Mental disorders in primary care in Israel: Prevalence and risk factors

Neil Laufer*, Nelly Zilber, Pablo Jecsmien, Binyamin Maoz, Daniel Grupper, Haggai Hermesh, Royi Gilad, Abraham Weizman, Hanan Munitz

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: Psychiatric morbidity is common among patients in primary care services and leads to disability and increased use of medical services. Comparison of primary care and community prevalence data is of interest in relation to the health services planning for mental disorders. The aim of the present study was to measure prevalence of mental disorders in six primary care clinics in Israel and to assess risk factors for these disorders. Method: Prevalence of mental disorders was measured in a sample of 2,948 primary care consecutive attendees, using two-stage stratified sampling with the General Health Questionnaire 12 (GHQ-12) and the Composite International Diagnostic Interview (CIDI). Results: A high rate (46.3 %) of current mental disorders was found, with rates of current depressive episode, generalized anxiety disorder, somatization disorder, and neurasthenia being relatively high in comparison with rates in other countries. Low education was a risk factor for all categories of disorders, unemployment a risk factor for depressive disorders, and parenthood was protective for most categories of disorders. Conclusions: High rates of mental disorders were found in this Israeli primary care sample as compared to other countries, while in the community the rates were midrange as compared to other countries, pointing to a relatively higher use of primary care services by patients with mental disorders in Israel than in other countries.

Original languageEnglish
Pages (from-to)1539-1554
Number of pages16
JournalSocial Psychiatry and Psychiatric Epidemiology
Volume48
Issue number10
DOIs
StatePublished - Oct 2013

Funding

FundersFunder number
Israel National Institute for Health Policy Research

    Keywords

    • Epidemiology
    • Mental disorders
    • Prevalence
    • Primary care
    • Risk factors

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