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The prevalence of common mental and substance use disorders in general practice: a literature review and discussion paper

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dc.contributor.author Klimas, Jan
dc.contributor.author Neary, Anna
dc.contributor.author McNicholas, Claire
dc.contributor.author Meagher, David
dc.contributor.author Cullen, Walter
dc.date.accessioned 2018-11-07T15:22:22Z
dc.date.available 2018-11-07T15:22:22Z
dc.date.issued 2014
dc.identifier.citation Klimas, Jan, Neary, Anna, McNicholas, Claire, Meagher, David, & Cullen, Walter. (2014). The prevalence of common mental and substance use disorders in general practice: A literature review and discussion paper. Mental Health and Substance Use. doi: 10.1080/17523281.2014.939221 en_US
dc.identifier.other DOI:10.1080/17523281.2014.939221
dc.identifier.uri http://hdl.handle.net/10344/7284
dc.description peer-reviewed en_US
dc.description.abstract Enhanced primary care management of common mental and substance use disorders is a key healthcare target. Though primary care may be well placed to achieve this target, a greater understanding of the prevalence and profile of common mental and substance use disorders in primary care settings is needed. We searched the MEDLINE database (2002–2012) to provide an update on biomedical literature describing the prevalence of common mental and substance use disorders in European general practice. Following “PRISMA” guidelines, 17 studies were kept for qualitative synthesis. Prevalence, profile, screening instruments, associated co-morbidities, and gender distribution were tabulated. Depending on the screening method, the prevalence of common mental and substance use disorders ranged from 10.4% (Luxemburg) to 53.6% (Spain). Mood disorders were the most common. High co-morbidity with anxiety and somatisation hindered early identification and management. The continuing burden of common mental and substance use disorders, coupled with poor identification described in the updated EU biomedical literature, suggests that the unmet need for health care – identified by the World Health Organization a decade ago – remains unmet. Understanding the prevalence of common mental and substance use disorders, associated morbidity, and the extent to which general practice represents an important catchment mechanism can enhance their management at this level. General practitioners should be trained in accurate screening. Short screening instruments for general practitioners should be unified and promoted. en_US
dc.language.iso eng en_US
dc.publisher Taylor and Francis en_US
dc.relation.ispartofseries Mental Health and Substance Use;7 (4), pp. 497-508
dc.relation.uri http://dx.doi.org/10.1080/17523281.2014.939221
dc.rights This is an Author's Manuscript of an article whose final and definitive form, the Version of Record, has been published in Mental Health and Substance Use 2014 copyright Taylor & Francis, available online at:http://dx.doi.org/10.1080/17523281.2014.939221 en_US
dc.subject prevalence en_US
dc.subject epidemiology en_US
dc.subject general practice en_US
dc.subject family practice en_US
dc.subject primary health care en_US
dc.subject psychiatry en_US
dc.subject screening en_US
dc.subject common mental and substance use disorders en_US
dc.title The prevalence of common mental and substance use disorders in general practice: a literature review and discussion paper en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.1080/17523281.2014.939221
dc.contributor.sponsor HRB, GEMS en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US


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