PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of jroyalcgpracBJGP at RCGPBJGP at PubMed CentralJ R Coll Gen Pract at PubMed CentralRCGP homepage
 
J R Coll Gen Pract. 1987 January; 37(294): 15–18.
PMCID: PMC1710604

Screening for psychiatric illness in general practice: the general practitioner versus the screening questionnaire

Abstract

This study compares the characteristics of general practitioners and a pen and paper test in the detection of psychiatric disorder in primary care settings. A psychiatrist interviewed a stratified sample of 283 patients drawn from 590 consecutive new illnesses seen in 15 general practices. Research diagnoses could be made in between one-quarter and one-third of the consecutive new illnesses. Two different research diagnostic systems agreed quite well with one another about who should be regarded as a psychiatric 'case' - although agreement between them for individual diagnoses was less impressive. Research diagnoses of psychiatric illnesses could be made in approximately 30% of new episodes of illnesses seen. If the DSM-3 system was used as a criterion of 'caseness', the specificity of the general health questionnaire was 75.4%, and the sensitivity was 87.1%. The general practitioners had fewer false positives than the questionnaire, but they were much more likely to miss psychiatric cases. Use of the general health questionnaire could increase their sensitivity from about 50% to 95%.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (846K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Vickers B Randall. Health Service Bill. Br Med J. 1946 Sep 21;2(4472):c439–439. [PMC free article]

Articles from The Journal of the Royal College of General Practitioners are provided here courtesy of Royal College of General Practitioners