SciELO - Scientific Electronic Library Online

vol.21 issue1General practitioners are bearing an increasing burden of the care of common mental disorders in FranceModels of collaboration between general practice and mental health services in Italy author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google


The European Journal of Psychiatry

Print version ISSN 0213-6163


LOBO, A. et al. Somatic and psychiatric co-morbidity in Primary Care patients in Spain. Eur. J. Psychiat. [online]. 2007, vol.21, n.1, pp.71-78. ISSN 0213-6163.

Background: There is limited information on the subject of co-morbidity of general medical conditions (GMCs) and general psychiatric disturbance in primary care (PC). Methods: A representative sample (n = 1559) of adult PC patients was examined in a two-phase screening. Standardized screening instruments were used, including the Standardized Polyvalent Psychiatric Interview (SPPI). ICD-10 research criteria were used for psychiatric diagnosis, and ICPC-2 for medical diagnosis. Results: Most co-morbidity cases had depressive (120 cases, 28.1%) or anxiety/neurotic disorders (217 cases, 50.9%). In support of the working hypothesis, the proportion of patients with several medical diagnoses was significantly higher among the cases, and logistic regression showed that the probability of being a psychiatric case increased with each medical diagnosis done by the primary care physician (OR = 2.46; IC 1.66-3.66, p < 0.001). Moderate/severe cases were significantly more frequent among the depressed group (91 cases, 75.9%), but were also common in the anxiety/neurosis group (52 cases, 24%), the between groups differences in disability being non-significant. The distribution of both affective and neurotic disorders by specific ICPC-2 categories suggests preferential associations. Conclusion: In PC, the probability of having a co-morbid psychiatric diagnosis doubles with each medical diagnosis. Anxiety/neurotic disorders, and not only depressive disorders, are relevant co-morbid psychiatric categories in this setting.

Keywords : Primary health care; Depression; Anxiety; Co-morbidity; Somatoform disorders.

        · text in English     · English ( pdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License