Impact of Screening for Mental Health Concerns on Health Service Utilization and Functional Status in Primary Care Patients

Reifler, Douglas; Kessler, Holly S.; Bernhard, Elizabeth J.; Leon, Andrew C.; Martin, Gary J.

doi:10.1001/archinte.1996.00440210121012

Cited by 35 publications

(9 citation statements)

References 22 publications

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“…To be classified as nonanxious, participants had to have an ASI and SPRAS score lower than 20 and no history of mental illness. We employed 20 as the cut-off score for nonanxious participants because the mean ASI score for nonclinical college age women is 19.8 [18], and the mean SPRAS score for primary care patients with one or more mental disorders (including generalized anxiety disorder and panic disorder) is 19.9 [20].…”

Section: Participantsmentioning

confidence: 99%

The Relationship Between Sexual Concordance and Interoception in Anxious and Nonanxious Women

Suschinsky¹,

Lalumière

2014

The Journal of Sexual Medicine

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Introduction Sexual concordance refers to the association between physiological and self-reported sexual arousal. Women typically exhibit lower sexual concordance scores than men. There is also a sex difference in interoception—awareness of (nonsexual) physiological states or responses—such that women, compared with men, tend to be less aware of and less accurate at detecting changes in their physiological responses. Women with anxiety problems tend to have better interoceptive abilities than nonanxious women. Aim To investigate whether women's lower sexual concordance is associated with interoception using a sample likely to show high variation in interoceptive abilities. Method Sixteen anxious and 15 nonanxious women were presented with twelve 90 seconds sexual and nonsexual film clips while their genital response, heart rate, and respiration rate were measured. A heartbeat mental tracking task was also employed. Main Outcome Measures Genital response was measured with a vaginal photoplethysmograph. Heart rate was measured with an electrocardiogram and respiration rate with a thermistor. Participants estimated their physiological responses after each film. A mental tracking task was also used to assess participants' awareness of heart rate. Within-subject correlations were computed for each physiological/self-reported response combination. Results Overall, sexual concordance (i.e., the correlation between genital responses and perceptions of genital response) was not significantly associated with heart rate awareness or respiration rate awareness. Anxious women did not exhibit significantly higher sexual concordance or heart rate awareness than nonanxious women; the nonanxious women actually exhibited higher respiration rate awareness. Conclusion The results suggest that sexual concordance may be a distinct phenomenon from interoception and in need of its own explanation.

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Section: Participantsmentioning

confidence: 99%

The Relationship Between Sexual Concordance and Interoception in Anxious and Nonanxious Women

Suschinsky¹,

Lalumière

2014

The Journal of Sexual Medicine

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“…Over the past 20 years, a series of studies has been conducted to improve the recognition of depression by screening primary care patients for depressive symptoms ( Johnstone and Goldberg 1976;Moore, Silimper, and Bobula 1978;Zung, Magill, Moore et al 1983;Linn and Yager 1984;Hoeper, Kessler, Nyez, et al 1984;Shapiro, German, and Skinner 1987;Magruder-Habib, Zung, Feussner, et al 1989;and Feussner 1990;Ormel, Koeter, van den Brink, et al 1991;Coyne, Fechner-Bates, and Schwenk 1994;Dorwick and Buchan 1995;Greenfield, Meszler-Reizes, Magruder, et al 1997;Riefler, Kessler, Bernhard, et al 1996;Coyne, Klinkman, Gallo, et al 1998). Katon and Gonzales (1994) reviewed the evidence on randomized controlled trials of screening interventions published until 1993.…”

Section: Case Finding and Construction Of An "Epidemiologic Map"mentioning

confidence: 99%

Treating Depressed Older Adults in Primary Care: Narrowing the Gap between Efficacy and Effectiveness

et al. 1999

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There is a gap between the efficacy of treatments for late-life depression under research conditions and the effectiveness of treatments as they occur in the "real world" of primary care. Considerable evidence supports the efficacy of treatments for late-life depression, but many depressed older adults either are not recognized or do not receive effective treatment for depression in primary care. Older adults face a range of special treatment barriers: knowledge deficits; losses and social isolation; multiple medical problems; and lack of financial resources. More research is needed to understand these barriers and to study the effectiveness of multifaceted, population-based disease management interventions for late-life depression in primary care.

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“…[42][43][44] While tempting to speculate that systematic screening for the presence of an anxiety disorder could help overcome these barriers and improve clinical outcomes, reports from the depression literature suggest otherwise. 27,41,[45][46][47] Nevertheless, recognition of the anxiety disorder is a necessary first step. A variety of ''collaborative care'' strategies 48 for treating depressed primary care patients that include a case-finding component and systematic follow-up by a care manager who follows an evidence-based protocol in concert with patients' PCPs have been proven effective.…”

Section: Discussionmentioning

confidence: 99%

Symptomatic severity of prime-MD diagnosed episodes of panic and generalized anxiety disorder in primary care

et al. 2005

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Impact of Screening for Mental Health Concerns on Health Service Utilization and Functional Status in Primary Care Patients

Cited by 35 publications

References 22 publications

The Relationship Between Sexual Concordance and Interoception in Anxious and Nonanxious Women

The Relationship Between Sexual Concordance and Interoception in Anxious and Nonanxious Women

Treating Depressed Older Adults in Primary Care: Narrowing the Gap between Efficacy and Effectiveness

Symptomatic severity of prime-MD diagnosed episodes of panic and generalized anxiety disorder in primary care

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