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Anxiety and Depression in a Primary Care Clinic:  Comparison of Diagnostic Interview Schedule, General Health Questionnaire, and Practitioner Assessments

Michael Von Korff, ScD; Sam Shapiro; Jack D. Burke, MD, MPH; Mark Teitlebaum, MD; Elizabeth A. Skinner, MSW; Raymond W. Turner, MD; Lawrence Klein, MD; Barbara Burns, PhD
Arch Gen Psychiatry. 1987;44(2):152-156. doi:10.1001/archpsyc.1987.01800140058008.
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• Over one half of all persons seen in a primary care clinic were identified as having anxiety or depressive disorder by the primary care provider, the General Health Questionnaire (GHQ), or the Diagnostic Interview Schedule (DIS). In only about 5% of all patients were findings positive on all three assessments concurrently. Both the GHQ and the practitioners identified over 30% of all patients as having a disorder, while about 8% had one or more of five DIS anxiety or depressive disorders (major depression, dysthymia, panic disorder, generalized anxiety disorder, or obsessive-compulsive disorder). Of the patients with DIS disorders 83% had positive GHQ scores, and 73% were identified by the practitioner as having a mental disorder.

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