ArticleScandinavian journal of primary health care2011
Case-finding and risk-group screening for depression in primary care.
Article in Scandinavian journal of primary health care, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.
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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.
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Who cites it
20 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Onset and frequency of depression in post-COVID-19 syndrome: A systematic review.Journal of psychiatric research · 2021Pooled it
- The Accuracy of the Patient Health Questionnaire-9 Algorithm for Screening to Detect Major Depression: An Individual Participant Data Meta-Analysis.Psychotherapy and psychosomatics · 2020Pooled it
- Case-finding for common mental disorders in primary care using routinely collected data: a systematic review.Social psychiatry and psychiatric epidemiology · 2019Pooled it
- Improving the precision of depression diagnosis in general practice: a cluster-randomized trial.BMC family practice · 2021Trial
- Collaborative care for depression in general practice: study protocol for a randomised controlled trial.Trials · 2017Trial
- Emoqol-100: Development and validation of a single question for low mood in primary care. A retrospective audit.BJGP open · 2023Article
- Mental health in diabetes care. Time to step up.Frontiers in clinical diabetes and healthcare · 2022Article
- Article
- Diagnosing depression in primary care: a Rasch analysis of the Major Depression Inventory.Scandinavian journal of primary health care · 2019Article
- Diagnosing depression in primary care: a Rasch analysis of the major depression inventory.Scandinavian journal of primary health care · 2019Article
- The Treatment of Depression in Primary Care.Deutsches Arzteblatt international · 2017Article
- Patient Health Questionnaire-9 versus Edinburgh Postnatal Depression Scale in screening for major depressive episodes: a cross-sectional population-based study.BMC research notes · 2017Article
- The criterion validity of the web-based Major Depression Inventory when used on clinical suspicion of depression in primary care.Clinical epidemiology · 2017Article
- Patient health questionnaire-9 versus Edinburgh postnatal depression scale in screening for major depressive episodes: a cross-sectional population-based study.BMC research notes · 2016Article
- Pain threshold and intensity in rheumatic patients: correlations with the Hamilton Depression Rating scale.Clinical rheumatology · 2015Article
- Factors affecting the presence of depression, anxiety disorders, and suicidal ideation in patients attending primary health care service in Lithuania.Scandinavian journal of primary health care · 2014Article
- Depression prevalence and primary care among vulnerable patients at a free outpatient clinic in Paris, France, in 2010: results of a cross-sectional survey.BMC family practice · 2013Observational
- Course, risk factors, and prognostic factors in elderly primary care patients with mild depression: a two-year observational study.Scandinavian journal of primary health care · 2013Article
- Psychosocial stressors and depression at a Swedish primary health care centre. A gender perspective study.BMC family practice · 2011Article
- Depression and the heart.Indian heart journalReview
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
OBJECTIVE. Central health organizations suggest routine screening for depression in high-risk categories of primary care patients. This study compares the effectiveness of high-risk screening versus case-finding in identifying depression in primary care. DESIGN. Using an observational design, participating GPs included patients from 13 predefined risk groups and/or suspected of being depressed. Patients were assessed by the Major Depression Inventory (MDI) and ICD-10 criteria. Setting. Thirty-seven primary care practices in Mainland Denmark. Main outcome measures. Prevalence of depression, diagnostic agreement, effectiveness of screening methods, risk groups requiring special attention. RESULTS. A total of 37 (8.4%) of 440 invited GP practices participated. We found high-risk prevalence of depression in 672 patients for the following traits: (1) previous history of depression, (2) familial predisposition to depression, (3) chronic pain, (4) other mental disorders, and (5) refugee or immigrant. In the total sample, GPs demonstrated a depression diagnostic sensitivity of 87% and a specificity of 67% using a case-finding strategy. GP diagnoses of depression agreed well with the MDI (AUC values of 0.91-0.99). The potential added value of high-risk screening was 4.6% (31/672). Patients with other mental disorders were at increased risk of having an unrecognized depression (PR 3.15, 95% CI 1.91-5.20). If patients with other mental disorders were routinely tested, then 42% more depressed patients (14/31) would be recognized. CONCLUSIONS. A broad case-finding approach including a short validation test can help GPs identify depressed patients, particularly by including patients with other mental disorders in this strategy. This exploratory study cannot support the screening strategy proposed by central health organizations.
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