Abstract
BACKGROUND: Although most depressed patients are treated in primary care, not all are recognized as such. This study explores the determinants of (non-)recognition of depression by general practitioners (GPs), with a focus on specific depression symptoms as possible determinants. METHODS: Recognition of depression by GPs was investigated in 484 primary care participants of the Netherlands Study of Depression and Anxiety, with a DSM-IV diagnosis of depression in the past year. Recognition (yes/no) by GPs was based on medical file extractions (GP diagnosis of depressive symptoms/depressive disorder and/or use of antidepressants/referral to mental health care). Potential determinants of (non-)recognition (patient, depression, patient-GP interaction, and GP characteristics) were bivariately tested and variables with a p-value
Original language | English |
---|---|
Pages (from-to) | 397-404 |
Number of pages | 8 |
Journal | J.Affect.Disord. |
Volume | 138 |
Issue number | 1573-2517 (Electronic) |
DOIs | |
Publication status | Published - May 2012 |
Keywords
- Adult
- Anxiety
- Anxiety Disorders
- Comorbidity
- Depression
- Depressive Disorder
- Depressive disorder
- Dysthymic Disorder
- Female
- GENERAL-PRACTICE
- General Practice
- General Practitioners
- Health
- Humans
- Major
- Male
- Mental Health
- Middle Aged
- Netherlands
- PRIMARY-CARE
- Patients
- Primary health care
- Prospective Studies
- Recognition
- Referral and Consultation
- Research
- analysis
- determinants
- diagnosis
- methods
- primary care
- psychology