Opombe
Diaprojekcija
Oris
1
EPIDEMIOLOGY OF MENTAL PROBLEMS IN FAMILY PRACTICE ATTENDERS
  • JANKO KERSNIK
  • Department of family medicine, University Ljubljana
2
Anxiety and depression
  • High prevalence
  • High prevalence among primary care users
  • 50% of primary care users was expected
  • To clarify the characteristics of patients with mental disorders
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Methods
  • Cross-sectional study
  • Sample of family practice attenders
  • Structured self-administered questionnaire
  • Short Duke-AD questionnaire
4
Results - 1
  • 82,1% response rate
  • The responses ranged from 0 to 14 points, mean 4,8 points (SD 2,8 points)
  • 49,4% 5 or more points
  • Females higher prevalence (51,5% vs. 45,5%; p=0,02
    • Under 45 years - females had 30% higher probability; p=0,003
5
Results - 2
  • Higher number of symptoms:
  • Lower education level (p<0,001)
  • Presence of chronic condition (p<0,001)
  • Experiencing nervousness in recent year Ô 2,42 times higher probability (C.I. 2,15 - 2,73; p<0,001)
6
Conclusions
  • High prevalence
  • Predictors: Female gender (age < 45), lower educational levels or having a chronic condition
  • Active early detection
  • Further studies and interventions
  • Guidelines
  • Emphasise on appropriate communication skills