIAGNOSTIC-AID FOR MULTIPLE MENTAL-DISORDERS IN PRIMARY-CARE
anxiety; depression; Pharmacology & Pharmacy; providers; psychiatric-disorders; Psychiatry; recognition; structured clinical interview
The Symptom Driven Diagnostic System for Primary Care (SDDS-PCTM) is a new computerized clinical procedure to assist primary care physicians in diagnosing mental disorders during the course of routine practice, It has three components: (1) a 5-minute patient-administered 16-item screening questionnaire, (2) six 5-minute physician-administered diagnostic interview modules based on DSM-III-R criteria, and (3) a longitudinal tracking form, The SDDS-PCTM covers five disorders (major depression, panic disorder, alcohol abuse or dependence, generalized anxiety disorder, and obsessive compulsive disorder) as well as suicidal ideation. Patients who screen positive for a disorder receive the corresponding diagnostic interview module, Patients who meet mental disorder criteria on the diagnostic interview module are then followed with the longitudinal tracking form, Minor or subsyndromal conditions are also addressed at the physician's discretion, This article describes the development of SDDS-PCTM and summarizes results from two studies which involved comparisons between the SDDS-PCTM and independently administered full-length structured diagnostic interviews.
Olfson M; Leon A C; Broadhead W E; Weissman M M; Barrett J E; Blacklow R S; Gilbert T; Higgins E S
Psychopharmacology Bulletin
1995
1995
Journal Article
n/a
RECOGNITION OF EMOTIONAL DISTRESS IN PHYSICALLY HEALTHY PRIMARY-CARE PATIENTS WHO PERCEIVE POOR PHYSICAL HEALTH
depression; mortality; perceptions; Psychiatry; somatization disorder
This study examines the recognition and treatment of emotional distress in physically healthy primary cave patients who perceive themselves to be in fair or poor physical health. Patients (N = 892) from three private primary cave practices completed a mental health screening form prior to their medical visit which included an overall assessment of their physical health (1 = excellent, 2 = good, 3 = fair, 4 = poor). Following the visit, their physicians completed a questionnaire that included the same physical health assessment item. The study group, physically healthy patients who perceive poor physical health (HPPPH), included those patients who rated their physical health as 2 or 3 points more impaired than it was rated by their physician. HPPPH (N = 39) were significantly more likely than other patients (N = 853) to report a prior psychiatric hospitalization (p < 0.05), marital difficulties (p < 0.01), recent missed work due to a mental health problem (p < 0.001), and a range of anxiety, depressive, and psychosomatic symptoms. However, HPPPH were also significantly more likely than other patients to receive excellent emotional health ratings (p < 0.001) from their physicians and were less likely to receive mental health treatment (p < 0.05). Detection of emotional distress may be particularly difficult in physically healthy patients who have low physical health perceptions. Identification of pessimistic physical health perceptions may serve as an indicator for underlying emotional distress.
Olfson M; Gilbert T; Weissman M M; Blacklow R S; Broadhead W E
General Hospital Psychiatry
1995
1995-05
Journal Article
<a href="http://doi.org/10.1016/0163-8343(95)00023-k" target="_blank" rel="noreferrer noopener">10.1016/0163-8343(95)00023-k</a>