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Does testing for depression influence diagnosis or management by general practitioners?

C Dowrick1

  • 1Department of Primary Care, University of Liverpool, UK.

Family Practice
|December 1, 1995
PubMed
Summary

Providing general practitioners with patient depression screening scores showed limited impact on diagnosis and treatment rates. While slightly more patients were diagnosed and treated in the feedback group, the overall value for enhancing detection and management of depression was minimal.

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Area of Science:

  • Primary Care
  • Mental Health
  • Clinical Psychology

Background:

  • Undetected depression is a significant issue in primary care settings.
  • General practitioners (GPs) face challenges in identifying and managing depression effectively.
  • Screening instruments can aid in identifying potential cases of depression.

Purpose of the Study:

  • To evaluate the impact of providing GPs with patient depression screening scores on diagnosis and management.
  • To assess whether feedback influences GP detection and treatment of depression.

Main Methods:

  • 116 primary care patients aged 16-64 with undetected depression were identified using the Beck Depression Inventory (BDI).
  • BDI scores were disclosed to GPs for a random 45% of patients.
  • Subjects and medical records were reviewed over 12 months for diagnosis and management changes.

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Main Results:

  • 31% of subjects were eventually diagnosed with depression.
  • Diagnosis rates were higher in the disclosed group after six months.
  • Intention to treat rates were low but marginally higher in the disclosed group; significantly higher for self-diagnosed patients.

Conclusions:

  • Feedback of depression screening results offers limited value in improving GP detection of depression.
  • The study suggests current feedback methods have minimal impact on enhancing depression management by GPs.