The Recognition, Diagnosis, and Treatment of Mental Disorders by Primary Care Physicians

Andersen, Susan M.; Harthorn, Barbara Herr

doi:10.1097/00005650-198909000-00003

Cited by 75 publications

(39 citation statements)

References 36 publications

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“…[10][11][12] Several questionnaires have been developed to help providers identify depression in the primary care setting, [13][14][15][16][17][18][19][20][21] but many practitioners find these measures too cumbersome and time-consuming for routine use. 22,23 Are there one or two brief questions that could help primary care physicians identify patients with major depression? According to the Diagnostic and Statistical Manual of Mental Disorders-IV , the essential feature of a major depressive episode is a period of at least 2 weeks during which there is either depressed mood or the loss of interest or pleasure in nearly all activities.…”

mentioning

confidence: 99%

Case-finding instruments for depression

et al. 1997

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OBJECTIVE:To determine the validity of a two-question case-finding instrument for depression as compared with six previously validated instruments. DESIGN:The test characteristics of a two-question casefinding instrument that asks about depressed mood and anhedonia were compared with six common case-finding instruments, using the Quick Diagnostic Interview Schedule as a criterion standard for the diagnosis of major depression. SETTING:Urgent care clinic at the San Francisco Department of Veterans Affairs Medical Center. PARTICIPANTS:Five hundred thirty-six consecutive adult patients without mania or schizophrenia. MEASUREMENTS AND MAIN RESULTS:Measurements were two questions from the Primary Care Evaluation of Mental Disorders patient questionnaire, both the long and short forms of the Center for Epidemiologic Studies Depression Scale, both the long and short forms of the Beck Depression Inventory, the Symptom-Driven Diagnostic System for Primary Care, the Medical Outcomes Study depression measure, and the Quick Diagnostic Interview Schedule. The prevalence of depression, as determined by the standardized interview, was 18% (97 of 536). Overall, the case-finding instruments had sensitivities of 89% to 96% and specificities of 51% to 72% for diagnosing major depression. A positive response to the two-item instrument had a sensitivity of 96% (95% confidence interval [CI], 90-99%) and a specificity of 57% (95% CI 53-62%). Areas under the receiver operating characteristic curves were similar for all of the instruments, with a range of 0.82 to 0.89. CONCLUSIONS:The two-question case-finding instrument is a useful measure for detecting depression in primary care. It has similar test characteristics to other case-finding instruments and is less time-consuming. KEY WORDS: depression; case-finding instruments.

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confidence: 99%

Case-finding instruments for depression

et al. 1997

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“…In 1989, there were 59 federally supported CHC delivery sites in frontier areas (table 5- 47), about 7 percent of all rural CHC service sites (585). 39 No data are available on the population base of these centers or alternative sources of primary care in the areas they serve.…”

Section: Frontier Areasmentioning

confidence: 99%

“…% relied solely on CRNAs for anesthesia ily on registered nurses (RNs) employed in hospiservice provision (123); 47 85 percent of these hospitals were located in rural areas (123). In isolated areas, a single CRNA may provide services in as many as four hospitals (699).…”

Section: Hospitalsmentioning

confidence: 99%

“…Ironically, the program most frequently listed as ineffective was also the Rural Health Clinics Act (10 States); it was followed by Medicare Physician Bonus Payments (9 States) and AHEC activities (9 States) . 47 Responding officials in a number of States were not familiar with Federal support of primary care education programs, loan repayment programs, or the Medicare physician payment bonus.…”

Section: State Efforts In Health Personnel Distributionmentioning

confidence: 99%

“…Twelve percent of women have at least one major complication of pregnancy, 11 percent of women have a major complication of labor, nearly 20 percent of deliveries occur by cesarean section (8), 47 and about 4 to 6 percent of newborns require neonatal intensive care (619). For individual rural practitioners with small obstetric practices, however, these occurrences are relatively infrequent.…”

Section: Access To Regional Systems Of Perinatal Carementioning

confidence: 99%

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Health Care in Rural America

Ahearn¹

1990

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An advisory panel, chaired by Dr. James Bernstein of the North Carolina Office of Rural Health and Resource Development, provided guidance and assistance during the assessment. Also, three public meetings were held (in Scottsdale, Arizona; Bismarck, North Dakota; and Meridian, Mississippi) to provide OTA with the opportunity to discuss specific rural health topics with local and regional health practitioners, administrators, and officials. Site visits to local facilities were conducted in association with these activities. A number of individuals from both government and the private sector provided information and reviewed drafts of the report.OTA gratefully acknowledges the contribution of each of these individuals. As with all OTA reports, the content of the assessment is the sole responsibility of OTA and does not necessarily constitute the consensus or endorsement of the advisory panel or the Technology Assessment Board. Key staff responsible for the assessment were Elaine Power, Lawrence Miike, Maria Hewitt, Tim Henderson, Leah Wolfe, Marc Zimmerman, and Rita Hughes. The panel does not, however, necessarily approve, disapprove, or endorse this xeport. OTA assumes full responsibility for the report and the accuracy of its contents.iv

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Following Depression in Primary Care: Do Family Practice Physicians Ask About Depression at Different Rates Than Internal Medicine Physicians?

Jb²

2000

Archives of Family Medicine

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The Recognition, Diagnosis, and Treatment of Mental Disorders by Primary Care Physicians

Cited by 75 publications

References 36 publications

Case-finding instruments for depression

Case-finding instruments for depression

Health Care in Rural America

Following Depression in Primary Care: Do Family Practice Physicians Ask About Depression at Different Rates Than Internal Medicine Physicians?

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