Primary Care Evaluation of Mental Disorders (PRIME-MD) Screening for Minor Depressive Disorder in Primary Care

Tamburrino, Marijo; Lynch, Denis J.; Nagel, Rollin; Smith, Mary Kay

doi:10.4088/pcc.08.m00711

Cited by 39 publications

(30 citation statements)

References 26 publications

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“…Although the initial questions in the CEG explore the symptoms experienced in the preceding 2 weeks, the algorithm also includes questions about the longitudinal course of symptoms that can aid reaching diagnoses such as dysthymia. The mood disorders module of CEG used in the study has been shown to have excellent positive predictive value, with satisfactory specificity and sensitivity in terms of diagnosis .…”

Section: Methodsmentioning

confidence: 99%

Undiagnosed Mood Disorders and Sleep Disturbances in Primary Care Patients with Chronic Musculoskeletal Pain

Salazar

Dueñas

Micó³

et al. 2013

Pain Med

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Objective. The study aims to determine the prevalence of undiagnosed comorbid mood disorders in patients suffering chronic musculoskeletal pain in a primary care setting and to identify sleep disturbances and other associated factors in these patients, and to compare the use of health services by chronic musculoskeletal pain patients with and without comorbid mood disorders.Design. Cross-sectional study.Subjects. A total of 1,006 patients with chronic musculoskeletal pain from a representative sample of primary care centers were evaluated.Outcome Measures. Pain was measured using a visual analog scale and the Primary Care Evaluation of Mental Disorders questionnaire was used to measure mood disorders.Results. We observed a high prevalence of undiagnosed mood disorders in chronic musculoskeletal pain patients (74.7%, 95% confidence interval [CI] 71.9-77.4%), with greater comorbidity in women (adjusted odds ratio [OR] = 1.91, 95% CI 1.37-2.66%) and widow(er)s (adjusted OR = 1.87, 95% CI 1.19-2.91%). Both sleep disturbances (adjusted OR = 1.60, 95% CI 1.17-2.19%) and pain intensity (adjusted OR = 1.02, 95% CI 1.01-1.02%) displayed a direct relationship with mood disorders. Moreover, we found that chronic musculoskeletal pain patients with comorbid mood disorders availed of health care services more frequently than those without (P < 0.001).Conclusions. The prevalence of undiagnosed mood disorders in patients with chronic musculoskeletal pain is very high in primary care settings. Our findings suggest that greater attention should be paid to this condition in general practice and that sleep disorders should be evaluated in greater detail to achieve accurate diagnoses and select the most appropriate treatment.

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Section: Methodsmentioning

confidence: 99%

Undiagnosed Mood Disorders and Sleep Disturbances in Primary Care Patients with Chronic Musculoskeletal Pain

Salazar

Dueñas

Micó³

et al. 2013

Pain Med

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“…Cut-off points for high levels for EE and DP were scores >27 and >10, respectively, and the cut-off for low levels for PA was scores <33. Since low scores for PA are considered less important in detecting burnout symptoms,13 burnout was defined as a high score on the DP and/or EE subscales (EE score >27 and/or DP score >10, in accordance with Shanafelt et al11 Depression symptomology was identified using the 2-item Primary Care Evaluation of Mental Disorders (PRIME MD), a standardized depression-screening tool 14…”

Section: Methodsmentioning

confidence: 99%

Burnout and compassion fatigue: prevalence and associations among Israeli burn clinicians

Haik¹,

Brown²,

Liran³

et al. 2017

NDT

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Acute health care environments can be stressful settings with clinicians experiencing deleterious effects of burnout and compassion fatigue affecting their mental health. Subsequently, the quality of patient care and outcomes may be threatened if clinicians experience burnout or compassion fatigue. Therefore, the aim of this descriptive, cross-sectional study was to evaluate the prevalence of burnout and compassion fatigue among burn clinicians in Israel. Fifty-five clinicians from Burns, Plastics and Reconstruction Surgery and Intensive Care completed four validated surveys to assess burnout (Maslach Burnout Inventory), depression (PRIME-MD), health-related quality of life (SF-8), and compassion fatigue (Professional Quality of Life version 5). Burn clinicians were compared with Plastics and Reconstruction Surgery and Intensive Care clinicians. This study identified a high prevalence of burnout (38.2%) among Intensive Care, Plastics and Reconstruction and Burns clinicians, with Burns clinicians having a greatly increased prevalence of burnout compared to Intensive Care clinicians (OR =24.3, P=0.017). Additional factors contributing to compassion fatigue were those without children (P=0.016), divorced (P=0.035), of a younger age (P=0.019), and a registered nurse (P=0.05). Burnout increased clinicians’ risk of adverse professional and personal outcomes and correlated with less free time (P<0.001), increased risk of experiencing work-home disputes (P=0.05), increased depression (P=0.001) and decreased career satisfaction (P=0.01). Burnout was also associated with higher physical (mean difference =3.8, P<0.001) and lower mental (mean difference =−3.5, P<0.001) Quality of Life scores. Caring for burn survivors can lead to burnout, compassion fatigue, and vicarious trauma. Identifying strategies to abate these issues is essential to ensure improved clinicial environments and patient outcomes.

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“…the method was created on the basis of diagnostic and Statistical manual of mental disorders iV th edition (dSm-iV) criteria and is recommended to be used as a screening test for preliminary diagnosis of mental disorders. the preliminary diagnosis of a particular disorder de-mands the presence of a specific number and duration of symptoms according to dSm-iV criteria included in the coding system [9,10]. the assessment of somatoform disorders was excluded from the current analysis, since no objective data on medical health status was available.…”

Section: Methodsmentioning

confidence: 99%

Prevalence of selected mental disorders among graduation class adolescents: data from a screening study

Nowicka-Sauer¹,

Karcz²,

Dymowska³

et al. 2018

fmpcr

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Background. an increase in the prevalence of mental disorders and suicidal attempts is being observed worldwide. this tendency is also being noted among adolescents. a consistent screening for mental disorders among adolescents can be helpful in early diagnosis. Objectives. the aim of the study was to assess the prevalence of selected mental disorders among graduation class adolescents by means of a screening assessment. Material and methods. the study sample consisted of 399 graduation class adolescents, including 221 (55.4%) women and 178 (44.6%) men. the median age was 18.0 years. the Primary care evaluation of mental disorders Patient Health Questionnaire (Prime-md PHQ) was used. Results. 'alcohol abuse' was preliminary diagnosed in 134 (33.6%) participants and was the most common disorder in the studied group. a preliminary diagnosis of 'major depression' was made in 21 (6.2%) adolescents. the same prevalence-60 (15%)-of 'other depressive' and 'other anxiety disorders' was noted. in 10 participants (2.5%), 'panic syndrome' was preliminary diagnosed. Bulimia nervosa was suspected in 5 (1.3%) of the participants, and 'other eating disorders' in 34 (8.5%). 'other depressive disorders' and 'other anxiety disorders' were more common in women than men (p = 0.002 and p = 0.029, respectively). 'alcohol abuse' was significantly more prevalent among men (p = 0.025). Conclusions. 1. Preliminary diagnosis of alcohol abuse was the most common in the studied adolescent group. this problem was especially frequent among men. 2. Psycho-educative intervention is of great importance among youngsters, especially among graduation adolescents. 3. Screening for mental disorders among graduation adolescents seems vital.

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Primary Care Evaluation of Mental Disorders (PRIME-MD) Screening for Minor Depressive Disorder in Primary Care

Cited by 39 publications

References 26 publications

Undiagnosed Mood Disorders and Sleep Disturbances in Primary Care Patients with Chronic Musculoskeletal Pain

Undiagnosed Mood Disorders and Sleep Disturbances in Primary Care Patients with Chronic Musculoskeletal Pain

Burnout and compassion fatigue: prevalence and associations among Israeli burn clinicians

Prevalence of selected mental disorders among graduation class adolescents: data from a screening study

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