Dataset Information

Factors contributing to the recognition of anxiety and depression in general practice.

ABSTRACT:

Background

Adequate recognition of anxiety and depression by general practitioners (GPs) can be improved. Research on factors that are associated with recognition is limited and shows mixed results. The aim of this study was to explore which patient and GP characteristics are associated with recognition of anxiety and depression.

Methods

We performed a secondary analysis on data from 444 patients who were recruited for a randomized trial. Recognition of anxiety and depression was defined in terms of information in the medical records, in patients who screened positive on the extended Kessler 10 (EK-10). A total of 10 patient and GP characteristics, measured at baseline, were tested and included in a multilevel regression model to examine their impact on recognition.

Results

Patients who reported a perceived need for psychological care (OR?=?2.54, 95% CI 1.60-4.03) and those with higher 4DSQ distress scores (OR?=?1.03; 95% CI 1.00-1.07) were more likely to be recognized. In addition, patients' anxiety or depression was less likely to be recognized when GPs were less confident in their abilities to identify depression (OR?=?0.97; 95% CI 0.95-0.99). Patients' age, chronic medical condition, somatisation, severity of anxiety and depression, and functional status were not associated with the recognition of anxiety and depression.

Conclusions

There is room for improvement of the recognition of anxiety and depression. Quality improvement activities that focus on increasing GPs' confidence in the ability to identify symptoms of distress, anxiety and depression, as part of care according to guidelines, may improve recognition.

SUBMITTER: Sinnema H

PROVIDER: S-EPMC6015659 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature

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Publications

Factors contributing to the recognition of anxiety and depression in general practice.

Sinnema Henny H Terluin Berend B Volker Daniëlle D Wensing Michel M van Balkom Anton A

BMC family practice 20180623 1

<h4>Background</h4>Adequate recognition of anxiety and depression by general practitioners (GPs) can be improved. Research on factors that are associated with recognition is limited and shows mixed results. The aim of this study was to explore which patient and GP characteristics are associated with recognition of anxiety and depression.<h4>Methods</h4>We performed a secondary analysis on data from 444 patients who were recruited for a randomized trial. Recognition of anxiety and depression was ...[more]

PMID: 29935537

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Dataset Information

Factors contributing to the recognition of anxiety and depression in general practice.

Background

Methods

Results

Conclusions

Publications

Factors contributing to the recognition of anxiety and depression in general practice.

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