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Cited by 19Mental Health Treatment and AccessAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPrimary Care and Health Outcomes

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Recognition and subsequent treatment of patients with sub-threshold symptoms of depression in primary care

Cameron, Isobel M., Lawton, Kenneth, Reid, Ian C.·2011·Journal of Affective Disorders
DOI 10.1016/j.jad.2010.10.010
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Abstract

Background Non-psychiatric physicians are better at correctly ruling out depressive disorders than appropriately recognising them. However, given large numbers of non-depressed patients, a small percentage of false positives equates to a greater number of patients than the number of depressed patients that GPs fail to detect. Concern thus arises that substantial numbers of patients with falsely identified depression may receive inappropriate interventions. Methods Unselected GP consulters were screened with the Hospital Anxiety and Depression Scale (HADS). GPs' perceptions of depression were independently rated on an ICD-10 scale. Case records were reviewed. Analysis related to participants with HADS-D Results GP perceived depression in false positive cases were more likely at index visit, to have a mental health presenting problem (OR=6.74 (95% CI=3.21, 14.16); receive antidepressant prescriptions (OR 3.79 (95% CI=1.69, 8.49) and have greater severity of HADS-D score (OR 1.18 (95% CI=1.01, 1.38). Subthreshold cases that GPs identified as depressed, more often had a recording, over subsequent six months, of: depressive symptoms (16 (35%) versus 26 (7%), p Limitations The HADS is not a diagnostic tool. Conclusions GPs' diagnoses of depressive disorder in patients with sub-threshold symptoms were appropriate. Interventions offered to this group were consistent with documented previous histories.

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  • Older adults were more likely to be offered group therapy than individual therapy.

    “the recent National Audit of Psychological Therapies found that older adults were more likely to be offered group therapy than individual therapy (Cameron et al., 2011”

    From Barriers to treatment for older adults seeking psychological therapy (2015) · cites this paper as Cameron et al., 2011

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References 40 · Cited by 19

Research works printed but not linked: 35

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Metadata

Authors
Cameron, I. M., Lawton, K., & Reid, I. C.
Affiliations
University of Aberdeen (GB)
Corresponding author
Cameron, Isobel M.
ORCID
Venue
Journal of Affective Disorders
Publisher
Elsevier BV
Published
2011-04
Volume
130
Issue
1-2
Pages
99-105
ISSN
0165-0327 (ISSN-L)
DOI
10.1016/j.jad.2010.10.010
OpenAlex
W2015474404
Cited by
19
References
40
Citations by year
2025: 1 · 2021: 2 · 2018: 1 · 2015: 7 · 2014: 2 · 2013: 1 · 2012: 3
FWCI
2.62
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Journal of Affective Disorders (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Centre for Change and Innovation of the Scottish Executive
  • NHS Grampian Department of Research and Development
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Health Sciences › Medicine › Family Practice › Primary Care and Health Outcomes
Keywords
subthreshold depression, depressive symptoms, general practitioners, diagnostic accuracy, false positives, antidepressant prescribing, Hospital Anxiety and Depression Scale, primary care, mental health service referral, overdiagnosis
MeSH terms
Adult, Aged, Antidepressive Agents, Depressive Disorder, Diagnostic Errors, False Positive Reactions, Female, Humans, Male, Middle Aged, Primary Health Care, Psychiatric Status Rating Scales, Scotland, Multivariate Analysis, Chi-Square Distribution, Logistic Models, Odds Ratio, Statistics, Nonparametric, Inappropriate Prescribing, General Practitioners

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