The chronically mentally ill in primary care

作者：Darrel A. Regier, Jack D. Burke, Ronald W. Manderscheid, Barbara J. Burns · 发表于：Psychological Medicine · 年份：1985 · DOI：10.1017/s0033291700023540 · 被引用次数：58 · 研究领域：Mental Health Treatment and Access、Schizophrenia research and treatment、Family Caregiving in Mental Illness

The role of primary care physicians in addressing the needs of chronically mentally ill patients is examined from three perspectives: assessing community prevalence; treating chronic medical problems in the context of other human service needs; and treating specific types of chronic mental disorders. About 30% of primary care patients were found to have at least one Research Diagnostic Criteria mental disorder, five-sixths of which had a duration greater than 1 year. However, about 9% of patients had some impairment and 2% had severe impairment associated with a mental disorder. Although affective disorders have the highest overall rates, personality, psychotic, and anxiety disorders contribute the greatest proportion of severe disability.