Diagnostic and referral hierarchical model of common mental disorders in primary care centers. The PsicAP clinical trial approach

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Abstract
Common mental disorders are the most prevalent in primary care (PC) centres in Spain. Unfortunately, there is a high percentage of undetected cases, due to underdiagnosis or overdiagnosis. An incorrect identification of these disorders leads to inaccurate referrals; 39% receive no treatment and only one in three patients treated follow a minimally evidence-based treatment. In the PsicAP clinical trial, the psychometric properties of the Patient Health Questionnaire (PHQ), its different modules of anxiety (GAD-7), depression (PHQ-9) and panic disorder (PHQ-PD), and an ultra-brief version derived from the PHQ for anxiety and depression (PHQ-4) have been analysed. A diagnostic and referral hierarchical model of common mental disorders is proposed based on the validation of these instruments among patients attending Spanish PC centres.
Year of Publication
2017
Journal
Ansiedad y Estrés
Volume
23
Issue
2-3
Number of Pages
124-129
Date Published
nov
Publisher
ISSN Number
1134-7937
URL
http://linkinghub.elsevier.com/retrieve/pii/S1134793717300611
DOI
10.1016/j.anyes.2017.10.002