ArticleCanadian family physician Medecin de famille canadien2005
Diagnosing depression: there is no blood test.
Article in Canadian family physician Medecin de famille canadien, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
10 citing papers in PubMed, 23 citations in OpenAlex.
- "Every structure we're taught goes out the window": General practitioners' experiences of providing help for patients with emotional concerns'.Health & social care in the community · 2020Article
- [Views of patients diagnosed with depression and cared for by general practitioners and psychiatrists].Atencion primaria · 2012Article
- Diagnoses of anxiety and depression in clinical-scenario patients: survey of Saskatchewan family physicians.Canadian family physician Medecin de famille canadien · 2012Article
- Treatment and follow-up of anxiety and depression in clinical-scenario patients: survey of Saskatchewan family physicians.Canadian family physician Medecin de famille canadien · 2012Article
- Talking about depression: a qualitative study of barriers to managing depression in people with long term conditions in primary care.BMC family practice · 2011Article
- Struck by lightning or slowly suffocating - gendered trajectories into depression.BMC family practice · 2009Article
- Recognition of depression in people of different cultures: a qualitative study.BMC family practice · 2009Article
- Does intuition have a role in psychiatric diagnosis?The Psychiatric quarterly · 2009Review
- [Family doctors and psychiatrists and the patient with depression: the need to re-adjust health care approaches and organisational dynamics].Atencion primaria · 2009Article
- Practice tips. Screening and long-term follow-up of depression in my practice.Canadian family physician Medecin de famille canadien · 2007Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo explore and describe primary care physicians' experiences in providing care to depressed patients and to increase understanding of the possibilities and constraints around diagnosing and treating depression in primary care.
designQualitative study using personal interviews.
settingA hospital region in eastern Canada.
participantsA purposely diverse sample of 20 physicians chosen from among all 100 practising family physicians in the region.
methodInvitations were mailed to all physicians practising in the region. Twenty physicians were chosen from among the 39 physicians responding positively to the invitation. Location of practice, sex, and year of graduation from medical school were used as sampling criteria. The 20 physicians were then interviewed, and the interviews were audiotaped and transcribed verbatim. Data were analyzed using a constant comparative approach involving handwritten notes on transcripts and themes created using qualitative data analysis software. MAIN
findingsThree themes related to diagnosis emerged. The first concerns use of checklists. Physicians said they needed an efficient but effective means of diagnosing depression and often used diagnostic aids, such as checklists. Some physicians, however, were reluctant to use such aids. The second theme, interpersonal processes, involved the investment of time needed for diagnosing depression and the importance of establishing rapport. The final theme, intuition, revealed how some physicians relied on "gut sense" and years of experience to make a diagnosis.
conclusionDiagnosis of depression by primary care physicians involves a series of often complicated negotiations with patients. Such negotiations require expertise gained through experience, yet prior research has not recognized the intricacies of this diagnostic process. Our findings suggest that future research must recognize the complex and multidisciplinary nature of physicians' approaches to diagnosis of depression in order to better reflect how they practise.
Indexed as
Identifiers
16926948PMC1479510W2160705297What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.