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Cited by 180Mental Health Treatment and AccessPrimary Care and Health OutcomesPsychology and Mental Health

The DOI matches its Crossref record; 51 of the 51 references it cites were found in a registry or an index.

Mental disorders in primary care

Open access
Wittchen, Hans-Ulrich, Mühlig, Stephan, Beesdo, Katja·2003·Dialogues in Clinical Neuroscience
DOI 10.31887/dcns.2003.5.2/huwittchenPMC PMC3181625
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Abstract

Current estimates indicate that 50% of the population experience at least one mental disorder in their lifetime and that at least 25% have suffered a mental disorder in the past year. recognition, diagnosis, treatment, and referral depend overwhelmingly on general practitioners, at least one third of whose consultations have a direct and explicit psychological component. Yet despite this intensive familiarization with the presentation of mental pathology, and the appropriateness of the primary care setting to its management, even the most recent surveys indicate that performance is best described by the rule of diminishing halves: only half the patients with a thresh-old disorder are recognized; only half of those recognized are treated; and only half of those treated are effectively treated. There is no single solution to this problem, only multiple solutions, which must be aimed, consistently and simultaneously, at the patient, practitioner, practice, and research levels.

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Crossref · 10.31887/dcns.2003.5.2/huwittchen

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Figures

Figure 1. General practitioner (GP)-rated mental health status. (A) and diagnostic status according to Composite International Diagnostic Interview (GDI). (B) in unselected primary care attendees in Germany and the European Union (EU). Modified from reference 8. Linden M, Maier W, Achberger M, et al. Psychische Erkrankungen und ihre Behandlung in Allgemeinarztpraxen in Deutschland. Ergebnisse aus einer Studie der Weltgesundheitsorganization (WHO). Nervenarzt. 1996;67:205-215.
Figure 1. General practitioner (GP)-rated mental health status. (A) and diagnostic status according to Composite International Diagnostic Interview (GDI). (B) in unselected primary care attendees in Germany and the European Union (EU). Modified from reference 8. Linden M, Maier W, Achberger M, et al. Psychische Erkrankungen und ihre Behandlung in Allgemeinarztpraxen in Deutschland. Ergebnisse aus einer Studie der Weltgesundheitsorganization (WHO). Nervenarzt. 1996;67:205-215.CC BY-NC-ND · PubMed Central
Figure 2. Consecutive primary care attendees with nicotine dependence: recognition and management by primary care physicians.
Figure 2. Consecutive primary care attendees with nicotine dependence: recognition and management by primary care physicians.CC BY-NC-ND · PubMed Central

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Citations

Cites

Show all 46 references

Research works printed but not linked: 26

  1. Andrade L., 2000, Bull World Health Organ,, 78, 413
  2. Jacob! F., Psychol Med. In press
  3. Ûstùn TB., 1995, Mental Illness in General Health Care: An International Study. Chichester, UK: John Wiley & sons;
  4. Linden M., 1996, Nervenarzt., 67, 205
  5. World Health Organization, 1992, The ICD-10 Classification of Mental and Behavioral Disorders. Clinical Descriptions and Diagnostic Guidelines. Geneva, Switzerland: World Health Organization
  6. American Psychiatric Association, 1987, Diagnostic and Statistical Manual of Mental Disorders. 3rd ed, revised. Washington, DC: American Psychiatric Association
  7. American Psychiatric Association, 1994, Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Washington, DC: American Psychiatric Association
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  13. Wittchen HU., 2002, J Clin Psychol., 63, 24
  14. Wittchen HU., 2002, Generalized Anxiety Disorder: Symptomatology Pathogenesis and Management. London, UK: Martin Dunitz, 11
  15. Greenberg PE., 1999, J Clin Psychol., 60, 427
  16. Goldberg DP., 1995, Mental Illness in General Health Care: an International Study. Chichester, UK: John Wiley & Sons, 323
  17. Krause P., 2001, MMWFortsch Med., 119, 5
  18. Schmidt U., 2002, Mental Health in Primary Care. New York, NY: Oxford University Press
  19. King MB., 1989, Psychol Med., 14, 16
  20. Whitehouese AM., 1992, Br J Gen Pract., 42, 57
  21. Wittchen HU., 2002, Der Hausarzt., 8, 5
  22. Wittchen HU., 2003, Arterial Hypertension and Diabetes Mellitus in General Practice. Dresden, Germany: Institut fur Klinische Psychologie und Psychothérapie der TU
  23. Goldberg D., 1999, J Clin Psychol., 60, 39
  24. Wittchen HU., 2003, MMW Fortschr Med., 121, 1
  25. Barkow K., J Affect Disord. In press
  26. Magruder KM., 1999, J Clin Psychol., 60, 45

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Metadata

Authors
Wittchen, H.-U., Mühlig, S., & Beesdo, K.
Affiliations
  • Institute for Clinical Psychology and Psychotherapy, Dresden University of Technology, Dresden, Germany; Max Planck Institute of Psychiatry, Clinical Psychology and Epidemiology, Munich, Germany
  • Technische Universität Dresden (DE)
  • Institute for Clinical Psychology and Psychotherapy, Dresden University of Technology, Dresden, Germany
ORCID
Mühlig, Stephan
Venue
Dialogues in Clinical Neuroscience
Publisher
Informa UK Limited
Published
2003-06-30
Volume
5
Issue
2
Pages
115-128
ISSN
  • 1294-8322 (ISSN-L)
  • 1958-5969
DOI
10.31887/dcns.2003.5.2/huwittchen
PMC
PMC3181625
OpenAlex
W4294947750
Cited by
180
References
46
Citations by year
2026: 4 · 2025: 5 · 2024: 20 · 2023: 24 · 2022: 13 · 2021: 13 · 2020: 15 · 2019: 10 · 2018: 19 · 2017: 9 · 2016: 4 · 2015: 5 · 2014: 2 · 2013: 1 · 2012: 1
FWCI
6.50
Type
journal article
Language
en
Open access
Licence
Locations
  • Dialogues in Clinical Neuroscience (publishedVersion, cc-by-nc-nd)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • PubMed
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
  • Health Sciences › Medicine › Family Practice › Primary Care and Health Outcomes
  • Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
Keywords
mental illness, primary care, general practitioners, mental health service utilization, underdiagnosis, treatment effectiveness, referral, psychological consultation, mental health service delivery

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