Abstract：
OBJECTIVES:The main objective was to evaluate the use of two diagnostic instruments for mental disorders in primary care (PC): the PRIME-MD and the Goldberg anxiety and depression scales. Second, to determine the concordance between the two tests and evaluate the quality of psychiatric diagnosis records in the clinical notes. DESIGN:Crossover observational study. SETTING:Luis Vives Health Centre (EAP 1), Alcalá de Henares (Madrid). PATIENTS:175 patients who attended for consultation on-demand over three months. MEASUREMENTS AND MAIN RESULTS:Each patient was given the PRIME-MD test for detecting disorders of depression, anxiety, food, alcohol and body form; and the Goldberg scale to evaluate anxiety and depression. The clinical records were then reviewed for previous psychiatric diagnoses. The two scales were compared and the level of concordance obtained. The PRIME-MD found that 78 patients (44.6%) had some mental disorder, the most frequent being depression (32.6% of the total). The Goldberg scale detected 89 patients (50.8%) with some suspected mental disorder: here too, the most common was depression (41.7% of the total). The best indication of concordance between the two tests was the diagnosis of anxiety disorders: kappa = 0.68 (CI 95%, 0.53-0.82). CONCLUSIONS:Both scales seem useful instruments for detecting a pathology which is very common in PC clinics: mental disorders. Moreover, the concordance between the two scales is acceptable. There was poor recording of psychiatric diagnoses in clinical records.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Martínez Bernardos R,Baylín Larios A,Ortiz Jiménez MFsubject
Has Abstractpub_date
1999-03-31 00:00:00pages
285-8issue
5eissn
0212-6567issn
1578-1275journal_volume
23pub_type
杂志文章abstract：AIMS:To describe the evolution of mortality due to gastric cancer in Andalusia and the current geographic distribution of mortality. DESIGN:Descriptive, population-based study. SETTING:Andalusia (Southern Spain) during the period from 1975 to 1999. PARTICIPANTS:Residents of the region of Andalusia. MEASUREMENTS:Cru...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(01)70475-1
更新日期：2001-12-01 00:00:00
abstract：OBJECTIVES:1) To identify the causes of the outbreak. 2) To adopt the appropriate measures to control it. DESIGN:Observational crossover study. SETTING:San Benito Health District in Jerez de la Frontera (Cádiz). PATIENTS AND OTHER PARTICIPANTS:Diners who attended a family celebration. MEASUREMENTS AND MAIN RESULTS:...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1996-04-30 00:00:00
abstract：OBJECTIVES:To analyse the pathology diagnosed on the basis of the gastroscopies requested from a primary care centre (PCC). Assessment and treatment of Helicobacter pylori (HP) infection. DESIGN:Retrospective and descriptive. SETTING:Urban PCC. PATIENTS:Those over 14 who had a gastroscopy for a diagnostic purpose, r...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(00)78496-4
更新日期：2000-03-15 00:00:00
abstract：OBJECTIVES:To find the views of family doctors (FD) on care demand, its conditioning factors, its repercussions and possible rationalizing measures, and to relate these to personal and professional characteristics. DESIGN:A descriptive crossover study. SETTING:Primary care. PARTICIPANTS:140 of 262 FD from Health Cen...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-06-15 00:00:00
abstract：OBJECTIVES:To find the amount of non-compliance with medical treatment for Hypertension and its causes, and to describe the profile of non-compliant patients. DESIGN:A crossover study performed on two home visits. SETTING:A rural Health Centre at Calpe, Alicante. PATIENTS:The sample was obtained from the census of m...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-09-15 00:00:00
abstract：OBJECTIVES:To determine the percentage of female authors in original articles published during 2periods, in the journal of Atención Primaria (Primary Care), and to examine the differences between the categories of authorship (first, last author, and co-author) between both periods. DESIGN:Cross-sectional study. SETTI...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2019.11.002
更新日期：2021-01-01 00:00:00
abstract：OBJECTIVE:To analyse the modifications in cardiovascular risk in patients seen over two years in adult services for dyslipaemia, diabetes mellitus or hypertension. DESIGN:Observational, retrospective study with repeated measurement tests. SETTING:Two health centres. PATIENTS:265 patients attended by the above servic...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(01)78857-9
更新日期：2001-05-15 00:00:00
abstract：OBJECTIVE:We undertook this study to assess the validity of cytologic diagnosis of sexually transmitted infections like: bacterial vaginosis (BV), tricomoniasis and candidiasis using the Papanicolaou (Pap) smear. DESIGN:Prospective, descriptive transverse study. SETTING:The present study was carried out in the Health...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：2001-03-15 00:00:00
abstract：:We have evaluated the fulfillment of the aims of an integrated influenza vaccination program for a basic urban health area. We have focused the analysis on the vaccine coverage for age and sex groups, groups of risk modifiers and risk gradient. We have evaluated the most adequate method of call. Overall coverage was 6...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1989-10-01 00:00:00
abstract：OBJECTIVE:To evaluate the costs of influenza epidemics in Spanish society. DESIGN:Observational, longitudinal, and multi-centre study of healthcare and non-healthcare resource use associated with flu. SETTING:Two primary care centres, 3 hospital emergency services, and the medical service at an old people's home. PA...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：10.1157/13092984
更新日期：2006-09-30 00:00:00
abstract：OBJECTIVE:To describe the functional ability of elderly people and analyse its relationship to the use of services. DESIGN:A crossover study. SETTING:An urban population within the metropolitan area of the Community of Madrid. PARTICIPANTS:A random sample of 300 people over 70, taken from the municipal census. MEAS...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1994-03-31 00:00:00
abstract：OBJECTIVE:To evaluate how much women who attend primary care consultations understand about the correct use of emergency ("morning after") contraception (EC), their information requirements and their views about free EC prescription. DESIGN:Cross-sectional study, using a questionnaire. SETTING:Les Corts Primary Care ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13098676
更新日期：2007-02-01 00:00:00
abstract：OBJECTIVES:To assess the usefulness of measuring in primary care the intraocular pressure (IOP) of diabetics as a glaucoma screening test, validating the Schiörtz tonometer for this end. To analyse the prevalence of glaucoma and associated risk factors in our diabetic population. DESIGN:An observational crossover stud...
journal_title：Atencion primaria
pub_type： 临床试验,杂志文章
doi：
更新日期：1996-01-01 00:00:00
abstract：OBJECTIVE:To evaluate the economic impact in terms of the direct costs (health care costs) and the indirect costs (effects on production caused by mortality and morbidity) of diabetes mellitus (DM) in the Canary Islands (Spain) during 1998. DESIGN:The approach used was to study the cost of the disease through looking ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(02)70526-x
更新日期：2002-02-28 00:00:00
abstract：OBJECTIVE:To quantify and to evaluate the reliability of Primary Care (PC) computerised medication records of as an information source of patient chronic medications, and to identify associated factors with the presence of discrepancies. DESIGN:A descriptive cross-sectional study. LOCATION:General Referral Hospital i...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2015.05.003
更新日期：2016-03-01 00:00:00
abstract：OBJECTIVE:To determine the perception of nurses, doctors, patients and family or relatives being present during cardiopulmonary resuscitation (CPR) in adult patients. DESIGN:A qualitative exploratory study and thematic analysis were developed. SITE: Primary Care, Hospital Care and Emergency Service of the Basque Healt...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2017.12.002
更新日期：2019-05-01 00:00:00
abstract：OBJECTIVES:To evaluate our patients' knowledge of the effects of excess drinking; b) to compare this with their awareness of the effects of their day-to-day drinking habits. DESIGN:Descriptive, randomized, cross-sectional questionnaire-based study. Information on alcohol consumption was obtained from medical records. ...
journal_title：Atencion primaria
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0212-6567(03)79313-5
更新日期：2003-11-15 00:00:00
abstract：OBJECTIVE:To find out what urban low and middle class women think about the relationship between health and daily behaviours, their social and family situation and the setting in which they live. DESIGN:Qualitative methodology and the focus group technique. SETTING:Urban population. PARTICIPANTS:Low and middle class...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1999-06-15 00:00:00
abstract：OBJECTIVES:To describe sociodemographic and clinical characteristics of a diabetic population. To relate sociodemographic and clinical evolutionaries variables. DESIGN:Descriptive transversal study. SETTING:Three urban Primary Health Centers (PHC). Participants. Diabetic patients attended in these PHC.Measurements. ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(02)70616-1
更新日期：2002-05-15 00:00:00
abstract：OBJECTIVE:To describe the prevalence of iron deficiency anaemia in the Basque Country by age group and sex and to identify the main groups at risk. DESIGN:Cross-sectional study. SETTING:Basque Country. PARTICIPANTS:School-aged population of Bilbao (n = 762); further education students of San Sebastian (n = 372); adu...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-10-15 00:00:00
abstract：OBJECTIVE:To describe the situations of risk and the prevalence of HIV in women with a heterosexual partner infected by HIV. DESIGN:Cross-sectional descriptive study. SETTING:Out-patient HIV diagnosis centre in Madrid. PATIENTS:229 women seen for the first time between 1993 and 2002 because they had a stable heteros...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(04)78926-x
更新日期：2004-11-15 00:00:00
abstract：AIM:The main aim is to describe the cases of mechanical lumbalgia in relation to clinical and demographic variables, in the period between February and June 1989. The collateral purpose is to analyse the relationship between analgesic/NAI treatment as regards the time needed to resolve the problem. DESIGN:This is an o...
journal_title：Atencion primaria
pub_type： 临床试验,杂志文章
doi：
更新日期：1992-03-15 00:00:00
abstract：OBJECTIVE:To determine the percentage of women aged 40 to 70 years who had had at least one preventive Pap test (cytological examination) during the preceding 5 years, and the factors associated with use of the test. DESIGN:Population survey.Setting. Home interviews during October 2000. PARTICIPANTS:2409 women aged 4...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(04)79407-x
更新日期：2004-03-31 00:00:00
abstract：OBJECTIVES:To evaluate the knowledge about medical treatment on people with more than 70 years old, specifically, the understanding, reason for prescription and dosage. To describe the use of natural remedies in the rural environment. To correlate the medication and the natural remedies consumption with health's self-p...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1999-05-15 00:00:00
abstract：OBJECTIVE:To examine the perceptions and expectations about Family Practice (FP) and Primary Care (PC) in 1st, 3rd and 5th year students in medical schools. DESIGN:An observational study in two cross sections with intervals of two years. LOCATION:Spanish Medical Schools. PARTICIPANTS:1st, 3rd and 5th year students o...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2012.07.007
更新日期：2013-01-01 00:00:00
abstract：OBJECTIVE:To evaluate the impact of the pilot experience of direct purchase and distribution of incontinence diapers in primary health care centres of the Balearic Islands after 10 months of implementation. DESIGN:Comparison of diapers's public expenditures and use during 10 months of pilot experience (9/1/1994-6/30/1...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1996-02-29 00:00:00
abstract：OBJECTIVE:To check whether the information in the written publicity that the pharmaceutical industry gives to family doctors really is based on the scientific studies that support it. DESIGN:Cross-sectional study. SETTING:Health centre on the outskirts of a big city. PARTICIPANTS:Over a year, all the scientific stud...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13075926
更新日期：2005-06-15 00:00:00
abstract：OBJECTIVE:To evaluate the Maternity Education (ME) programme: improvement of previous knowledge, changes in hygiene and dietary habits, attitudes to giving birth, satisfaction with the development of the sessions and perceived use. DESIGN:Pre-test/post-test. SETTING:Urban Health Centre. PARTICIPANTS:222 pregnant wom...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1999-06-30 00:00:00
abstract：OBJECTIVES:To demonstrate the effects of including mutual aid associations into a continuing care programme for patients with alcohol dependence carried out by Primary Care teams. SITE: Primary Care Teams belonging to the attendance area of the University Hospital 12 de Octubre at Madrid. PARTICIPANTS:207 participants...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2020.04.010
更新日期：2020-10-01 00:00:00
abstract：OBJECTIVE:The objective of this work was to value the relationship between cardiovascular disease and presence of hidden renal failure in patients between 35 and 74 years followed up for 10 years. DESIGN:Observational, longitudinal, retrospective study of a cohort of patients. SETTING:Primary care health centre. PAR...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(08)75696-8
更新日期：2008-12-01 00:00:00
