Armstrong D, Bird J, Fry J, Armstrong P
Department of General Practice, UMDS, London, UK.
Fam Pract. 1992 Jun;9(2):173-6. doi: 10.1093/fampra/9.2.173.
All general practitioners and psychiatrists working in a single health district were sent a questionnaire on their perceptions of the prevalence of psychological problems among patients consulting in general practice. One hundred and twenty-one GPs (75%) and 10 (83%) psychiatrists responded. GPs and psychiatrists agreed that up to 20% of consulting patients were likely to be clinically depressed; they also agreed on the most appropriate management, although GPs tended to be more conservative than psychiatrists would advise on making use of hospital services. GPs, however, believed non-specific psychological problems to be significantly less common than did psychiatrists. This expectation may help explain the reported failure of GPs to diagnose all psychological problems identified by formal psychiatric instruments.
向在同一个健康区工作的所有全科医生和精神科医生发送了一份问卷，询问他们对在全科医疗中就诊的患者心理问题患病率的看法。121名全科医生（75%）和10名精神科医生（83%）回复了问卷。全科医生和精神科医生一致认为，高达20%的就诊患者可能患有临床抑郁症；他们在最合适的治疗方法上也达成了一致，不过在利用医院服务方面，全科医生往往比精神科医生建议的更为保守。然而，全科医生认为非特异性心理问题的普遍程度明显低于精神科医生。这种预期可能有助于解释所报道的全科医生未能诊断出正规精神科工具所识别的所有心理问题的情况。
