Does Specializing in Family Medicine Improve the Detection and Diagnosis of Mental Health Problems?

IF 0.5 4区医学 Q4 PSYCHIATRY Israel Journal of Psychiatry and Related Sciences Pub Date : 2016-01-01

Tzipi Hornik-Lurie, Julie Cwikel, Nelly Zilber, Marjorie C Feinson, Aya Biderman, Yaacov Lerner

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Abstract

Background: Approximately half the patients seeking mental health (MH) treatment consult primary care practitioners (PCPs). Previous research indicates that patients often do not receive correct MH diagnoses or appropriate treatment from PCPs. The present study examines whether a specialization in family medicine compared to other or no PCP residency programs enhances physicians' ability to detect, diagnose and treat MH problems.

Methods: Face-to-face interviews with 49 physicans in eight clinics in Israel. Two case vignettes and questionnaires assess MH awareness and factors influencing treatment.

Results: Significantly more family practitioners (FPs) compared to others correctly diagnosed depression and anxiety vignettes were aware of patients' MH problems and prescribed psychotropic drugs.

Limitations: Small sample size, indirect examination of PCPs' skills using vignettes and the absence of psychotherapy options.

Conclusions: FPs are more likely than other PCPs to detect, diagnose and treat MH problems. To improve MH detection among a broad range of PCPs, an expanded MH curriculum should be encouraged. Additional MH training should be available for all PCPs.

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家庭医学专业能提高心理健康问题的发现和诊断吗?

背景:大约一半寻求心理健康(MH)治疗的患者咨询初级保健医生(pcp)。以往的研究表明，患者往往没有得到正确的MH诊断或适当的治疗。本研究考察了家庭医学专业与其他或没有PCP住院医师项目相比，是否能提高医生检测、诊断和治疗MH问题的能力。方法:对以色列8个诊所的49名医生进行面对面访谈。两个案例和问卷评估MH的认识和影响治疗的因素。结果:与其他正确诊断为抑郁和焦虑的家庭医生(FPs)相比，家庭医生(FPs)明显更多地了解患者的MH问题和处方精神药物。局限性:样本量小，使用小插曲间接检查pcp的技能，缺乏心理治疗选择。结论:FPs比其他pcp更容易发现、诊断和治疗MH问题。为了在广泛的pcp中提高MH的检测，应鼓励扩大MH课程。应为所有pcp提供额外的卫生保健培训。

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来源期刊

Israel Journal of Psychiatry and Related Sciences PSYCHIATRY-

CiteScore

0.80

自引率

25.00%

发文量

审稿时长

>12 weeks

期刊介绍： THE ISRAEL JOURNAL OF PSYCHIATRY publishes original articles dealing with the all bio-psycho-social aspects of psychiatry. While traditionally the journal has published manuscripts relating to mobility, relocation, acculturation, ethnicity, stress situations in war and peace, victimology and mental health in developing countries, papers addressing all aspects of the psychiatry including neuroscience, biological psychiatry, psychopharmacology, psychotherapy and ethics are welcome. The Editor also welcomes pertinent book reviews and correspondence. Preference is given to research reports of no more than 5,000 words not including abstract, text, references, tables and figures. There should be no more than 40 references and 4 tables or figures. Brief reports (1,500 words, 5 references) are considered if they have heuristic value. Books to be considered for review should be sent to the editorial office. Selected book reviews are invited by the editor.