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Results of a Follow-up Study

Larry G. Kessler, ScD; Paul D. Cleary, PhD; Jack D. Burke, Jr, MD, MPH

Arch Gen Psychiatry. 1985;42(6):583-587.

Abstract
• Despite extensive documentation of high rates of psychiatric morbidity among primary care patients, there have been, to our knowledge, no US studies following up these patients over time. We analyzed data based on two administrations of the Schedule for Affective Disorders and Schizophrenia-Lifetime version (SADS-L) six months apart to 166 attenders at a primary care clinic in Marshfield, Wis. In the short span between interviews, 35% of the study group exhibited at least one Research Diagnostic Criteria disorder, and almost two thirds of these individuals had significant changes in diagnostic status based on SADS-L data. Diagnosis of these transient and episodic cases by the primary care physicians was under 10%, demonstrating the need for careful evaluation of the psychiatric status of primary care patients.

Author Affiliations
From the Clinical Services Research Branch, Division of Biometry and Epidemiology, National Institute of Mental Health, Rockville, Md (Drs Kessler and Burke); and the Department of Social Medicine and Health Policy, Harvard Medical School, Boston (Dr Cleary).

Footnotes
Accepted for publication July 17, 1984.

The views expressed in this article are those of the authors, and no official endorsement by the National Institute of Mental Health is intended or should be inferred.

Reprint requests to Clinical Services Research Branch, Room 18C-14, 5600 Fishers Lane, Rockville, MD 20857 (D. Bodison).

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