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Biomedical subjects

P Cnockaert

Publications and source records attributed to P Cnockaert.

9 recordsLinked to original sources
PubMed2004

High prevalence of mental disorders in primary care.

OBJECTIVE: To determine the prevalence of common mental disorders in an adult primary care population. DESIGN: Cross-sectional survey in randomly selected subjects, using the PRIME-MD questionnaire. SETTING: Eighty-six general practices in Belgium. SUBJECTS: A total of 2316 randomly selected patients, aged 18 years or older and consulting their general practitioner for other than administrative reasons alone, with slightly more women (58.1%) than men (41.3%). MAIN OUTCOME RESULT: Prevalence rates of mental disorders most commonly seen in primary care practice (mood, anxiety, somatoform, eating and alcohol disorders). METHODS: To facilitate data collection and processing, the entire PRIME-MD questionnaire was programmed on a handheld computer. Patient answers and physician assessments were immediately electronically recorded during the interview. All investigators were trained on the use of the PRIME-MD. The recruitment period lasted 6 weeks: from 15 February to 25 March 1999, and patients were randomly selected for the interview based on a computerized procedure. RESULTS: Although only 5.4% of all patients consulted for a psychiatric reason, a threshold/subthreshold psychiatric disorder was detected in 42.5% of all patients. Most commonly detected disorders were mood disorders in 31.0% (major depressive disorder, 13.9% and dysthymia, 12.6%), anxiety disorders in 19.0% (generalized anxiety disorder, 10.3%), somatoform disorders in 18.0% and probable alcohol abuse/dependence in 10.1%. The results also showed the important rate of comorbidity between these disorders. CONCLUSION: The present study confirms the high prevalence of mental disorders in a general practice setting, and their frequent association. Prevalence rates of our study are even higher than those obtained in previously conducted trials. Our study also demonstrates the utility of the PRIME-MD as a screening tool for mental disorders in primary care. In addition the use of the handheld computer software version of the PRIME-MD allowed us to screen for mental disorders in patients who are unable to attend the GP office and are seen during 'home' visits.

Adult↗
PubMed2003

[Smoking cessation: experience in general medicine].

The author reviews the main psychological resistances that may be the origin of discomfort and diminishing efficiency for the general practitioner when the meets tobacco addict patients in his practice. He examines the different stages of the tobacco addicts patients according to the Prochaska and Di Clemente model and discusses stage after stage the patient's motivations and the interventions of the general practitioner. He insists on the necessary adequacy between these aspects and proposes a possible content for follow-up consultations.

Family Practice↗
PubMed2002

[May the general practitioner not be concerned about the alcohol consumption of his patients?].

Based on a literature review, the author points out the importance, in adult general medicine practice, of the prevalences in different alcohol consumption levels, alcohol induced sicknesses and dependencies. The very large frequency of these problems in general practice, the somatic repercussions of an excessive consumption and the general practitioner's possibilities of action on preventive and curative levels lead the physician to make a research about the alcohol consumption level of all his patients, to write it down on the patients files, to give at least a pronounced advice and to carry out a follow-up. The actual commitment of general practitioners and their issues are tackled. French inquiries show that if intention of research on risk patients is very frequent (85% of the practitioners), this attitude is far from being systematic for a whole practice (research by less than 50% of the practitioners and inscription in a space for less than 30% of the patients files). This relative commitment seems to be induced (french and belgian inquiries) by an underestimation of the effect of the advice given to the patient, and by a discouragement feeling in front of the impression of low treatment efficiency as well as the relapses and the attitudes of that kind of patients.

Adult↗
PubMed2002

[Administrative role and position of the general physician in the follow-up of patients in home palliative care].

The author names and discusses the different certificates the general practitioner can possibly deliver to a patient who needs palliative care at home in order to let him benefit of the care of a specialised team and of other social and financial advantages. He discusses afterwards the family practitioner's first rank position and his relations with the specialised palliative care teams (second line) and the specialised hospital services (third line).

Family Practice↗
PubMed1996

[Rational use of antidepressants in general medicine].

Depression is a common cause of morbidity and is frequently recurrent. Therefore, treatment must be oriented more and more to the prevention of relapses in addition to the cure of depressive episodes. Long-term administration of antidepressant drugs becomes thus the rule and, as a consequence, general practitioners are increasingly concerned by the prescription of such medications. The choice of an antidepressant is mostly oriented by the side-effects profile of the pharmacological class of the compound. Fortunately, more recent drugs like SSRIs (selective serotonin reuptake inhibitors) and reversible MAOIs (monoamine inhibitors) have a very higher security index than tricyclics and classical MAOIs.

Aged↗