Detection of mental disorders with the Patient Health Questionnaire in primary care settings in Nigeria
Open Access
- 25 January 2010
- journal article
- review article
- Published by Hindawi Limited in Mental Illness
- Vol. 2 (1), 46-50
- https://doi.org/10.4081/mi.2010.e10
Abstract
Mental disorders lead to difficulties in social, occupational and marital relations. Failure to detect mental disorder denies patients potentially effective treatment. This study aimed to assess the prevalence and nature of mental disorders at the primary care settings and the recognition of these disorders by the attending physicians. Over a period of eight weeks, consecutive and consenting patients who attended three randomly selected primary health care facilities in Sagamu Local Government Area of Ogun state were recruited and administered a questionnaire that included a socio-demographic section and Patient Health Questionnaire (PHQ). A total of 412 subjects took part in the study. Subject age ranged from 18-90 years with a mean age of 52.50±21.08 years. One hundred and seventy-six (42.7%) of the subjects were males. A total of 120 (29.1%) of the subjects had depressive disorder, 100 (24.3%) had anxiety disorder, 196 (47.6%) somatoform disorder and 104 (25.2%) met the criteria for an alcohol related problem. The PHC physicians were only able to diagnose disorders relating to mental health in 52 (12.6%) of the subjects. Health and work situations accounted for more than three-quarters of the causes of stress experienced by the subjects. We conclude that there is a high prevalence of mental disorders among patients seen in primary care settings and that a significant proportion of them are not recognized by the primary care physicians. Stress relating to health, work and financial problems is common among primary health care attendees. Physicians in primary health care should be alert to the possibility and the impact of undetected psychiatric morbidity.Keywords
This publication has 27 references indexed in Scilit:
- Common Mental Disorders Among Primary Care Attenders in Vellore, South India: Nature, Prevalence and Risk FactorsInternational Journal of Social Psychiatry, 2003
- High prevalence of mental disorders in primary careJournal of Affective Disorders, 2002
- Traumatic Experiences and the Mental Health of Senegalese RefugeesThe Journal of Nervous and Mental Disease, 2001
- Psychiatric morbidity in elderly patients admitted to non-psychiatric wards in a general/teaching hospital in NigeriaInternational Journal of Geriatric Psychiatry, 2000
- Validation and Utility of a Self-report Version of PRIME-MDThe PHQ Primary Care StudyJAMA, 1999
- Do socio-economic risk factors predict the incidence and maintenance of psychiatric disorder in primary care?Psychological Medicine, 1997
- Increasing general practitioner skills with patients with serious mental illnessAustralian Health Review, 1997
- Depression comorbid with anxiety: results from the WHO study on psychological disorders in primary health care.1996
- Health-related quality of life in primary care patients with mental disorders. Results from the PRIME-MD 1000 Study.1995
- The ability of trainee general practitioners to identify psychological distress among their patientsPsychological Medicine, 1993