Validität von Krankenscheindiagnosen psychischer Störungen

摘要: Background and objective: Even in young adult age, psychological disorders are highly prevalent. Family doctors gynaecologists the physicians most often consulted by women. Hence, they have a special responsibility to diagnose psychiatric - if necessary refer specialist. Patients methods: In prospective epidemiological study, 342 women (between 18 25 years of age) were questioned two times with structured interview (F-DIPS) designed for mental disorders. time period (1997 1998), we also investigated, analysing personal health insurance data, primary-care physicians' diagnoses payments services rendered. The compared. Results: There was only small accordance between F-DIPS claimcards. Ambulant treating diagnosed somatoform 28% (F-DIPS: 3, 8%). F- DIPS found mostly phobic (29%) (claimcards: 6,1%). A disorder-specific therapy rarely initiated. treatment (psychotherapy and/or drug therapy) ofwomen appeared be insufficient. Conclusion: study indicates that should urgently trained diagnostics und therapy.