Identification of depression by medical and surgical general hospital physicians

M Balestrieri, G Bisoffi, M Tansella, M Martucci, D P Goldberg

Research output: Contribution to journalArticlepeer-review

49 Citations (Scopus)

Abstract

Little information is available about identification of mental distress by general hospital physicians (GHPs). We compared, among patients admitted in a General Hospital, depressed patients with patients identified as depressed by the GHPs. A random sample of 1,039 patients were screened with the 12-item General Health Questionnaire, Afterwards, all high scorers and a probability sample of low scorers were interviewed with a variety of measures, including the Composite International Diagnostic Interview-Primary Care version (CIDI-PHC). GHPs recorded the presence of depression on a Physician Encounter Form. patients were more likely to have depression detected on medical than surgical wards. Of the 195 patients who had a depression, the GHPs assessed 32.5% as depressed. A number of factors associated with CIDI diagnoses were not significantly associated with being identified by the GHPs - female gender, two or more life events in the previous year, and a previous history of depression. The identification by the GHPs was associated with a higher probability of contacts with medical professionals and of antidepressant drug prescriptions during the year which followed the first interview. (C) 2002 Elsevier Science Inc. All rights reserved.
Original languageEnglish
Pages (from-to)4 - 11
Number of pages8
JournalGENERAL HOSPITAL PSYCHIATRY
Volume24
Issue number1
DOIs
Publication statusPublished - 2002

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