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Routinely administered questionnaires for depression and anxiety: systematic review
S M Gilbody1, A O House, T A Sheldon
1NHS Centre for Reviews and Dissemination, University of York YO10 5DD. s.m.gillbody@leeds.ac.uk
BMJ (Clinical Research Ed.)
|February 17, 2001
Summary
Routine psychiatric questionnaires in non-psychiatric settings do not improve disorder recognition or patient outcomes. Selective feedback for high scorers may increase depression recognition but not intervention rates.
Area of Science:
- Psychiatry
- Primary Care
- Health Services Research
Background:
- Psychiatric disorders are prevalent in non-psychiatric settings.
- Effective screening and management strategies are needed to improve patient outcomes.
Purpose of the Study:
- To evaluate the impact of routinely administered psychiatric questionnaires on the recognition, management, and outcomes of psychiatric disorders in non-psychiatric settings.
Main Methods:
- Systematic review of randomized controlled trials (RCTs) using psychiatric screening and outcome questionnaires in non-psychiatric settings.
- Included studies focused on clinician feedback of questionnaire results.
- Meta-analysis synthesized data on recognition, intervention, and patient outcomes.
Main Results:
- Routine administration and feedback of all scores did not enhance recognition of anxiety or depression.
- Selective feedback for high scorers increased depression recognition but not intervention rates.
- Overall, routine psychiatric measures did not improve patient outcomes.
Conclusions:
- Routine outcome measurement in non-psychiatric settings is resource-intensive.
- Limited evidence supports the use of routine psychiatric questionnaires for improving psychosocial outcomes in these settings.