DOI: https://doi.org/10.22263/2312-4156.2020.5
Kirpichenka A.A., Baryshau A.N.
Anxiety and depression screening in general medical practice: the current state of the matter
Vitebsk State Order of Peoples’ Friendship Medical University, Vitebsk, Republic of Belarus
Vestnik VGMU. 2020;19(5):8-16.
Abstract.
Screening of anxiety and depression disorders in general medical practice is a very important problem of modern medicine. In this literature review, the authors summarize and systematize scattered and conflicting data regarding the screening of anxiety and depressive disorders, as well as make suggestions aimed at its optimization in general medical practice. The article focuses on current problems in the organization of screening and the main obstacles that prevent its effective introduction into general medical practice. The problematic issues of overdiagnosis of anxiety and depressive disorders and subsequent inadequate treatment, psychiatric stigma and additional labor input of doctors during outpatient visits are considered. Particular attention is drawn to the need to further optimize the screening of anxiety and depression in order to increase the effectiveness of providing psychiatric and psychotherapeutic care to patients in an outpatient network. For this, in the judgement of the authors, it is necessary to implement a number of changes at the legislative level in the very near future.
Key words: screening, anxiety, depression, general medical practice.
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Information about authors:
Kirpichenka A.A. – Doctor of Medical Sciences, associate professor, head of the Chair of Psychiatry & Narcology, Vitebsk State Order of Peoples’ Friendship Medical University,
ORCID: https://orcid.org/0000-0003-4861-2324
Baryshau A.N. – lecturer of the General Practitioner Chair with the course of Outpatient Therapy, Vitebsk State Order of Peoples’ Friendship Medical University.
Correspondence address: Republic of Belarus, 210039, Vitebsk, 37-57 P. Brovki str. E-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Andrey A. Kirpichenka.
