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Factors contributing to the recognition of anxiety and depression in general practice
BACKGROUND: Adequate recognition of anxiety and depression by general practitioners (GPs) can be improved. Research on factors that are associated with recognition is limited and shows mixed results. The aim of this study was to explore which patient and GP characteristics are associated with recogn...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6015659/ https://www.ncbi.nlm.nih.gov/pubmed/29935537 http://dx.doi.org/10.1186/s12875-018-0784-8 |
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author | Sinnema, Henny Terluin, Berend Volker, Daniëlle Wensing, Michel van Balkom, Anton |
author_facet | Sinnema, Henny Terluin, Berend Volker, Daniëlle Wensing, Michel van Balkom, Anton |
author_sort | Sinnema, Henny |
collection | PubMed |
description | BACKGROUND: Adequate recognition of anxiety and depression by general practitioners (GPs) can be improved. Research on factors that are associated with recognition is limited and shows mixed results. The aim of this study was to explore which patient and GP characteristics are associated with recognition of anxiety and depression. METHODS: We performed a secondary analysis on data from 444 patients who were recruited for a randomized trial. Recognition of anxiety and depression was defined in terms of information in the medical records, in patients who screened positive on the extended Kessler 10 (EK-10). A total of 10 patient and GP characteristics, measured at baseline, were tested and included in a multilevel regression model to examine their impact on recognition. RESULTS: Patients who reported a perceived need for psychological care (OR = 2.54, 95% CI 1.60–4.03) and those with higher 4DSQ distress scores (OR = 1.03; 95% CI 1.00–1.07) were more likely to be recognized. In addition, patients’ anxiety or depression was less likely to be recognized when GPs were less confident in their abilities to identify depression (OR = 0.97; 95% CI 0.95–0.99). Patients’ age, chronic medical condition, somatisation, severity of anxiety and depression, and functional status were not associated with the recognition of anxiety and depression. CONCLUSIONS: There is room for improvement of the recognition of anxiety and depression. Quality improvement activities that focus on increasing GPs’ confidence in the ability to identify symptoms of distress, anxiety and depression, as part of care according to guidelines, may improve recognition. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12875-018-0784-8) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-6015659 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-60156592018-07-05 Factors contributing to the recognition of anxiety and depression in general practice Sinnema, Henny Terluin, Berend Volker, Daniëlle Wensing, Michel van Balkom, Anton BMC Fam Pract Research Article BACKGROUND: Adequate recognition of anxiety and depression by general practitioners (GPs) can be improved. Research on factors that are associated with recognition is limited and shows mixed results. The aim of this study was to explore which patient and GP characteristics are associated with recognition of anxiety and depression. METHODS: We performed a secondary analysis on data from 444 patients who were recruited for a randomized trial. Recognition of anxiety and depression was defined in terms of information in the medical records, in patients who screened positive on the extended Kessler 10 (EK-10). A total of 10 patient and GP characteristics, measured at baseline, were tested and included in a multilevel regression model to examine their impact on recognition. RESULTS: Patients who reported a perceived need for psychological care (OR = 2.54, 95% CI 1.60–4.03) and those with higher 4DSQ distress scores (OR = 1.03; 95% CI 1.00–1.07) were more likely to be recognized. In addition, patients’ anxiety or depression was less likely to be recognized when GPs were less confident in their abilities to identify depression (OR = 0.97; 95% CI 0.95–0.99). Patients’ age, chronic medical condition, somatisation, severity of anxiety and depression, and functional status were not associated with the recognition of anxiety and depression. CONCLUSIONS: There is room for improvement of the recognition of anxiety and depression. Quality improvement activities that focus on increasing GPs’ confidence in the ability to identify symptoms of distress, anxiety and depression, as part of care according to guidelines, may improve recognition. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12875-018-0784-8) contains supplementary material, which is available to authorized users. BioMed Central 2018-06-23 /pmc/articles/PMC6015659/ /pubmed/29935537 http://dx.doi.org/10.1186/s12875-018-0784-8 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Sinnema, Henny Terluin, Berend Volker, Daniëlle Wensing, Michel van Balkom, Anton Factors contributing to the recognition of anxiety and depression in general practice |
title | Factors contributing to the recognition of anxiety and depression in general practice |
title_full | Factors contributing to the recognition of anxiety and depression in general practice |
title_fullStr | Factors contributing to the recognition of anxiety and depression in general practice |
title_full_unstemmed | Factors contributing to the recognition of anxiety and depression in general practice |
title_short | Factors contributing to the recognition of anxiety and depression in general practice |
title_sort | factors contributing to the recognition of anxiety and depression in general practice |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6015659/ https://www.ncbi.nlm.nih.gov/pubmed/29935537 http://dx.doi.org/10.1186/s12875-018-0784-8 |
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