Evidence map›Paper›PMID 29935537›Full record

ArticleBMC family practice2018

Factors contributing to the recognition of anxiety and depression in general practice.

Henny Sinnema, Berend Terluin, Daniëlle Volker, Michel Wensing, Anton van Balkom

Abstract read
In one paragraph

Article in BMC family practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Use of Mental Health Services for Patients Diagnosed with Major Depressive Disorders in Primary Care.International journal of environmental research and public health · 2021
    Trial
  6. Article
  7. Article
  8. Article
  9. Improving mental health care in depression: A call for action.European psychiatry : the journal of the Association of European Psychiatrists · 2023
    Review
  10. Article
  11. Integrating Neuropsychology into Interprofessional Geriatrics Clinics.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2022
    Article
  12. Article
  13. Observational
  14. The Independent Association of Prestroke Psychiatric Symptoms and Acute Phase Delirium with Poststroke Mortality at One Year in Nigeria.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2021
    Observational
  15. Article
  16. 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.

Henny SinnemaNetherlands Institute of Mental Health and Addiction, Trimbos Institute, Postbox 725, 3500, AS, Utrecht, The Netherlands. hsinnema@trimbos.nl.ORCID 0000-0003-2193-4905
Berend TerluinDepartment of General Practice and Elderly Care Medicine, Amsterdam Public Health Research Institute, VU University Medical Centre, Van der Boechorststraat 7, 1081, BT, Amsterdam, The Netherlands.
Daniëlle VolkerNetherlands Institute of Mental Health and Addiction, Trimbos Institute, Postbox 725, 3500, AS, Utrecht, The Netherlands.
Michel WensingUniversitatsklinikum Heidelberg, Im Neuenheimer Feld 130.3, 69120, Heidelberg, Germany.
Anton van BalkomDepartment of Psychiatry, VU University Medical Centre and GGZinGeest, AJ Ernststraat 887, 1081, HL, Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdequate 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.

methodsWe 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.

resultsPatients 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.

conclusionsThere 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.

Indexed as

Clinical CompetenceGeneral PractitionersAdultAgedAge FactorsAnxietyChronic DiseaseDepressionFemaleGeneral PracticeHumansLogistic ModelsMaleMiddle AgedMultilevel AnalysisOdds RatioAnxietyDepressionGeneral practitionerPrimary careRecognition

Identifiers

PMID29935537
PMCPMC6015659

What OpenQuestion holds

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Registered trials

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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.