Journal of General Internal Medicine

, Volume 11, Issue 7, pp 426–430

Brief screens for mental disorders in primary care

Authors

  • Andrew C. Leon
    • Department of Psychiatry, Box 147Cornell University Medical College
  • Mark Olfson
    • College of Physicians and Surgeons of Columbia University and New York State Psychiatric Institute
  • Myrna M. Weissman
    • College of Physicians and Surgeons of Columbia University and New York State Psychiatric Institute
  • Laura Portera
    • Department of Psychiatry, Box 147Cornell University Medical College
  • Bruce H. Fireman
    • Kaiser Permanente
  • Robert S. Blacklow
    • Northeastern Ohio Universities College of Medicine
  • Christina Hoven
    • Duke University Medical Center
  • W. Eugene Broadhead
    • Danville (VA) Regional Hospital
Brief Reports

DOI: 10.1007/BF02600191

Cite this article as:
Leon, A.C., Olfson, M., Weissman, M.M. et al. J Gen Intern Med (1996) 11: 426. doi:10.1007/BF02600191

Abstract

We evaluated a set of diagnostic screens for mental disorders in primary care. A self-administered screening questionnaire containing 26 items testing for multiple mental disorders was completed by 1,001 patients. Brief diagnostic modules, structured for psychiatric diagnoses, were subsequently administered to each patient by a research nurse. Operating characteristics of the screens were as follows: alcohol dependence (sensitivity [SE] 0.75; positive predictive value [PPV] 0.58; [κ] 0.63), drug dependence (SE 0.50; PPV 0.50; κ 0.50), generalized anxiety disorder (SE 0.74; PPV 0.44; κ 0.44), major depressive disorder (SE 0.71; PPV 0.52; κ 0.50), obsessive compulsive disorder (SE 0.71; PPV 0.15; κ 0.21), and panic disorder (SE 0.71; PPV 0.43; κ 0.48). Other chance-corrected measures of agreement are also reported, and criterion validity of the screens is examined. The results provide evidence that the screens discriminate between patients with symptomatology meeting established diagnostic criteria and those without. They detected previously unrecognized cases in this study and may prove to be valuable tools for psychiatric diagnosis in primary care.

Key words

mental disordersdiagnostic screensprimary carebrief screensoperating characteristics
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Copyright information

© Society of General Internal Medicine 1996