Depression: Pattern of Medical Utilization and Somatization in Primary Care

  • Wayne Katon
  • Alfred Berg
  • Anthony Robins
  • Steven Risse


Epidemiologic studies in primary care have documented that between 25 and 75 percent of all patient visits are due to psychosocial stress as opposed to biomedical problems (Stoeckle, Zola, and Davidson, 1964; Manucci, Friedman, and Kaufman, 1961; Garfield, Collen, Feldman, et al., 1976). Studies that have used structured interviews and research diagnostic criteria for psychiatric illness have determined that one in every four primary care patients has a major mental illness. Hoeper and others (1979) in a study of primary care patients utilizing the Schedule for Affective Disorders and Schizophrenia (SADS) and Research Diagnostic Criteria found that 26.7 percent of patients in a primary care clinic suffered from a mental illness. Hoeper, Nyczi, Cleary, et al. (1979) as well as Marsland, Wood and Mayo (1970), have demonstrated that the anxiety and affective disorders are the two most common types of mental disorders afflicting primary care patients.


Irritable Bowel Syndrome Primary Care Physician Depressed Patient Family Practice Primary Care Patient 
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Copyright information

© Plenum Press, New York 1986

Authors and Affiliations

  • Wayne Katon
    • 1
  • Alfred Berg
    • 1
  • Anthony Robins
    • 1
  • Steven Risse
    • 1
  1. 1.Department of PsychiatryUniversity of Washington Medical SchoolUSA

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