Anxiety and Depression in a Primary Care Clinic: Comparison of Diagnostic Interview Schedule, General Health Questionnaire, and Practitioner Assessments

Michael Von Korff, Sam Shapiro, Jack D. Burke, Mark Teitlebaum, Elizabeth A. Skinner, Raymond W. Turner, Lawrence Klein, Barbara Burns

Research output: Contribution to journalArticle

Abstract

Over one half of all persons seen in a primary care clinic were identified as having anxiety or depressive disorder by the primary care provider, the General Health Questionnaire (GHQ), or the Diagnostic Interview Schedule (DIS). In only about 5% of all patients were findings positive on all three assessments concurrently. Both the GHQ and the practitioners identified over 30% of all patients as having a disorder, while about 8% had one or more of five DIS anxiety or depressive disorders (major depression, dysthymia, panic disorder, generalized anxiety disorder, or obsessive-compulsive disorder). Of the patients with DIS disorders 83% had positive GHQ scores, and 73% were identified by the practitioner as having a mental disorder.

Original languageEnglish (US)
Pages (from-to)152-156
Number of pages5
JournalArchives of general psychiatry
Volume44
Issue number2
DOIs
StatePublished - Feb 1987

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Psychiatry and Mental health

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