Depression symptomatology and diagnosis: discordance between patients and physicians in primary care settings

Ani, Chizobam; Bazargan, Mohsen; Hindman, David; Bell, Douglas S.; Farooq, Muhammad Ahsan; Akhanjee, Lutful; Yemofio, Francis; Baker, Richard S.; Rodriguez, Michael

doi:10.1186/1471-2296-9-1

Cited by 92 publications

(98 citation statements)

References 39 publications

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“…2 Mental illness significantly affects outcomes in patients with other chronic medical illnesses. [3][4][5][6][7][8][9][10] The concept of patient complexity, which encompasses the influences of multiple chronic diseases, demographic factors, and psychosocial issues on disease outcomes, 11,12 could prove helpful in understanding the interplay between co-occurring mental and medical illness.…”

Section: Introductionmentioning

confidence: 99%

Primary Care Physician Perceptions on Caring for Complex Patients with Medical and Mental Illness

et al. 2012

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Section: Introductionmentioning

confidence: 99%

Primary Care Physician Perceptions on Caring for Complex Patients with Medical and Mental Illness

et al. 2012

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“…They are also a common and important cause for seeking lay and professional advice (5). Unsurprisingly, this can lead to substantial losses in work performance (6)(7)(8)(9). It seems that this is a universal problem, as the amount of lost working hours due to depression does not differ between European countries and is not associated with economic development or health coverage, but rather with other factors such as demographic and personality (6,7).…”

mentioning

confidence: 99%

“…It seems that this is a universal problem, as the amount of lost working hours due to depression does not differ between European countries and is not associated with economic development or health coverage, but rather with other factors such as demographic and personality (6,7). Taking into account that over 50 % of depressed people are not identifi ed and treated, we can easily imagine the far-reaching implications of this problem (8).…”

mentioning

confidence: 99%

Correlates of Depression in the Slovenian Working Population

Klemenc–Ketiš

Peterlin

2013

Archives of Industrial Hygiene and Toxicology

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This multicentre, cross-sectional observational study aimed to determine the prevalence of depression among the working population of Slovenia and identify factors correlating with higher prevalence of depression. It was conducted in three occupational medicine practices within major Slovenian primary health care centres. The study population consisted of 1,474 respondents [73.7 % of the invited participants, 889 (60.3 %) men and 585 (39.7 %) women with mean age of (40.5±9.8) years] who visited these practices for their regular check-ups from November 2010 to June 2012 and were asked to fi ll in a self-developed questionnaire and score depression on the Zung's self-rating depression scale. According to the rating, 50 (3.4 %) respondents suffered from depression. In the multivariate analysis, depression correlated with the following independent variables: self-perceived exposure to chronic stress, positive family history of depression, and primary school education.

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“…First, it is possible that patients classified as "not-depressed" were truly depressed. In addition to known under-diagnosis of depression in primary care, 30 which may be differential in vulnerable populations 31 and those without insurance, 32 there may be under-documentation of it as well, since primary care providers are frequently not reimbursed if depression is the primary ICD-9 diagnosis. The accuracy of using administrative data or the EMR to determine depression diagnosis ranges from 58 -83% depending on the contents of the EMR.…”

Section: Discussionmentioning

confidence: 99%

Depression and Anxiety Diagnoses Are Not Associated with Delayed Resolution of Abnormal Mammograms and Pap Tests Among Vulnerable Women

et al. 2011

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BACKGROUND: Delays in care after abnormal cancer screening contribute to disparities in cancer outcomes. Women with psychiatric disorders are less likely to receive cancer screening and may also have delays in diagnostic resolution after an abnormal screening test. OBJECTIVE: To determine if depression and anxiety are associated with delays in resolution after abnormal mammograms and Pap tests in a vulnerable population of urban women. DESIGN: We conducted retrospective chart reviews of electronic medical records to identify women who had a diagnosis of depression or anxiety in the year prior to the abnormal mammogram or Pap test. We used timeto-event analysis to analyze the outcome of time to resolution after abnormal cancer screening, and Cox proportional hazards regression modeling to control for confounding. PARTICIPANTS: Women receiving care in six Bostonarea community health centers 2004-2005: 523 with abnormal mammograms, 474 with abnormal Pap tests. RESULTS: Of the women with abnormal mammogram and pap tests, 19% and 16%, respectively, had comorbid depression. There was no difference in time to diagnostic resolution between depressed and not-depressed women for those with abnormal mammograms (aHR=0.9, 95 CI 0.7,1.1) or Pap tests (aHR=0.9, 95 CI 0.7,1.3). CONCLUSIONS: An active diagnosis of depression and/ or anxiety in the year prior to an abnormal mammogram or Pap test was not associated with a prolonged time to diagnostic resolution. Our findings imply that documented mood disorders do not identify an additional barrier to resolution after abnormal cancer screening in a vulnerable population of women.KEY WORDS: depression; cancer screening; women's health; minority populations.

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Depression symptomatology and diagnosis: discordance between patients and physicians in primary care settings

Abstract: Background: To examine the agreement between depression symptoms using an assessment tool (PHQ-9), and physician documentation of the same symptoms during a clinic visit, and then to examine how the presence of these symptoms affects depression diagnosis in primary care settings.

Cited by 92 publications

References 39 publications

Primary Care Physician Perceptions on Caring for Complex Patients with Medical and Mental Illness

Primary Care Physician Perceptions on Caring for Complex Patients with Medical and Mental Illness

Correlates of Depression in the Slovenian Working Population

Depression and Anxiety Diagnoses Are Not Associated with Delayed Resolution of Abnormal Mammograms and Pap Tests Among Vulnerable Women

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