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A survey of general practitioners’ knowledge of symptoms and epidemiology of schizophrenia

Published online by Cambridge University Press:  16 April 2020

Hélène Verdoux ,
Audrey Cougnard ,
Sabrina Grolleau ,
Rachel Besson  and
Françoise Delcroix
Hélène Verdoux*
Affiliation:
Université Victor Segalen Bordeaux 2, Hôpital Charles-Perrens, 121, rue de la Béchade, 33076Bordeaux cedex, France Inserm U 657, IFR99 of Public Health, Bordeaux, France
Audrey Cougnard
Affiliation:
Université Victor Segalen Bordeaux 2, Hôpital Charles-Perrens, 121, rue de la Béchade, 33076Bordeaux cedex, France Inserm U 657, IFR99 of Public Health, Bordeaux, France
Sabrina Grolleau
Affiliation:
Université Victor Segalen Bordeaux 2, Hôpital Charles-Perrens, 121, rue de la Béchade, 33076Bordeaux cedex, France Inserm U 657, IFR99 of Public Health, Bordeaux, France
Rachel Besson
Affiliation:
Université Victor Segalen Bordeaux 2, Hôpital Charles-Perrens, 121, rue de la Béchade, 33076Bordeaux cedex, France UMR5036 Société, Santé, Développement, Bordeaux, France
Françoise Delcroix
Affiliation:
Université Victor Segalen Bordeaux 2, Hôpital Charles-Perrens, 121, rue de la Béchade, 33076Bordeaux cedex, France UMR5036 Société, Santé, Développement, Bordeaux, France
*
*Corresponding author. E-mail address: helene.verdoux@u-bordeaux2.fr (H. Verdoux).
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Abstract

Objective

To explore general practitioners' (GPs) knowledge of the symptoms and epidemiology of schizophrenia, and the GPs' characteristics associated with level of knowledge.

Methods

Survey questionnaires exploring practice in patients with early psychosis were mailed to all GPs in South-Western France (N = 3829). GPs were asked to fill out questions anonymously on the symptoms and epidemiology of schizophrenia.

Results

The response rate was 23.6%. GPs had a fair theoretical knowledge of schizophrenia symptoms, but underestimated the prevalence and the risk of suicide. Recent attendance at a continuing medical education (CME) course on schizophrenia was the main predictor of level of knowledge on epidemiological figures, although its impact was relatively modest. Regarding risk factors, the implication of genetic factors was considered as null or modest by more than half of the GPs, while a large proportion of them stated that mother–baby interactional disturbances were frequently implicated in the aetiology of the disorder.

Conclusions

GPs' level of knowledge on the public health impact and risk factors for schizophrenia needs to be improved in order to promote the delivery of accurate and destigmatising information to primary care patients.

Keywords

SchizophreniaPrimary careMedical knowledgeMedical education
Type
Original articles
Information
European Psychiatry , Volume 21 , Issue 4 , June 2006 , pp. 238 - 244
Copyright
Copyright © European Psychiatric Association 2006

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References

Addington, J, Van Mastrigt, S, Hutchinson, J, Addington, DPathways to care: help seeking behaviour in first episode psychosis. Acta Psychiatr. Scand. 2002;106:358–364.CrossRefGoogle ScholarPubMed
Burns, T, Cohen, AItem-of-service payments for general practitioner care of severely mentally ill persons: does the money matter?. Br. J. Gen. Pract. 1998;48:1415–1416.Google ScholarPubMed
Carr, VJ, Lewin, TJ, Barnard, RE, Walton, JM, Allen, JL, Constable, PMet al.Comparisons between schizophrenia patients recruited from Australian general practices and public mental health services. Acta Psychiatr. Scand. 2002;105:346–355.CrossRefGoogle ScholarPubMed
Carr, VJThe role of the general practitioner in the treatment of schizophrenia: general principles. Med. J. Aust. 1997;166:91–94.CrossRefGoogle ScholarPubMed
Carr, VJ, Lewin, TJ, Barnard, RE, Walton, JM, Allen, JL, Constable, PMet al.Attitudes and roles of general practitioners in the treatment of schizophrenia compared with community mental health staff and patients. Soc. Psychiatry Psychiatr. Epidemiol. 2004;39:78–84.CrossRefGoogle ScholarPubMed
Cougnard, A, Kalmi, E, Desage, A, Misdrahi, D, Abalan, F, Brun-Rousseau, Het al.Pathways to care of first-admitted subjects with psychosis in South-Western France. Psychol. Med. 2004;34:267–276.CrossRefGoogle ScholarPubMed
Courtenay, KFirst episode psychosis. GPs must assess patients’ risk behaviour. BMJ 2002;324:976.Google ScholarPubMed
Edwards, P, Roberts, I, Clarke, M, Diguiseppi, C, Pratap, S, Wentz, Ret al.Increasing response rates to postal questionnaires: systematic review. BMJ 2002;324:1183.CrossRefGoogle ScholarPubMed
Falloon, IR, Kydd, RR, Coverdale, JH, Laidlaw, TMEarly detection and intervention for initial episodes of schizophrenia. Schizophr. Bull. 1996;22:271–282.CrossRefGoogle ScholarPubMed
Fuchs, J, Steinert, TPatients with a first episode of schizophrenia spectrum psychosis and their pathways to psychiatric hospital care in South Germany. Soc. Psychiatry Psychiatr. Epidemiol. 2004;39:375–380.CrossRefGoogle ScholarPubMed
Hafner, H, Loffler, W, Maurer, K, Hambrecht, M, An Der Heiden, WDepression, negative symptoms, social stagnation and social decline in the early course of schizophrenia. Acta Psychiatr. Scand. 1999;100:105–118.CrossRefGoogle ScholarPubMed
Hodges, B, Inch, C, Silver, IImproving the psychiatric knowledge, skills, and attitudes of primary care physicians, 1950–2000: a review. Am. J. Psychiatry 2001;158:1579–1586.CrossRefGoogle ScholarPubMed
Jablensky, ASchizophrenia: recent epidemiologic issues. Epidemiol. Rev. 1995;17:10–20.CrossRefGoogle ScholarPubMed
Kendrick, T, Burns, T, Freeling, PRandomised controlled trial of teaching general practitioners to carry out structured assessments of their long term mentally ill patients. BMJ 1995;311:93–97.CrossRefGoogle ScholarPubMed
Kendrick, T, Burns, T, Garland, C, Greenwood, N, Smith, PAre specialist mental health services being targeted on the most needy patients? The effects of setting up special services in general practice. Br. J. Gen. Pract. 2000;50:121–126.Google ScholarPubMed
Lang, FH, Johnstone, EC, Murray, GDService provision for people with schizophrenia. II. Role of the general practitioner. Br. J. Psychiatry 1997;171:165–168.CrossRefGoogle ScholarPubMed
Lehman, AF, Lieberman, JA, Dixon, LB, Mcglashan, TH, Miller, AL, Perkins, DOet al.Practice guideline for the treatment of patients with schizophrenia, second edition. Am. J. Psychiatry 2004;161:1–56.Google ScholarPubMed
Lester, H10-minute consultation: first episode psychosis. BMJ 2001;323:1408.CrossRefGoogle ScholarPubMed
Lincoln, C, Harrigan, S, Mcgorry, PDUnderstanding the topography of the early psychosis pathways. An opportunity to reduce delays in treatment. Br. J. Psychiatry 1998;172:21–25.CrossRefGoogle ScholarPubMed
Lincoln, CV, Mcgorry, PWho cares? Pathways to psychiatric care for young people experiencing a first episode of psychosis. Psychiatr. Serv. 1995;46:1166–1171.Google ScholarPubMed
Mcevoy, J, Scheifler, P, Frances, AThe expert consensus guideline series: treatment of schizophrenia. J. Clin. Psychiatry 1999;60:1–83.Google Scholar
Mortensen, PBMortality and physical illness in schizophrenia. In: Murray, M, Jones, P, Van Os, J, Susser, E, Cannon, M, Mortality and physical illness in schizophrenia Cambridge: Cambridge University Press; 2003. p. 275–287.Google Scholar
Murray, R, Jones, P, Susser, E, Cannon, MThe epidemiology of schizophrenia. Cambridge: Cambridge University Press; 2003.Google Scholar
Nazareth, I, King, M, Tai, SSMonitoring psychosis in general practice: a controlled trial. Br. J. Psychiatry 1996;169:475–482.CrossRefGoogle ScholarPubMed
Nazareth, I, King, M, Davies, SCare of schizophrenia in general practice: the general practitioner and the patient. Br. J. Gen. Pract. 1995;45:343–347.Google ScholarPubMed
Norton, J, De Roquefeuil, G, Benjamins, A, Boulenger, JP, Mann, APsychiatric morbidity, disability and service use amongst primary care attenders in France. Eur. Psychiatry 2004;19:164–167.CrossRefGoogle ScholarPubMed
Olié, J, Bouvet, O, Gassab, LQuelles sont les modalités générales du programme thérapeutique à mettre en oeuvre dans les cas de schizophrénie débutante?. In: Petitjean, F, Marie-Cardine, M, Quelles sont les modalités générales du programme thérapeutique à mettre en oeuvre dans les cas de schizophrénie débutante? Montrouge: John Libbey Eurotext; 2003. p. 225–230.Google Scholar
Shiers, D, Lester, HEarly intervention for first episode psychosis. BMJ 2004;328:1451–1452.CrossRefGoogle ScholarPubMed
Thornicroft, G, Tansella, M, Becker, T, Knapp, M, Leese, M, Schene, Aet al.The personal impact of schizophrenia in Europe. Schizophr. Res. 2004;69:125–132.CrossRefGoogle ScholarPubMed
Thomson, C, Paterson-Brown, S, Russell, D, Mccaldin, D, Russell, IShort report: encouraging GPs to complete postal questionnaires—one big prize or many small prizes? A randomized controlled trial. Fam. Pract. 2004;21:697–698.CrossRefGoogle ScholarPubMed
Toews, J, Lockyer, J, Addington, D, Mcdougall, G, Ward, R, Simpson, EImproving the management of patients with schizophrenia in primary care: assessing learning needs as a first step. Can. J. Psychiatry 1996;41:617–622.CrossRefGoogle ScholarPubMed
Van Os, J, Galdos, P, Lewis, G, Bourgeois, M, Mann, ASchizophrenia sans frontiers: concepts of schizophrenia among French and British psychiatrists. BMJ 1993;307:489–492.CrossRefGoogle Scholar
Verdoux, H, Cougnard, ADépistage des troubles schizophréniques débutants : le rôle du médecin généraliste. Concours Med. 2004;126:953–957.Google Scholar
Statacorp Stata Statistical Software: Release 7.0. 2001.Google Scholar
Direction de la Recherche des-Etudes et de l'Evaluation Statistiques Projections Médecins 2002–2020. DREES, Série Statistiques. 2002 (30xs).Google Scholar
Verdoux, H, Tignol, JFocus on psychiatry in France. Br. J. Psychiatry 2003;183:466–471.CrossRefGoogle ScholarPubMed
Verdoux, H, Maurice-Tison, S, Gay, B, Van Os, J, Salamon, R, Bourgeois, MA survey of delusional ideation in primary care patients. Psychol. Med. 1998;28:127–134.CrossRefGoogle ScholarPubMed
Verdoux, H, Lengronne, J, Liraud, F, Gonzales, B, Assens, F, Abalan, Fet al.Medication adherence in psychosis: predictors and impact on outcome. A 2-year follow-up of first-admitted subjects. Acta Psychiatr. Scand. 2000;102:203–210.CrossRefGoogle ScholarPubMed
Yung, AR, Mcgorry, PD, Mcfarlane, CA, Jackson, HJ, Patton, GC, Rakkar, AMonitoring and care of young people at incipient risk of psychosis. Schizophr. Bull. 1996;22:283–303.CrossRefGoogle ScholarPubMed
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