Patients with psychiatric disorders in gynecologic practice-a three year follow-up

Objective. Patients with depressive disorders are commonly encountered in gynecologic practice. The prevalence rates for depressive disorders have been reported to vary between 10 and 40% among patients consulting their gynecologist. The purpose of the current study was to study health care utilizat...

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Published in:	Journal of psychosomatic obstetrics and gynaecology Vol. 27; no. 1; pp. 17 - 22
Main Authors:	Malmenström, Malin, Bixo, Marie, Björn, Inger, Åström, Monica, Poromaa, Inger Sundström
Format:	Journal Article
Language:	English
Published:	London Informa UK Ltd 01-03-2006 Taylor & Francis Parthenon Taylor & Francis Ltd
Subjects:	Adult Adult and adolescent clinical studies anxiety Anxiety Disorders - epidemiology Anxiety Disorders - rehabilitation Anxiety Disorders/epidemiology/rehabilitation Biological and medical sciences Comorbidity Depression Depressive Disorder - epidemiology Female Follow-Up Studies Fundamental and applied biological sciences. Psychology Genital Diseases, Female - diagnosis Genital Diseases, Female - epidemiology Genital Diseases, Female - therapy gynecology Gynecology and obstetrics Health Services - utilization Hospitalization - statistics & numerical data Humans Medical sciences Mental health Mood disorders Organization of mental health. Health systems Patient Acceptance of Health Care Prevalence Psychology and medicine Psychology. Psychoanalysis. Psychiatry Psychology. Psychophysiology Psychopathology. Psychiatry Questionnaires Severity of Illness Index Social psychiatry. Ethnopsychiatry Surveys and Questionnaires Sweden Europe Mood disorder Human Affect affectivity Prevalence Gynecology Use Anxiety disorder Depression Health service Epidemiology anxiety Follow up study Consultation Female Public health Female/diagnosis/epidemiology/therapy Genital Diseases
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Summary:	Objective. Patients with depressive disorders are commonly encountered in gynecologic practice. The prevalence rates for depressive disorders have been reported to vary between 10 and 40% among patients consulting their gynecologist. The purpose of the current study was to study health care utilization by patients with a psychiatric disorder in the gynecologic setting during a three-year period after the initial diagnosis of depression and or anxiety. Study design. In 1998 all scheduled and walk-in patients, at two gynecologic centers in northern Sweden during one month, were screened for prevalence of depression and anxiety disorders using the PRIME-MD system. Medical records for the period 16 December 1998 to 31 December 2001 have been reviewed. Results. Patients diagnosed with any anxiety disorder made significantly more appointments to the gynecologist and were acutely hospitalized more often than control subjects. Both patients with any depressive or any anxiety diagnosis made significantly more visits to health care personnel other than the gynecologist and they received counseling by phone and or letter significantly more often than patients in the control group. Furthermore, patients with depressive and or anxiety diagnosis were also referred to other medical specialists more often than controls. Conclusion. The present study has indicated that gynecologic patients with depression and anxiety over a three-year follow-up period have an increased health care utilization with more frequent consultations and more frequent referrals.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0167-482X 1743-8942
DOI:	10.1080/01674820500165968