Psychiatric case identification in general practice: Self‐rating versus interview

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Abstract
Sixty‐four general practice patients diagnosed by a general practitioner as psychiatrically disturbed and 42 patients judged by the general practitioner as psychologically healthy, were interviewed by psychiatrists by means of the “Schedule for a Standardized Assessment of Depressive Disorders” (SADD) developed by WHO. A subsample of 77 patients also filled out the “General Health Questionnaire” (GHQ) by Goldberg. A relatively high agreement between the “General Health Questionnaire” and the psychiatrist's judgement (after interviewing the patient with the SADD) was found. The agreement between the GHQ and the psychiatrist's diagnosis was higher for the psychiatrist's diagnosis of depression than for his diagnosis of “general psychiatric disturbance”. It is recommended to use the “General Health Questionnaire” as a screening tool in general practice.

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