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Related Experiment Videos

[A screening test for depression in general practice. The COOP/WONCA chart].

J K Pedersen1, N Damsbo, J Kragstrup

  • 1Odense Universitet, Forskningsenheden og Fagomradet for Almen Medicin.

Ugeskrift for Laeger
|February 24, 1999
PubMed
Summary
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Identifying depression in general practice is challenging. The COOP/WONCA "Feelings" chart offers a sensitive screening tool for depressive episodes, aiding early recognition.

Area of Science:

  • Primary Care Medicine
  • Psychiatry
  • Health Informatics

Context:

  • General practitioners (GPs) face challenges in identifying depression.
  • Existing screening tools are not widely adopted in primary care.
  • Accurate depression screening is crucial for timely intervention.

Purpose:

  • To evaluate the COOP/WONCA
  • Feelings
  • chart for screening depressive episodes in general practice.

Summary:

  • The study compared 798 patients' COOP/WONCA
  • Feelings
  • chart responses with GP diagnoses (ICD-10 F32).
  • At a cut-off of slight/moderate problems, the chart demonstrated 89% sensitivity and 75% specificity.

Related Experiment Videos

  • Positive predictive value was low (≤33%), but negative predictive value remained high (≥98%).

    • Impact:

    • The COOP/WONCA
    • Feelings
    • chart can serve as an effective first step in a two-phased diagnostic strategy.
    • This approach may optimize the recognition of depressive patients in primary care settings.
    • Simplifies the screening process for depression in general practice.