The identification of psychiatric illness by primary care physicians: the effect of patient gender.

Journal Article (Journal Article)

OBJECTIVE: This study tested several hypotheses about why women are more likely than men to have psychiatric disorders noted by their primary care physicians. DESIGN: Patients were screened for mental disorders using the General Health Questionnaire. A stratified sample was assessed using the Schedule for Affective Disorders and Schizophrenia. Information on utilization and identification of mental health problems was abstracted from the medical records. SETTING: The study was conducted at a multispecialty group practice in a semirural area of Wisconsin. PATIENTS: Study participants consisted of a stratified probability sample of 247 patients seeking primary care. RESULTS: Patients with a psychiatric illness who were relatively frequent users of the clinic were most likely to be identified by a physician as having a mental health problem. When psychiatric illness and utilization rates were statistically controlled, men and women had comparable identification rates.

Full Text

Duke Authors

Cited Authors

  • Cleary, PD; Burns, BJ; Nycz, GR

Published Date

  • July 1, 1990

Published In

Volume / Issue

  • 5 / 4

Start / End Page

  • 355 - 360

PubMed ID

  • 2374045

International Standard Serial Number (ISSN)

  • 0884-8734

Digital Object Identifier (DOI)

  • 10.1007/BF02600406


  • eng

Conference Location

  • United States