Unassisted detection of depression by GPs: who is most likely to be misclassified?

@article{Carey2015UnassistedDO,
  title={Unassisted detection of depression by GPs: who is most likely to be misclassified?},
  author={Mariko Leanne Carey and Sze Lin Yoong and Alice Grady and Jamie Bryant and Amanda Jayakody and Rob Sanson-Fisher and Kerry J Inder},
  journal={Family practice},
  year={2015},
  volume={32 3},
  pages={
          282-7
        }
}
BACKGROUND Meta-analyses indicate 50% of cases of depression are not detected by GPs. It is important to examine patient and GP characteristics associated with misclassification so that systems can be improved to increase accurate detection and optimal management for groups at risk of depression. OBJECTIVE To examine patient and GP characteristics associated with GP misclassification of depression for patients classified by the Patient Health Questionnaire-9 as depressed. METHODS A cross… 

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References

SHOWING 1-10 OF 25 REFERENCES

Clinical diagnosis of depression in primary care: a meta-analysis

Nondetection of depression by primary care physicians reconsidered.

Do Primary Care Physicians Have Particular Difficulty Identifying Late-Life Depression? A Meta-Analysis Stratified by Age

In clinical practice GPs appear to be less successful in identifying depression in older people than in younger adults, however there have been few head-to-head studies stratified by age from one centre.

Dimensional perspective on the recognition of depressive symptoms in primary care

A dimensional approach to severity of depression shows that general practitioners may be better able to recognise depression than previous categorical studies have suggested.

Touch screen computer health assessment in Australian general practice patients: a cross-sectional study protocol

This cross-sectional study aims to assess the acceptability of an electronic method of data collection in general practice patients and the level of agreement between GPs and patients perception regarding presence of risk factors and screening.

Patient gender differences in the diagnosis of depression in primary care.

Logistic regression revealed that gender has both a direct and indirect effect on the likelihood of being diagnosed as depressed, and clinic use and BDI scores were found to be important correlates of the diagnosis of depression.

Diagnostic processes in mental health: GPs and psychiatrists reading from the same book but on a different page

  • L. LampeNarelle Shadbolt G. Malhi
  • Medicine, Psychology
    Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists
  • 2012
GPs appear cognizant of possible psychiatric disorders and management strategies, but employ diagnostic strategies and decision-making processes that, in addition to experience and expertise, likely reflect key differences between the primary care and specialist practice settings.

Screening for depression in adults: U.S. preventive services task force recommendation statement.

Evidence on the benefits and harms of screening primary care patients for depression, including direct evidence that depression screening programs improve health outcomes, is examined.

GP visits by health care card holders. A secondary analysis of data from Bettering the Evaluation and Care of Health (BEACH), a national study of general practice activity in Australia.

This analysis supports a relationship between socioeconomic status and health as those from a low socioeconomic status (health care card holders) experience worse psychosocial health and more chronic health problems, have more medications prescribed and receive less preventive care.