Anxiety and depression in primary care patients: Predictors of symptom severity and developmental correlates

Runkewitz, Kristin; Kirchmann, Helmut; Strauß, Bernhard

doi:10.1016/j.jpsychores.2005.09.003

Cited by 35 publications

(23 citation statements)

References 36 publications

(25 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The internal consistency measured by the Cronbach's alpha of HADS-D [Lisspers et al, 1997;Moorey et al, 1991;Mykletun et al, 2001;Savard et al, 1998]. The HADS-D scores as well as HADS-A scores obtained in our study are similar to HADS scores obtained in primary care patients reported by others [Runkewitz et al, 2006]. The prevalence of a MINI diagnosis of MDE in our study (22%) is similar to the prevalence of depression reported in other primary care studies employing the MINI (15-20%) [Friedman et al, 2005;Gabarron et al, 2002].…”

Section: Discussionsupporting

confidence: 85%

Screening for depression and anxiety disorders in primary care patients

Bunevicius¹,

Pečeliūnienė²,

Mickuvienė³

et al. 2007

Depress. Anxiety

View full text Add to dashboard Cite

Mood and anxiety disorders are highly prevalent in primary health care. In this study we assessed performance of the Hospital Anxiety and Depression Scale (HADS) for screening of depression and anxiety disorders in a population of primary care patients. A total of 503 primary care patients consecutively admitted to the primary care medical center in Kaunas, Lithuania, completed the study. We found that the HADS subscale of depression (HADS-D) at a cutoff score of 6 or more showed the best performance screening for a major depressive episode diagnosed by means of the Mini International Neuropsychiatric Interview (MINI), with a sensitivity of 80%, specificity of 69%, positive predictive value of 80%, negative predictive value of 92%, and area under the receiver operating characteristic (ROC) curve of 0.75. Performance of the HADS-D against MINI diagnosis of dysthymia was weak. The HADS subscale of anxiety (HADS-A) at a cutoff score of 9 or more showed the best performance screening for MINI diagnosis of overall anxiety disorders, with a sensitivity of 77%, specificity of 75%, positive predictive value of 53%, negative predictive value of 90%, and area under the ROC curve of 0.76. These results suggest that in primary care patients HADS is an adequate screening instrument for the MINI diagnoses of major depressive episode, but not for dysthymia at a cutoff score of 6, and for anxiety disorders at a cutoff score of 9.

show abstract

Section: Discussionsupporting

confidence: 85%

Screening for depression and anxiety disorders in primary care patients

Bunevicius¹,

Pečeliūnienė²,

Mickuvienė³

et al. 2007

Depress. Anxiety

View full text Add to dashboard Cite

show abstract

“…22 The scale was reported as being valid for primary care patients. 23 A pre-study sample-size estimation, when comparing two-means (two-sided), resulted in a requirement of 54 patients in each group (β=.80, α=.05 two-sided). The expected difference between-groups was set to 15 points in the primary outcome (AL score) with a mean variability of 17.…”

Section: Outcome Measuresmentioning

confidence: 99%

Subacromial corticosteroid injection or acupuncture with home exercises when treating patients with subacromial impingement in primary care – a randomized clinical trial

Bergström

Schröder

Foldevi

et al. 2011

Deutsche Zeitschrift für Akupunktur

View full text Add to dashboard Cite

“…One out of every four general practice patients present with common mental disorders (Runkewitz, Kirchmann, & Strauss, 2006).Worldwide, the majority of psychological complaints are managed in primary care, with only a minority of cases (typically 5% or less) gravitating towards specialist mental health services (Avasthi et al, 2008). It is often the first point of contact for people suffering from common mental disorders (Grandes, Montoya, Arietaleanizbeaskoa, Arce, & Sanchez, 2011), resulting in increased responsibility for general practitioners to initially diagnose and manage common mental disorders (Roca et al, 2009).…”

Section: Introductionmentioning

confidence: 99%

The prevalence of common mental and substance use disorders in general practice: a literature review and discussion paper

Klimas

Neary

McNicholas

et al. 2014

Mental Health and Substance Use

View full text Add to dashboard Cite

Enhanced primary care management of common mental and substance use disorders is a key healthcare target. Though primary care may be well placed to achieve this target, a greater understanding of the prevalence and profile of common mental and substance use disorders in primary care settings is needed. We searched the MEDLINE database (2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012) to provide an update on biomedical literature describing the prevalence of common mental and substance use disorders in European general practice. Following 'PRISMA' guidelines, seventeen studies were kept for qualitative synthesis. Prevalence, profile, screening instruments, associated co-morbidities and gender distribution were tabulated. Depending on the screening method, the prevalence of common mental and substance use disorders ranged from 10.4% (Luxemburg) to 53.6% (Spain). Mood disorders were the most common. High co-morbidity with anxiety and somatisation hindered early identification and management.The continuing burden of common mental and substance use disorders, coupled with poor identification described in the updated EU biomedical literature, suggests that the unmet need for health care -identified by the World Health Organization a decade ago -remains unmet.Understanding prevalence of common mental and substance use disorders, associated morbidity, and the extent to which general practice represents an important catchment mechanism, can enhance their management at this level. General practitioners should be trained in accurate screening. Short screening instruments for general practitioners should be unified and promoted.

show abstract

Anxiety and depression in primary care patients: Predictors of symptom severity and developmental correlates

Cited by 35 publications

References 36 publications

Screening for depression and anxiety disorders in primary care patients

Screening for depression and anxiety disorders in primary care patients

Subacromial corticosteroid injection or acupuncture with home exercises when treating patients with subacromial impingement in primary care – a randomized clinical trial

The prevalence of common mental and substance use disorders in general practice: a literature review and discussion paper

Contact Info

Product

Resources

About