Download ppt - Anxiety and depression in family pracitce

EPIDEMIOLOGY OF EPIDEMIOLOGY OF MENTAL PROBLEMS IN MENTAL PROBLEMS IN

FAMILY PRACTICE FAMILY PRACTICE ATTENDERSATTENDERS

JANKO KERSNIK

Department of family medicine, University Ljubljana

DEPARTMENT OF FAMILY MEDICINE LJUBLJANA - SLOVENIA

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Anxiety and depression

High prevalence

High prevalence among primary care

users

50% of primary care users was expected

AIM: To clarify the characteristics of the

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 developed

and tested by Parkerson and co-workers


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Short Duke-AD questionnaire 1/2

Did these statements describe you?0 = NOT TRUE 1 = PARTLY YES2 = YES, TRUE FOR ME

I give up easily I concentrate with difficultyI like to meet people (reversereverse)


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Short Duke-AD questionnaire 2/2

How much problems did you have last week0 = no problem at all 1 = some problems2 = a lot of problems

with sleepingwith tirednessfeeling depressedwith nervousness


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Results - 1/2 82,1% response rate The responses ranged from 0 to 14 points,

mean 4,8 points (SD 2,8 points) 49,4% 5 (cutcut pointpoint) or more points Females higher prevalence (51,5% vs.

45,5%; p=0,02Females under 45 years had 30% higher

probability; p=0,003


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Results - 2/2

Higher number of symptoms:

Lower educational level (p<0,001)

Presence of chronic condition (p<0,001)

Experiencing nervousness in recent year

(EuroQol dimension) 2,42 times higher

probability (C.I. 2,15 - 2,73; p<0,001)


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Conclusions 1/2

High prevalence - 49%

Predictors:

Female gender (age < 45),

Lower educational level

Having a chronic condition


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Conclusions 2/2 Strategies to improve:Strategies to improve:Active early detection/ first line Dg.Further studies and interventionsGuidelines /awareness/Emphasise on appropriate

communication skillsTraining in coping with mental

problemsEmpowering (enabling) patients