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Mental Disorders and General Medical Conditions in Primary Care

Published online by Cambridge University Press:  15 April 2020

J. Peceliuniene ,
N. Mickuviene ,
A. Bunevicius  and
R. Bunevicius
J. Peceliuniene
Affiliation:
Clinic of Internal Diseases Family Medicine and Oncology, Vilnius University Faculty of Medicine, Vilnius, Lithuania
N. Mickuviene
Affiliation:
Institute of Psychophysiology and Rehabilitation / Behavioral Medicine, Lithuanian University of Health Sciences Academy of Medicine, Palanga, Lithuania
A. Bunevicius
Affiliation:
Neuroscience Institute Laboratory of Clinical Research, Lithuanian University of Health Sciences Academy of Medicine, Kaunas, Lithuania
R. Bunevicius
Affiliation:
Institute of Psychophysiology and Rehabilitation / Behavioral Medicine, Lithuanian University of Health Sciences Academy of Medicine, Palanga, Lithuania

Abstract

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BACKGROUND

Studies on mental disorders (MD) in association with general medical conditions in primary care (PC) are scarce.

THE AIM OF THE STUDY was to find the rate and co-morbidity of MD, and general medical conditions in PC.

Methods

998 consecutive adult PC patients (678 (67,9%) women and 320 (32.1%) men) were evaluated for psychiatric disorders, using MINI International Neuropsychiatric Interview (MINI). Information on the clinical diagnoses and treatment was obtained from the patient's medical records.

Results

Major depressive episode (MDE) was found in 15.2%, anxiety disorders were found in 26.3% (generalized anxiety disorder in 18.1%, suicidality in 6.1% and alcohol misuse in 34.8%) PC patients, according MINI. Of all respondents, 266 (26.7%) were diagnosed as having at least one current MD (or MDE, or one of four anxiety disorders): 60 (18.8%) of men and 206 (30.4%) of women (p<0.001). The anxiety disorders were stronger associated with psychiatric treatment in women (OR=2.94; 95 CI 2.0-4.33), particularly in the category of cardiovascular diseases (OR=2.32; 95% CI 1.09-4.94), but there was also a significant association with diabetes mellitus in men (OR=5.54; 95% CI 1.6-19.18). The most common reasons for patients to seek a PC doctor consultation were cardiovascular diseases (31.5%), administrative/'no complaints” cases (17.6%), acute respiratory tract disease (10.4%), muscle-skeletal/connective tissue disease (6.9%).

Conclusions

Our findings suggest that MD are highly prevalent and co-morbid with each other, and with general medical conditions in PC.MD are prevalent and co-morbid in administrative/ “no complaints” PC attendees.

Type
Article: 1866
Information
European Psychiatry , Volume 30 , Issue S1: Abstracts of the 23rd European Congress of Psychiatry , March 2015 , pp. 1
Copyright
Copyright © European Psychiatric Association 2015
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