February 1987

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

Author Affiliations

Pearl German, ScD
From the Center for Health Studies, Group Health Cooperative of Puget Sound, Seattle (Dr Von Korff); The Johns Hopkins School of Hygiene and Public Health, Baltimore (Dr German and Mr Shapiro and Ms Skinner); National Institute of Mental Health, Bethesda, Md (Drs Burke and Burns); and The Johns Hopkins School of Medicine (Drs Teitlebaum, Turner, and Klein).

Arch Gen Psychiatry. 1987;44(2):152-156. doi:10.1001/archpsyc.1987.01800140058008

• 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.