Recognition of Depression by Non-psychiatric Physicians—A Systematic Literature Review and Meta-analysis

Cepoiu, Monica; McCusker, Jane; Cole, Martín G.; Sewitch, Maida; Belzile, Éric; Ciampi, Antonio

doi:10.1007/s11606-007-0428-5

Cited by 320 publications

(240 citation statements)

References 94 publications

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“…This finding reflects evidence from other studies (Bradley, 2008;Copty, 2004;Cepoiu, et al, 2008;Shaw, et al, 2005) which indicates that general practitioners find it difficult to identify mental health disorders among their patient populations. As Grembowski et al, (2002) pointed out, the referral of patients with mental health disorders from primary to secondary care is a critically important yet poorly understood mechanism.…”

Section: Discussionsupporting

confidence: 82%

Irish General Practitioner referrals to psychological therapies

Cullinan

Veale

Vitale

2015

Ir. j. psychol. Med.

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ObjectiveGeneral Medical Practitioners play a crucial role in the detection and referral of mental health problems in primary care. This study describes the referral patterns of Irish General Practitioners (GPs) to psychological therapies and profiles the range of psychological therapies available.MethodA 21-item study-specific questionnaire exploring referral processes to psychological therapies was sent to all GPs listed by the Irish College of General Practitioners in one county in Ireland. A 19-item questionnaire exploring details of psychological therapies offered and referral pathways was sent to members of psychological therapy accrediting bodies in the same county.ResultsOf 97 GP respondents (33% response rate), their estimation of the percentage of their patients who have presenting or underlying mental health issues averaged 22%. When asked to indicate which psychological therapies they consider for referrals, psychiatric referrals was the most frequent referral option (94%), followed by Counsellors (69%), Clinical psychologist (60%) and Psychotherapists (30%). GPs indicated they had some or very little knowledge of specific psychological therapies. Of 129 psychological therapists (45% response rate), self-referral and GP referral were their main referral pathways; 80% worked in private practice; highest qualification level was Undergraduate/Higher Diploma (66%), Master Level (39%) and Doctoral Level (5%).ConclusionGPs refer patients presenting with mental health problems to psychiatrists with significantly lower percentages referring to other types of psychological therapists. Findings demonstrate that there is a need for greater education and information-sharing between GPs and providers of accredited psychological therapies to increase knowledge on specific therapies and their evidence base.

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Section: Discussionsupporting

confidence: 82%

Irish General Practitioner referrals to psychological therapies

Cullinan

Veale

Vitale

2015

Ir. j. psychol. Med.

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“…In common with other studies, there was a tendency for greater proportions of false-negative rather than false-positive HADS-D cases. 21 Crucially, the increases in antidepressant prescribing across Scotland that prompted concern about prescribing behaviour are mirrored in the Grampian area. 1 These comparisons suggest that the present sample is broadly representative of primary care patients in other parts of the UK.…”

mentioning

confidence: 99%

Appropriateness of antidepressant prescribing: an observational study in a Scottish primary-care setting

Cameron¹,

Lawton²,

Reid³

2009

Br J Gen Pract

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“…One meta-analysis found that non-psychiatric clinicians accurately diagnosed depression in only 36% of depressed patients; another meta-analysis found a rate of 47% [24,25].…”

Section: Discussionmentioning

confidence: 99%

BDI in the Assessment of Depression in Different Medical Conditions

Pop‐Jordanova

2017

Prilozi

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As a common disorder, depression must be diagnosed not only in psychiatric but also in different medical settings, especially in patients with chronic diseases. Beck Depression Inventory is valuable and sensitive self-report inventory used worldwide for assessment depressive symptoms. In this research we present obtained scores of BDI in different group of disorders and we showed that BDI scores are related to the clinical condition, as well as with the age.

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Recognition of Depression by Non-psychiatric Physicians—A Systematic Literature Review and Meta-analysis

Abstract: The accuracy of depression recognition by non-psychiatrist physicians is low. Further research should focus on developing standardized methods of documenting non-psychiatric physicians' recognition of depression.

Cited by 320 publications

References 94 publications

Irish General Practitioner referrals to psychological therapies

Irish General Practitioner referrals to psychological therapies

Appropriateness of antidepressant prescribing: an observational study in a Scottish primary-care setting

BDI in the Assessment of Depression in Different Medical Conditions

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