Psychiatric morbidity in general practice in Italy

A point-prevalence survey in a defined geographical area
  • S. Marino
  • C. Bellantuono
  • M. Tansella


Psychiatric morbidity among 505 attenders on a single day at 32 general practices in South Verona was assessed using the General Health Questionnaire (GHQ-30) and recordings of practitioners' evaluations. The usual GHQ scoring system with a cut-off point of 5/6 resulted in 52% of high-scorers while the scoring system for longstanding psychological distress conditions (C-GHQ) yielded 37% of high-scorers (cut-off point 11/12). General practitioners identified 28% of attenders as cases. One-day population based prevalence estimates for the GHQ-30 and practitioners' assessment gave values of 6.6 and 4.5 per 1000 at risk. Among several possible risk factors, only presence of previous psychiatric illness increased significantly the relative risk of being a case in terms of GHQ, C-GHQ scores and practitioners' assessments. These findings are discussed in relation to the results of other surveys in the same area and other general practice studies.


Public Health Relative Risk General Practitioner General Practice Psychological Distress 
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  1. Bellantuono C, Fiorio R, Zanotelli R Tansella M (1987a) Psychiatric screening in general practice in Italy. A validity study of the GHQ. Soc Psychiatry 22: 113–117Google Scholar
  2. Bellantuono C, Fiorio R, Williams P, Cortina P (1987b) Psychiatric morbidity in an Italian general practice. Psychol Med 17: 243–247Google Scholar
  3. Bellantuono C, Arreghini E, Adami M, Bodini F, Gastaldo M, Micciolo R (1989) Psychotropic drug prescription in Italy. A survey in general practice. Soc Psychiatry Psychiatr Epidemiol 24: 112–118Google Scholar
  4. Cawley R (1983) Concepts and classification. In: Russel GF, Hershow LA (eds) The neurosis and personality disorders. Handbook of psychiatry, vol 4. Cambridge University Press, Cambridge, pp 3–7Google Scholar
  5. Diamond EL, Lilienfeld AM (1962) Effects of errors in classification and diagnosis in various types of epidemiological studies. Am J Publich Health 52: 1137–1144Google Scholar
  6. Finlay-Jones RA, Burvill PW (1978) Contrasting demographic paterns of minor psychiatric morbidity in general practice and in the community. Psychol Med 8: 455–466Google Scholar
  7. Fontanesi F, Gobetti C, Zimmermann-Tansella C, Tansella M (1985) Validation of the Italian version of GHQ in a general practice setting. Psychol Med 15: 411–415Google Scholar
  8. Goldberg DP (1972) The detection of psychiatric illness by questionnaire. Maudsley Monographs, no 21. Oxford University Press, LondonGoogle Scholar
  9. Goldberg DP (1978) Manual of the General Health Questionnaire. NFER-Nelson, LondonGoogle Scholar
  10. Goldberg DP, Blackwell B (1970) Psychiatric illness in general practice. Br Med J 2: 439–443Google Scholar
  11. Goldberg D, Huxley P (1980) Mental illness in the community. The pathways to psychiatric care. Tavistock, LondonGoogle Scholar
  12. Goldberg D, Williams P (1988) A user's guide to the General Health Questionnaire. MFER-Nelson, LondonGoogle Scholar
  13. Goldberg DP, Kay C, Thompson L (1976) Psychiatric morbidity in general practice and in the community. Psychol Med 6: 565–569Google Scholar
  14. Goldchild ME, Duncan-Jones DP (1985) Chronicity and the General Health Questionnaire. Br J Psychiatry 146: 55–61Google Scholar
  15. Hoeper EW, Nycz GR, Cleary PD, Regier DA, Goldberg ID (1979) Estimated prevalence of RDC mental disorders in primary medical care. Int J Ment Health 8: 6–15Google Scholar
  16. Lattanzi M, Galvan U, Rizzetto A, Gavioli I, Zimmermann-Tansella C (1988) Estimating psychiatric morbidity in the community. Standardization of the Italian versions of GHQ and CIS. Soc Psychiatry Pshchiatr epidemiol 23: 267–272Google Scholar
  17. Marks A, Goldberg D, Hillier VF (1979) Determinants of the ability of general practitioners to detect psychiatric illness. Psychol Med 9: 337–359Google Scholar
  18. Schurman RA, Kramer PD, Mitchell JB (1985) The hidden mental health network. Arch Gen Psychiatry 42: 89–94Google Scholar
  19. Shepherd M, Cooper B, Brown AC, Kalton G (1966) Psychiatric illness in general practice. Oxford University Press, LondonGoogle Scholar
  20. Skuse D, Williams P (1984) Screening for psychiatric disorders in general practice. Psychol Med 14: 365–377Google Scholar
  21. Siciliani O, Burti L, Garzotto N, Siani R, Zimmermann-Tansella C (1984) Salute mentale e disagio familiare a Verona-Sud. Riv Sper Freniatria, 108. Monogr Suppl to no 3Google Scholar
  22. Siciliani O, Donini S, Turrina C, Zimmermann-Tansella C (1988) A community survey on mental health in South-Verona. Research Report, Istituto di Psichiatria, Università di Verona, VeronaGoogle Scholar
  23. Tansella M, de Salvia D (1986) Case registers in comprehensive community psychiatric service areas in Italy. In: Horn GHMM, ten, Giel R, Gulbinat W, Henderson J (eds) Psychiatric Case Registers 1960–1985. elsevier, Amsterdam, pp 140–145Google Scholar
  24. Tansella M, Williams P (1989) The spectrum of psychiatric morbidity in a defined geographical area. Psychol Med 19: 765–770Google Scholar
  25. Tansella M, Faccincani C, Mignolli G, Balestrieri M, Zimmermann-Tansella C (1985) Il Registro Psichiatrico di Verona-Sud. Epidemiologia per la valutazione dei nuovi servizi territoriali. In: Tansella M (ed) L'approccio epidemiologico in psichiatria. Boringhieri, Torino, pp 225–259Google Scholar
  26. Tansella M, Balestrieri M, Meneghelli G, Micciolo R (1990) Trends in the provision of psychiatric care. 1979–1988 Research Report, Istituto di Psichiatria, Università di Verona, VeronaGoogle Scholar

Copyright information

© Springer-Verlag 1990

Authors and Affiliations

  • S. Marino
    • 1
  • C. Bellantuono
    • 1
  • M. Tansella
    • 1
  1. 1.Servizio di Psicologia Medica, Istituto di PsichiatriaUniversità di VeronaVeronaItaly

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