Screening for psychiatric disorders in medical patients: a feasibility and patient acceptance study

Med Care. 1994 Jun;32(6):603-8. doi: 10.1097/00005650-199406000-00005.

Abstract

This study examines whether medical patients were bothered or upset by being asked to complete a questionnaire about emotional and substance use problems, and whether a newly developed, brief questionnaire that screens for several psychiatric disorders (the SCREENER) was easy for patients to complete. A consecutive series of outpatients attending the General Medical Clinic at the Philadelphia Veterans Affair Medical Center (VAMC) was approached to ask their participation in a research study requiring the completion of a brief questionnaire about their emotions, moods, thoughts, and behaviors, and a second questionnaire that asked their opinion about the first measure. Only 3.1% of the patients indicated that the questions were difficult to answer, whereas 84.6% found the questions easy or very easy to answer. Between 80% to 90% of the patients were not embarrassed, upset, annoyed, or uncomfortable by answering the questions. Individuals with a history of psychiatric treatment and poorer current mental health were the most likely to have a negative reaction to the questionnaire. Thus, the medical patients in this study reacted favorably to the completion of a broad-based questionnaire about emotional problems. The questions were judged easy to answer and rarely aroused significant negative affect.

MeSH terms

  • Aged
  • Attitude to Health
  • Feasibility Studies
  • Female
  • Hospitals, Veterans
  • Humans
  • Male
  • Mass Screening / methods*
  • Mass Screening / psychology
  • Mental Disorders / diagnosis*
  • Middle Aged
  • Outpatient Clinics, Hospital
  • Outpatients / psychology*
  • Patient Acceptance of Health Care / statistics & numerical data*
  • Philadelphia
  • Substance Abuse Detection / psychology
  • Surveys and Questionnaires*