Evidence map›Paper›PMID 27804312›Full record

Trial reportScandinavian journal of primary health care2016

Patients' perspectives on the use of the Montgomery-Asberg depression rating scale self-assessment version in primary care.

Carl Wikberg, Agneta Pettersson, Jeanette Westman, Cecilia Björkelund, Eva-Lisa Petersson

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Scandinavian journal of primary health care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05219006 (Ketogenic Diet Effects on the Frequency of Non Epileptic Seizures in Patients With Dissociative Neurological Symptom Disorder), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT05219006 nacompletednot on this mapstarted 2021, after this paper: background citation

Ketogenic Diet Effects on the Frequency of Non Epileptic Seizures in Patients With Dissociative Neurological Symptom Disorder: a Pilot Study

TypeinterventionalSponsorEl Instituto Nacional de Neurologia y Neurocirugia Manuel Velasco SuarezRan2021 to 2023Enrolled17ConditionsNon Epileptic Seizures, Functional Neurological Symptom Disorder, Conversion Disorder, Ketogenic DietingArmsketogenic dieting, healthy dieting
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
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  8. Article
  9. A qualitative study of patients' perceptions of the utility of patient-reported outcome measures of symptoms in primary care clinics.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2018
    Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Carl Wikberga Department of Public Health and Community Medicine, Section of Primary Health Care , Institute of Medicine, University of Gothenburg , Gothenburg , Sweden.
Agneta Petterssonc Department of Learning, Informatics, Management and Ethics , Karolinska Institutet , Stockholm.
Jeanette Westmane Centre for Family Medicine, Department of Neurobiology, Care Sciences and Society , Karolinska Institutet , Huddinge , Sweden.
Cecilia Björkelunda Department of Public Health and Community Medicine, Section of Primary Health Care , Institute of Medicine, University of Gothenburg , Gothenburg , Sweden.
Eva-Lisa Peterssona Department of Public Health and Community Medicine, Section of Primary Health Care , Institute of Medicine, University of Gothenburg , Gothenburg , Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of the current study was to better understand how patients with depression perceive the use of MADRS-S in primary care consultations with GPs.

designQualitative study. Focus group discussion and analysis through Systematic Text Condensation.

settingPrimary Health Care, Region Västra Götaland, Sweden. SUBJECTS: Nine patients with mild/moderate depression who participated in a RCT evaluating the effects of regular use of the Montgomery-Åsberg Depression Self-assessment scale (MADRS-S) during the GP consultations.

main outcome measurePatients' experiences and perceptions of the use of MADRS-S in primary care.

resultsThree categories emerged from the analysis: (I) confirmation; MADRS-S shows that I have depression and how serious it is, (II) centeredness; the most important thing is for the GP to listen to and take me seriously and (III) clarification; MADRS-S helps me understand why I need treatment for depression.

conclusionUse of MADRS-S was perceived as a confirmation for the patients that they had depression and how serious it was. MADRS-S showed the patients something black on white that describes and confirms the diagnosis. The informants emphasized the importance of patient-centeredness; of being listened to and to be taken seriously during the consultation. Use of self-assessment scales such as MADRS-S could find its place, but needs to adjust to the multifaceted environment that primary care provides. Key Points Patients with depression in primary care perceive that the use of a self-assessment scale in the consultation purposefully can contribute in several ways. The scale contributes to Confirmation: MADRS-S shows that I have depression and how serious it is. Centeredness: The most important thing is for the GP to listen to and take me seriously. Clarification: MADRS-S helps me understand why I need treatment for depression.

Indexed as

Attitude to HealthMass ScreeningPrimary Health CarePsychiatric Status Rating ScalesSeverity of Illness IndexAdolescentAdultAgedDepressionFamily PracticeFemaleGeneral PractitionersHumansMajor Depressive DisorderMaleMiddle AgedcommunicationDepressionfocus groupgeneral practiceprimary careself-assessment scaleSweden

Identifiers

PMID27804312
PMCPMC5217279

What OpenQuestion holds

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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.