Recognition of Depressive Symptoms by Physicians

DSpace/Manakin Repository

Recognition of Depressive Symptoms by Physicians

Citable link to this page

. . . . . .

Title: Recognition of Depressive Symptoms by Physicians
Author: Henriques, Sergio Gonçalves; Fráguas, Renério; Menezes, Paulo Rossi; de Lucia, Mara Cristina Souza; Gattaz, Wagner Farid; Martins, Milton Arruda; Iosifescu, Dan Vlad

Note: Order does not necessarily reflect citation order of authors.

Citation: Henriques, Sergio Gonçalves, Renério Fráguas, Dan V. Iosifescu, Paulo Rossi Menezes, Mara Cristina Souza de Lucia, Wagner Farid Gattaz, and Milton Arruda Martins. 2009. Recognition of depressive symptoms by physicians. Clinics 64(7): 629-635.
Full Text & Related Files:
Abstract: OBJECTIVE: To investigate the recognition of depressive symptoms of major depressive disorder (MDD) by general practitioners. INTRODUCTION: MDD is underdiagnosed in medical settings, possibly because of difficulties in the recognition of specific depressive symptoms. METHODS: A cross-sectional study of 316 outpatients at their first visit to a teaching general hospital. We evaluated the performance of 19 general practitioners using Primary Care Evaluation of Mental Disorders (PRIME-MD) to detect depressive symptoms and compared them to 11 psychiatrists using Structured Clinical Interview Axis I Disorders, Patient Version (SCID I/P). We measured likelihood ratios, sensitivity, specificity, and false positive and false negative frequencies. RESULTS: The lowest positive likelihood ratios were for psychomotor agitation/retardation (1.6) and fatigue (1.7), mostly because of a high rate of false positive results. The highest positive likelihood ratio was found for thoughts of suicide (8.5). The lowest sensitivity, 61.8%, was found for impaired concentration. The sensitivity for worthlessness or guilt in patients with medical illness was 67.2% (95% CI, 57.4–76.9%), which is significantly lower than that found in patients without medical illness, 91.3% (95% CI, 83.2–99.4%). DISCUSSION: Less adequately identified depressive symptoms were both psychological and somatic in nature. The presence of a medical illness may decrease the sensitivity of recognizing specific depressive symptoms. CONCLUSIONS: Programs for training physicians in the use of diagnostic tools should consider their performance in recognizing specific depressive symptoms. Such procedures could allow for the development of specific training to aid in the detection of the most misrecognized depressive symptoms.
Published Version: doi:10.1590/S1807-59322009000700004
Other Sources: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2710434/pdf/
Terms of Use: This article is made available under the terms and conditions applicable to Other Posted Material, as set forth at http://nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of-use#LAA
Citable link to this page: http://nrs.harvard.edu/urn-3:HUL.InstRepos:4633200

Show full Dublin Core record

This item appears in the following Collection(s)

 
 

Search DASH


Advanced Search
 
 

Submitters