Lessons from recent research on depression in primary care

Simon, Gregory E.; Ludman, Evette

doi:10.1017/s1121189x0000782x

Cited by 4 publications

(2 citation statements)

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“…B. kurze wiederkehrende Depression, minore Depression, subsyndromale Depression oder Störung mit Angst-Depression gemischt [14]. Da in der vorliegenden Studie keine dieser Definitionen benutzt wurde, ist es nicht möglich zu entscheiden, welche der folgenden Aspekte für die "falschen Positiven" verantwortlich ist: [19]. Der mit 11,3% hohe Anteil von Patienten, die die ärztliche Diagnose erhielten, ohne die Forschungskriterien zu erfüllen, wurde fast identisch behandelt.…”

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Prävalenz, Erkennens- und Verschreibungsverhalten bei depressiven Syndromen Eine bundesdeutsche Hausarztstudie

et al. 2002

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This study examines the prevalence of depressive syndromes among unselected primary care patients as well as doctors' recognition and treatment rates. This nationwide study included a total of 20,421 patients attending their primary care doctors (n = 633) on the study's target day. Patients received a self-report questionnaire including the depression screening questionnaire (DSQ) to provide diagnoses of depressive disorders according to the criteria of DSM-IV and ICD-10. These data were compared to the doctor's evaluation form for each patient to assess the physician's diagnostic decision, assessment of clinical severity, and treatment choices. The findings confirm the high prevalence of depressive syndromes in primary care settings (11.3%) and underline the particular challenge posed by a high proportion of patients near the diagnosis threshold. Although recognition rates among more severe major depressive patients (59%) as well as treatments prescribed appear to be more favourable than in previous studies, the situation in less severe cases and the high proportion of doctors' definite depression diagnoses in patients who do not fulfill the diagnostic criteria still raise significant concerns.

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“…(Zentrale bzw. weiterführen-de Literatur s. [8,19,23,25,26].) Die Durchführung dieser Studie wurde mit einem "unrestricted educational grant" der Firma SmithKline Beecham (Deutschland) unterstützt.…”

Section: Diskussionunclassified