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Psychiatric diagnosis and intervention in older and younger patients in a primary care clinic: effect of a screening and diagnostic instrument
Author(s)Marcia Valenstein, Helen Kales, Alan Mellow
Journal titleJournal of the American Geriatrics Society, vol 46, no 12, December 1998
Pagespp 1499-1505
KeywordsMental disorder ; Diagnosis ; Screening ; Older people ; Adults ; United States of America.
AnnotationThe aim of this study was to determine whether patient age was associated with psychiatric diagnosis or provider intervention in a busy primary care clinic, and, if so, whether a screening and diagnostic tool, the PRIME-MD, modified age-related differences. Data from 952 younger and 1135 older patients were analysed. Findings showed that there was no association between patient age and PRIME-MD use. Older patients were less likely to receive a psychiatric diagnosis in analyses that adjusted for "highly positive" screening questionnaires, and to receive an intervention for a psychiatric condition in analyses that adjusted for whether a psychiatric diagnosis or a new psychiatric diagnosis was made during the study visit. The PRIME-MD increased rates of diagnosis and intervention but did not alter age-related disparities. (AKM).
Accession NumberCPA-990304401 A
ClassmarkE: LK7: 3V: B: SD: 7T

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