Identification of common mental disorders by general medical doctors in Taiwan

General Hospital Psychiatry
Shen-Ing LiuLee-Ching Hwang

Abstract

The aims of the study were to examine the detection rate of common mental disorders (CMD) by general medical doctors and which patient-related factors associated with increased chances of detection in Taiwan. A two-phase case-identification using the Chinese Health Questionnaire and the Revised Clinical Interview Schedule (CIS-R) was carried out among a sample of consecutive new attenders (n=990) in community and hospital-based clinics. Physicians completed a checklist of the problems that they identified during each consultation. General medical doctors missed more than 85% of the CIS-R cases of defined mental disorder. Physicians performed better identification of CMD among attenders with a higher socioeconomic status, without physical illness, having psychological presentation or attribution, suffering from more serious common mental disorders, or having a longer duration of illness. The very low identification rate of CMD has strongly implied the need to improve postgraduate training in psychiatry for general medical doctors in Taiwan. Simply adding one or two questions about mood and attributions of presenting symptoms might help physicians to identify CMD.

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Citations

Apr 14, 2006·Current Opinion in Psychiatry·Channapatna R Chandrashekar, Suresh Bada Math
Jan 9, 2009·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Shen-Ing LiuMing-Been Lee
Nov 30, 2010·Comprehensive Psychiatry·Shen-Ing LiuAndrew Wei-Chiang Yeh
Apr 9, 2009·International Journal of Geriatric Psychiatry·Cindy L K LamTai Pong Lam
Jun 16, 2016·Revista brasileira de psiquiatria : orgão oficial da Associação Brasileira de Psiquiatria, Asociación Psiquiátrica de la América Latina·Maria A NunesMaria I Schmidt
Aug 15, 2017·The International Journal of Social Psychiatry·Xiao Yu ZhuangShu-Man Pan
Jan 1, 2009·International Journal of Psychiatry in Clinical Practice·Jian-An SuShih-Yong Chou
Feb 9, 2020·International Journal of Environmental Research and Public Health·Hsing-Jung ChaoYin-Yi Lien

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