Determinants of (non-)recognition of depression by general practitioners: results of the Netherlands Study of Depression and Anxiety

Ellen Piek, Willem A Nolen, Meer K Van der, Karlijn J Joling, Boudewijn J Kollen, Brenda W J H Penninx, Harm Van Marwijk, Hein P J {Van Hout}, Klaas {Van Der Meer}

    Research output: Contribution to journalArticlepeer-review

    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 languageEnglish
    Pages (from-to)397-404
    Number of pages8
    JournalJ.Affect.Disord.
    Volume138
    Issue number1573-2517 (Electronic)
    DOIs
    Publication statusPublished - 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

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