title: [Screening for bipolar disorder in primary care patients with psychological symptoms].
abstract: OBJECTIVE
  To estimate the proportion of positive results in the screening of bipolar disorder (BD) among primary care patients presenting with psychological symptoms, and to analyze their characteristics.
  
  
  METHODS
  Multicenter cross-sectional study.
  
  
  METHODS
  Nineteen Primary Care clinics in different Spanish regions.
  
  
  METHODS
  A total of 360 consecutive primary care patients aged 18 to 70, presenting with psychological symptoms.
  
  
  METHODS
  Screening for BP was performed by means of the Mood Disorders Questionnaire. Data on quality of life (EuroQol-5D) and functional impairment (Sheehan Disability Inventory) were obtained. Data on psychiatric comorbidity and data on the use of psychotropic medication were acquired by review of medical records.
  
  
  RESULTS
  Of the patients screened, 11.9% were positive (95%CI: 8.8%-15.7%). Only two patients had a diagnosis of BP in their clinical records and, although more than half received treatment with antidepressants, only two received treatment with mood stabilizers. Positive screening is associated with work, social and family dysfunction, greater perceived stress and poor quality of life.
  
  
  CONCLUSIONS
  BD screening in primary care patients with psychological problems leads to a striking proportion of positive results, indicating that there may be a significant prevalence of BP patients, most of them undiagnosed and untreated. Further research is needed to determine the role that Primary Care can or should assume in the screening, diagnosis and management of this disorder.
authors.affiliation: Grupo semFYC de Salud Mental, España; IDIAP Jordi Gol, Barcelona, España; CAP de Constantí, Constantí, Tarragona, España. Electronic address: earagones.tarte.ics@gencat.cat.
authors.forename: Enric
authors.initials: E
authors.lastname: Aragonès
authors.affiliation: Grupo semFYC de Salud Mental, España; CS Las Calesas, Madrid, España; Unidad Docente de Atención Familiar y Comunitaria - Madrid centro, Madrid, España.
authors.forename: Juan A
authors.initials: JA
authors.lastname: López-Rodríguez
authors.affiliation: CS Zona IV, Albacete, España.
authors.forename: Francisco
authors.initials: F
authors.lastname: Escobar-Rabadán
authors.affiliation: Grupo semFYC de Salud Mental, España; CS Zona Vb, Albacete, España.
authors.forename: Juan
authors.initials: J
authors.lastname: Téllez-Lapeira
authors.affiliation: Grupo semFYC de Salud Mental, España; CS de Carlet, Carlet, Valencia, España.
authors.forename: José
authors.initials: J
authors.lastname: Mínguez
authors.affiliation: CS de La Roda, La Roda, Albacete, España.
authors.forename: Ignacio
authors.initials: I
authors.lastname: Párraga
authors.affiliation: Grupo semFYC de Salud Mental, España; CS de Adeje, Adeje, Tenerife, España.
authors.forename: Tatiana
authors.initials: T
authors.lastname: Suárez-Hernández
authors.affiliation: CS Los Rosales, Madrid, España.
authors.forename: María José
authors.initials: MJ
authors.lastname: Piñero
authors.affiliation: CS Goya, Madrid, España.
authors.forename: Marta-Magdalena
authors.initials: MM
authors.lastname: Guzón
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001714:Bipolar Disorder / Q000175:diagnosis*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care; D011569:Psychiatric Status Rating Scales; D055815:Young Adult
keywords: Atención primaria; Bipolar disorder; Cribado; Primary health care; Screening; Trastorno bipolar