Author:
MARTUCCI M.,BALESTRIERI M.,BISOFFI G.,BONIZZATO P.,COVRE M. G.,CUNICO L.,DE FRANCESCO M.,MARINONI M. G.,MOSCIARO C.,PICCINELLI M.,VACCARI L.,TANSELLA M.
Abstract
Background. This study aimed to assess psychiatric morbidity and to collect information on
disability, life events and family support in a representative sample of patients admitted to a general
hospital.Methods. On the basis of information collected in a pilot study a systematic sample of patients
consecutively admitted to seven general medical and seven surgical wards of the Academic General
Hospital of Verona was selected and interviewed using a two-phase screening procedure and
standardized instruments (GHQ-12, HADS, BDQ and CIDI-PHC). All data were analysed using
appropriately weighted logistic regression procedures.Results. A total of 1039 patients completed the GHQ-12 and 298 (28·7%) were high-scorers: 363
patients were interviewed with CIDI-PHC. The prevalence of ICD-10 cases was 26·1%. The most
common psychiatric diagnoses were current depression (12·8%) and generalized anxiety disorder
(10·8%), followed by alcohol related disorders (5%). A higher prevalence of ICD-10 cases was
found in medical wards, among females, patients older than 24 years, unemployed and
separated/divorced people. Life events were associated with psychopathology, and so was the
number of disability days. Although 49·8% of ICD-10 cases were identified by the hospital doctors
as having a psychological disorder, 23·1% of ICD-10 cases were referred to the liaison psychiatric
service.Conclusion. The results of the present study stress the need to collect epidemiologically-based data
on psychological disorders and their recognition not only in general practice, but also in general
hospital settings, in order to have a more complete picture of the pathways to specialist care.
Publisher
Cambridge University Press (CUP)
Subject
Psychiatry and Mental health,Applied Psychology
Cited by
74 articles.
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