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Published in: Social Psychiatry and Psychiatric Epidemiology 10/2013

01-10-2013 | Original Paper

Mental disorders in primary care in Israel: prevalence and risk factors

Authors: Neil Laufer, Nelly Zilber, Pablo Jecsmien, Binyamin Maoz, Daniel Grupper, Haggai Hermesh, Royi Gilad, Abraham Weizman, Hanan Munitz

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 10/2013

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Abstract

Objective

Psychiatric morbidity is common among patients in primary care services and leads to disability and increased use of medical services. Comparison of primary care and community prevalence data is of interest in relation to the health services planning for mental disorders. The aim of the present study was to measure prevalence of mental disorders in six primary care clinics in Israel and to assess risk factors for these disorders.

Method

Prevalence of mental disorders was measured in a sample of 2,948 primary care consecutive attendees, using two-stage stratified sampling with the General Health Questionnaire 12 (GHQ-12) and the Composite International Diagnostic Interview (CIDI).

Results

A high rate (46.3 %) of current mental disorders was found, with rates of current depressive episode, generalized anxiety disorder, somatization disorder, and neurasthenia being relatively high in comparison with rates in other countries. Low education was a risk factor for all categories of disorders, unemployment a risk factor for depressive disorders, and parenthood was protective for most categories of disorders.

Conclusions

High rates of mental disorders were found in this Israeli primary care sample as compared to other countries, while in the community the rates were midrange as compared to other countries, pointing to a relatively higher use of primary care services by patients with mental disorders in Israel than in other countries.
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Metadata
Title
Mental disorders in primary care in Israel: prevalence and risk factors
Authors
Neil Laufer
Nelly Zilber
Pablo Jecsmien
Binyamin Maoz
Daniel Grupper
Haggai Hermesh
Royi Gilad
Abraham Weizman
Hanan Munitz
Publication date
01-10-2013
Publisher
Springer Berlin Heidelberg
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 10/2013
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-012-0620-8

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