کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5121243 1378292 2017 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Training General Practitioners to Detect Probable Mental Disorders in Young People During Health Risk Screening
ترجمه فارسی عنوان
آموزش پزشکان عمومی برای تشخیص اختلالات احتمالی روانی در جوانان در هنگام بروز خطر سلامت
کلمات کلیدی
نوجوانان، جوانان اختلال روانی، درک بیماری روحی، غربالگری خطر سلامت روان شناختی، مداخله جهانی، پزشک عمومی، مراقبت های اولیه،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
چکیده انگلیسی

PurposeThe purpose of the study is to investigate whether a training intervention increases general practitioners' (GPs) detection sensitivity for probable mental disorders in young people.MethodsForty general practices were randomized to an intervention (29 GPs) or comparison arm (49 GPs). Intervention GPs participated in 9 hours of interactive training on youth-friendly care, psychosocial health risk screening, and responding to risk-taking behavior with motivational interviewing approaches, followed by practice visits assisting with integration of screening processes and tools. Youth aged 14-24 years attending GPs underwent a computer-assisted telephone interview about their consultation and psychosocial health risks. Having a “probable mental disorder” was defined as either scoring high on Kessler's scale of psychological distress (K10) or self-perceived mental illness. Other definitions tested were high K10; self-perceived mental illness; and high K10 and self-perceived mental illness. Psychosocial health risk screening rates, detection sensitivity, and other accuracy parameters (specificity, positive predictive value, and negative predictive value) were estimated.ResultsGPs' detection sensitivity improved after the intervention if having probable mental disorder was defined as high K10 score and self-perceived mental illness (odds ratio: 2.81; 95% confidence interval: 1.23-6.42). There was no significant difference in sensitivity of GPs' detection for our preferred definition, high K10 or self-perceived mental illness (.37 in both; odds ratio: .93; 95% confidence interval: .47-1.83), and detection accuracy was comparable (specificity: .84 vs. .87, positive predictive values: .54 vs. .60, and negative predictive values: .72 vs. .72).ConclusionsImproving recognition of mental disorder among young people attending primary care is likely to require a multifaceted approach targeting young people and GPs.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Adolescent Health - Volume 61, Issue 3, September 2017, Pages 302-309
نویسندگان
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