Abstract

This proposal requests support for part of an international collaborative study organized by the World Health Organization (WHO) to examine psychologic distress, psychiatric disorder, and functional somatic symptoms in general health care settings. Support is specifically requested for a U.S. site to join existing sites in Europe, South America, Asia, and Africa. The overall project will examine level of psychiatric morbidity among primary care medical patients as well as the association of that morbidity with disability and use of health services. Use of standardized instruments and training will allow international comparisons not previously possible. The proposed Seattle site will also study the effects of patient psychological distress on physician decision-making as well as the relationship between reported and actual health services utilization. Study protocol calls for each site to screen 1500 primary care patients using the General Health Questionnaire (GHQ) and AUDIT questionnaire. A random sample of 395 respondents (stratified by GHQ score) will complete the Composite International Diagnostic Interview (CIDI). All interviewed subjects with significant psychiatric morbidity will complete 3- and 12-month follow-ups to assess symptom levels, disability, and use of health services.

  Funding Agency

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Small Research Grants (R03)
Project #
5R03MH047765-02
Application #
2247812
Study Section
Mental Health Small Grant Review Committee (MSM)
Project Start
1991-05-01
Project End
1993-04-30
Budget Start
1992-05-01
Budget End
1993-04-30
Support Year
2
Fiscal Year
1992
Total Cost
Indirect Cost

  Institution

Name
Center for Health Studies
Department
Type
DUNS #
078198520
City
Seattle
State
WA
Country
United States
Zip Code
98101

  Publications

Simon, G E; Goldberg, D P; Von Korff, M et al. (2002) Understanding cross-national differences in depression prevalence. Psychol Med 32:585-94
Simon, G E; VonKorff, M; Piccinelli, M et al. (1999) An international study of the relation between somatic symptoms and depression. N Engl J Med 341:1329-35
Tiemens, B G; VonKorff, M; Lin, E H (1999) Diagnosis of depression by primary care physicians versus a structured diagnostic interview. Understanding discordance. Gen Hosp Psychiatry 21:87-96
Simon, G E; Goldberg, D; Tiemens, B G et al. (1999) Outcomes of recognized and unrecognized depression in an international primary care study. Gen Hosp Psychiatry 21:97-105
Simon, G E; Gureje, O (1999) Stability of somatization disorder and somatization symptoms among primary care patients. Arch Gen Psychiatry 56:90-5
Piccinelli, M; Rucci, P; Ustun, B et al. (1999) Typologies of anxiety, depression and somatization symptoms among primary care attenders with no formal mental disorder. Psychol Med 29:677-88
Simon, G E; VonKorff, M (1997) Prevalence, burden, and treatment of insomnia in primary care. Am J Psychiatry 154:1417-23
Simon, G; Gater, R; Kisely, S et al. (1996) Somatic symptoms of distress: an international primary care study. Psychosom Med 58:481-8
Von Korff, M; Simon, G (1996) The prevalence and impact of psychological disorders in primary care: HMO research needed to improve care. HMO Pract 10:150-5
Simon, G; Ormel, J; VonKorff, M et al. (1995) Health care costs associated with depressive and anxiety disorders in primary care. Am J Psychiatry 152:352-7

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