title: Factors contributing to the recognition of anxiety and depression in general practice
creator: Sinnema, Henny
creator: Terluin, Berend
creator: Volker, Daniëlle
creator: Wensing, Michel
creator: van Balkom, Anton
subject: ddc-610
subject: 610 Medical sciences Medicine
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.
publisher: BioMed Central ; Springer
date: 2018
type: Article
type: info:eu-repo/semantics/article
type: NonPeerReviewed
format: application/pdf
identifier: https://archiv.ub.uni-heidelberg.de/volltextserverhttps://archiv.ub.uni-heidelberg.de/volltextserver/24752/1/12875_2018_Article_784.pdf
identifier: DOI:
identifier: urn:nbn:de:bsz:16-heidok-247524
identifier:   Sinnema, Henny ; Terluin, Berend ; Volker, Daniëlle ; Wensing, Michel ; van Balkom, Anton  (2018) Factors contributing to the recognition of anxiety and depression in general practice.  BMC Family Practice, 19 (99).  pp. 1-10.  ISSN 1471-2296     
relation: https://archiv.ub.uni-heidelberg.de/volltextserver/24752/
rights: info:eu-repo/semantics/openAccess
rights: Please see front page of the work (Sorry, Dublin Core plugin does not recognise license id)
language: eng