van der Meer K, Tiemens B G, van den Brink W
Rijksuniversiteit, vakgroep Psychiatrie, Groningen.
Ned Tijdschr Geneeskd. 1996 Oct 26;140(43):2135-9.
To establish the prevalence of depression and other psychiatric disorders in the contact population of primary care physicians (PCPs) in several countries.
Descriptive.
World Health Organization (WHO), Geneva, Switzerland.
The WHO carried out a study in 15 centers in 14 different countries, including the Groningen centre in the Netherlands. This study comprised interviewing 5438 patients with the primary health care version of the 'Composite international diagnostic interview' (CIDI). The PCPs also evaluated their patients' somatic and psychic health.
Depression was found to be seen at all centres, according to the CIDI results as well as according to the physicians. Most patients with a depression were treated by the PCPs themselves; only a small proportion were referred. As regards pharmacotherapy, in most centres tranquillizers were prescribed more often than antidepressive agents. Groningen differed from the other centres in that a larger proportion of depressive patients attended the PCPs for a psychological reason for encounter, and in that the patients' somatic health was classified as much better. The Groningen PCPs referred to institutes for mental health care more often than the PCPs in most other centres.
Depression was diagnosed in all participating countries, both by PCPs and with the aid of the CIDI results.
确定几个国家基层医疗医生（PCP）接触人群中抑郁症及其他精神障碍的患病率。
描述性研究。
瑞士日内瓦世界卫生组织（WHO）。
WHO在14个不同国家的15个中心开展了一项研究，其中包括荷兰的格罗宁根中心。该研究包括用“综合国际诊断访谈”（CIDI）的基层医疗版本对5438名患者进行访谈。基层医疗医生还对其患者的躯体和精神健康状况进行了评估。
根据CIDI结果以及医生的判断，所有中心均发现了抑郁症病例。大多数抑郁症患者由基层医疗医生自行治疗；只有一小部分被转诊。在药物治疗方面，在大多数中心，镇静剂的处方频率高于抗抑郁药。格罗宁根与其他中心的不同之处在于，有较大比例的抑郁症患者因心理原因就诊于基层医疗医生，且患者的躯体健康状况被归类为好得多。格罗宁根的基层医疗医生比大多数其他中心的基层医疗医生更常将患者转诊至精神卫生保健机构。
所有参与国家均通过基层医疗医生并借助CIDI结果诊断出了抑郁症。
