TY - JOUR
T1 - Accuracy of general practitioner unassisted detection of depression
AU - Carey, Mariko
AU - Jones, Kim
AU - Meadows, Graham Nicholas
AU - Sanson-Fisher, Rob W
AU - D'Este, Catherine A
AU - Inder, Kerry
AU - Yoong, Sze Lin (Serene)
AU - Russell, Grant Mervyn
PY - 2014
Y1 - 2014
N2 - Objective: Primary care is an important setting for the treatment of depression. The aim of the study was to describe the accuracy of unassisted general practitioner judgements of patients depression compared to a standardised depression- screening tool delivered via touch-screen computer. Method: English-speaking patients, aged 18 or older, completed the Patient Health Questionnaire-9 (PHQ-9) when presenting for care to one of 51 general practitioners in Australia. General practitioners were asked whether they thought the patients were clinically depressed. General practitioner judgements of depression status were compared to PHQ-9 results. Results: A total of 1558 patients participated. Twenty per cent of patients were identified by the PHQ-9 as being depressed. General practitioners estimated a similar prevalence; however, when compared to the PHQ-9, GP judgement had a sensitivity of 51 (95 CI [32 , 66 ) and a specificity of 87 (95 CI [78 , 93 ). Conclusions: General practitioner unassisted judgements of depression in their patients lacked sensitivity when compared to a standardised psychiatric measure used in general practice. ? The Royal Australian and New Zealand College of Psychiatrists 2013.
AB - Objective: Primary care is an important setting for the treatment of depression. The aim of the study was to describe the accuracy of unassisted general practitioner judgements of patients depression compared to a standardised depression- screening tool delivered via touch-screen computer. Method: English-speaking patients, aged 18 or older, completed the Patient Health Questionnaire-9 (PHQ-9) when presenting for care to one of 51 general practitioners in Australia. General practitioners were asked whether they thought the patients were clinically depressed. General practitioner judgements of depression status were compared to PHQ-9 results. Results: A total of 1558 patients participated. Twenty per cent of patients were identified by the PHQ-9 as being depressed. General practitioners estimated a similar prevalence; however, when compared to the PHQ-9, GP judgement had a sensitivity of 51 (95 CI [32 , 66 ) and a specificity of 87 (95 CI [78 , 93 ). Conclusions: General practitioner unassisted judgements of depression in their patients lacked sensitivity when compared to a standardised psychiatric measure used in general practice. ? The Royal Australian and New Zealand College of Psychiatrists 2013.
UR - http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4230951/pdf/10.1177_0004867413520047.pdf
U2 - 10.1177/0004867413520047
DO - 10.1177/0004867413520047
M3 - Article
SN - 0004-8674
VL - 48
SP - 571
EP - 578
JO - Australian and New Zealand Journal of Psychiatry
JF - Australian and New Zealand Journal of Psychiatry
IS - 6
ER -