Common adult psychiatric disorders in Swedish primary care where most mental health patients are treated
- PMID: 28666429
- PMCID: PMC5493066
- DOI: 10.1186/s12888-017-1381-4
Common adult psychiatric disorders in Swedish primary care where most mental health patients are treated
Abstract
Background: The overall aim of this study is to present descriptive data regarding the treated prevalence of nine common psychiatric and substance use disorders in the first Primary Care Registry (PCR) in Sweden: Major Depression (MD), Anxiety Disorders (AD), Obsessive-Compulsive Disorder (OCD), Adjustment Disorder (AdjD), Eating Disorders (ED), Personality Disorder (PD), Attention Deficit Hyperactivity Disorder (ADHD), Alcohol Use Disorder (AUD) and Drug Abuse (DA).
Method: We selected 5,397,675 individuals aged ≥18. We examined patterns of comorbidity among these disorders and explored the association between diagnoses in the PCR and diagnoses obtained from Hospital and Specialist care. We explored the proportion of patients with these nine disorders that are only treated in primary health care.
Results: For four of our disorders, 80% or more of the cases were present only in the PCR: AdjD, DA, AD and MD. For two disorders (OCD and ED), 65-70% of cases were only found in the PCR. For three disorders (PD, AUD, and ADHD), 45-55% of the patients were only present in the PCR.
Conclusion: The PCR will, in the future, likely prove to be an important tool for studies in psychiatric epidemiology.
Keywords: Mental disorders; Mental health; Personality; Population characteristics.
References
-
- Försäkringskassan: Vad kostar olika sjukdomar i sjukförsäkringen? Kostnader för sjukpenning i sjukskrivningar (över 14 dagar) samt sjukersättning och aktivitetsersättning år 2009 fördelat på diagnos (What are the costs for different diseases in Swedish sickness insurance? The cost of sick leave for reporting sick (over 14 days) and sickness compensation and active compensation in 2009 based on diagnoses). In.: Swedish Social Insurance Agency; 2011.
-
- Vos T, Flaxman AD, Naghavi M, Lozano R, Michaud C, Ezzati M, Shibuya K, Salomon JA, Abdalla S, Aboyans V, et al. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet (London, England) 2012;380(9859):2163–2196. doi: 10.1016/S0140-6736(12)61729-2. - DOI - PMC - PubMed
-
- Bodlund O. Anxiety and depression as a hidden problem in primary health care. Only one case in four identified. Lakartidningen. 1997;94(49):4612–4614. - PubMed
-
- Martin-Merino E, Ruigomez A, Johansson S, Wallander MA, Garcia-Rodriguez LA. Study of a cohort of patients newly diagnosed with depression in general practice: prevalence, incidence, comorbidity, and treatment patterns. Primary care companion to the Journal of clinical psychiatry. 2010;12(1):PCC.08m00764. - PMC - PubMed
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