title: [Ability to detect psychiatric disorders by the family physician].
abstract: OBJECTIVE
  To determine the ability of family physicians to detect psychiatric disorders, comparing the presence of psychiatric disorders detected using validated tests and referrals by family physicians.
  
  
  METHODS
  Cross-sectional, two-phase study.
  
  
  METHODS
  Primary healthcare centres in an urban area of Madrid.
  
  
  METHODS
  Patients between 18 and 65years attending primary healthcare centres for non-administrative purposes.
  
  
  METHODS
  To detect psychiatric disorders in the waiting room, an interview was performed using GHQ-28 and MULTICAGE CAD-4 in the screening phase (considered positive: score of 6 or higher on the GHQ-28 or a score 2 or higher on MULTICAGE CAD-4). Patients with a positive score and 20% with negative were recruited for the second phase (case identification) using MINI interview. During family physician consultation, the patient gave his doctor a card with an identification number to record the presence of psychiatric illness in his/her opinion and whether there was treatment with psychotropic drugs.
  
  
  RESULTS
  A total of 628 subjects participated. The prevalence of psychiatric disorders corrected by two phase methodology was 31.7% (95%CI: 27.9 to 35.5). Of the 185 patients with a psychiatric disorder detected, 44.2% (95%CI: 36.7 to 51.7) were identified as patients with psychiatric disorders by their family physician. Disorders best detected were: hypomania, dysthymic disorder, depressive episode with melancholic symptoms, and panic disorder.
  
  
  CONCLUSIONS
  A significant percentage of patients with possible psychiatric disorders detected with validated test have not been identified by their family physician.
authors.affiliation: Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISECC). Unidad de Apoyo a la Investigación, Gerencia de Atención Primaria, Madrid, España. Electronic address: sgarrido@salud.madrid.org.
authors.forename: Sofía
authors.initials: S
authors.lastname: Garrido-Elustondo
authors.affiliation: Instituto de Psiquiatría y Salud Mental, Instituto de Investigación (IdISSC), Hospital Clínico San Carlos, Departamento de Psiquiatría, Universidad Complutense, Madrid, España.
authors.forename: Blanca
authors.initials: B
authors.lastname: Reneses
authors.affiliation: Instituto de Psiquiatría y Salud Mental, Hospital Clínico San Carlos, Madrid, España.
authors.forename: Aida
authors.initials: A
authors.lastname: Navalón
authors.affiliation: Instituto de Psiquiatría y Salud Mental, Hospital Clínico San Carlos, Madrid, España.
authors.forename: Olga
authors.initials: O
authors.lastname: Martín
authors.affiliation: Instituto de Psiquiatría y Salud Mental, Hospital Clínico San Carlos, Madrid, España.
authors.forename: Isabel
authors.initials: I
authors.lastname: Ramos
authors.affiliation: Instituto de Investigación (IdISSC), Hospital Clínico San Carlos, Madrid, España.
authors.forename: Manuel
authors.initials: M
authors.lastname: Fuentes
mesh_terms: D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D001523:Mental Disorders / Q000175:diagnosis*; D010821:Physicians, Family; D011320:Primary Health Care; D011619:Psychotropic Drugs; D013030:Spain
chemical_list: D011619:Psychotropic Drugs
keywords: Atención primaria; Habilidad diagnóstica; Patología psiquiátrica; Primary care; Psychiatric disorder; Recognition