Evidence map›Paper›PMID 39421136›Full record

ArticleNature. Mental health2024

A nationwide analysis of 350 million patient encounters reveals a high volume of mental-health conditions in primary care.

Avshalom Caspi, Renate M Houts, Terrie E Moffitt, Leah S Richmond-Rakerd, Matthew R Hanna, Hans Fredrik Sunde, Fartein Ask Torvik

Abstract read
In one paragraph

Article in Nature. Mental health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

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  10. Parental income and psychiatric disorders from age 10 to 40: a genetically informative population study.Journal of child psychology and psychiatry, and allied disciplines · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Avshalom CaspiDepartment of Psychology and Neuroscience, Duke University, Durham, NC USA.ORCID 0000-0003-0082-4600
Renate M HoutsDepartment of Psychology and Neuroscience, Duke University, Durham, NC USA.
Terrie E MoffittDepartment of Psychology and Neuroscience, Duke University, Durham, NC USA.
Leah S Richmond-RakerdDepartment of Psychology, University of Michigan, Ann Arbor, MI USA.
Matthew R HannaDepartment of Psychology and Neuroscience, Duke University, Durham, NC USA.
Hans Fredrik SundeCentre for Fertility and Health, Norwegian Institute of Public Health, Oslo, Norway.ORCID 0000-0001-8797-5422
Fartein Ask TorvikPromenta Research Center, University of Oslo, Oslo, Norway.ORCID 0000-0003-3984-5978

Funding

STALLARD Admin Supp: Predicting Future Care Needs and Costs for Individual Medicare Enrollees with Incident Suspected Alzheimer's DiseaseP30AG034424 · NIA · DUKE UNIVERSITY · PI SCOTT M. LYNCH · 2009 to 2026
$12.2M
Is mental disorder a preventable cause of age-related disease? The Dunedin Study.R01AG032282 · NIA · DUKE UNIVERSITY · PI CASPI, AVSHALOM, MOFFITT, TERRIE E · 2009 to 2025
$9.5M
Pilot CoreP30AG066582 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Julie PW Bynum · 2020 to 2026
$7.2M
Science CoreP2CHD065563 · NICHD · DUKE UNIVERSITY · PI James Moody · 2015 to 2026
$5.7M
NIA NIH HHS P30 AG034424NIA NIH HHS P30 AG066582NIA NIH HHS R01 AG032282NICHD NIH HHS P2C HD065563
6 · The paper itself

Abstract

How many primary-care encounters are devoted to mental-health conditions compared with physical-health conditions? Here we analyzed Norway's nationwide administrative primary-care records, extracting all doctor-patient encounters occurring during 14 years (2006-2019) for the population aged 0-100 years. Encounters were recorded according to the International Classification of Primary Care. We compared the volume of mental-health encounters against volumes for conditions in multiple different body systems. A total of 4,875,722 patients generated 354,516,291 encounters. One in 9 encounters (11.7%) involved a mental-health condition. Only musculoskeletal conditions accounted for a greater share of primary-care physicians' attention. The volume of mental-health encounters in primary care equaled encounters for infections, cardiovascular and respiratory conditions and exceeded encounters for pain, injuries, metabolic, digestive, skin, urological, reproductive and sensory conditions. Primary-care physicians frequently treat complex mental-health conditions in patients of every age. These physicians may have a more important role in preventing the escalation of mental-health problems than heretofore appreciated.

Indexed as

EpidemiologyHealth servicesPsychiatric disorders

Identifiers

PMID39421136
PMCPMC11479939

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.