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Related Experiment Videos

Depression--what should the doctor ask?

Kay Wilhelm1, Suzanne Brownhill, Jessica Harris

  • 1School of Psychiatry and Black Dog Institute, University of New South Wales. kwillhelm@stvincents.com.au

Australian Family Physician
|March 10, 2006
PubMed
Summary
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Patients suggest doctors begin depression screening with open-ended questions, then ask about specific symptoms. Men prefer questions on anger, while women are comfortable with questions about crying.

Area of Science:

  • General Practice
  • Psychiatry
  • Qualitative Research

Background:

  • Detecting depression in general practice presents challenges.
  • Patient perspectives are crucial for improving depression screening.

Purpose of the Study:

  • To identify patient-preferred questions for exploring depression in primary care.
  • To enhance patient comfort during mental health assessments.

Main Methods:

  • Qualitative study involving 136 participants with lived experience of depression.
  • Interviews and focus groups were conducted to gather patient suggestions.
  • Content analysis was used to analyze transcripts, with data grouped by gender.

Main Results:

  • Patients recommended starting depression discussions with open-ended questions.

Related Experiment Videos

  • Specific questions about somatic symptoms of depression were suggested.
  • Gender differences emerged: men preferred questions about anger/irritability, women about crying.

    • Conclusions:

    • Patient-guided questioning strategies can improve the appropriateness of depression exploration.
    • Findings may help clinicians increase patient comfort when discussing emotional problems like depression.