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Patients with a psychiatric diagnosis in general practice: (co)morbidity and contacts.

Verhaak, P., Volkers, A., Nuyen, J. Patients with a psychiatric diagnosis in general practice: (co)morbidity and contacts. In: G.P. Westert; L. Jabaaij; F.G. Schellevis. Morbidity, performance and quality in primary care: Dutch general practice on stage. Oxon: Radcliffe Publishing, 2006. 74-84
In this study we give a detailed account of the morbidity of patients with a psychiatric disorder,
as diagnosed by general practitioners (GPs), during one year. We have found that about half of the
patients with a psychiatric disorder according to a standardised psychiatric interview are diagnosed
by the GP as such. Depending on their psychiatric disorder, 30-40% of these patients only present
somatic problems that are not indicative for psychological or psychiatric problems. Patients with a
psychiatric disorder have relatively more psychological or psychiatric diagnoses recorded by their
GPs than the practice population as a whole. However, the list of most common diagnoses is
comparable with the list of the most common diagnoses of the practice population. Patients with a
psychiatric disorder stand out especially by a higher contact rate for somatic illnesses as will as
for psychological ones or psychiatric problems. (aut. ref.)