The DOI matches its Crossref record; 21 of the 21 references it cites were found in a registry or an index.
Prevalence and recognition of depressive syndromes in German primary care settings: poorly recognized and treated?
Abstract
The study examines the prevalence of depressive syndromes among unselected primary care attenders, as well as doctors' recognition and treatment rates, in order to examine patient and doctor-related factors associated with poor recognition. This nationwide study included a total of 20421 patients (aged 15-99 years) attending their primary care doctors (n = 633) on the study's target day in April 1999. Patients received a self-report questionnaire, including the Depression Screening Questionnaire (DSQ), to provide diagnoses of depressive disorders according to the criteria of DSM-IV and ICD-10. Doctors completed: (1) a pre-study questionnaire assessing data on doctors' psychosocial, professional and training background, as well as current practices in patients with depression and (2) an evaluation form for each patient seen to assess his diagnostic decision, clinical severity and treatment choices. Taking the DSQ as a yardstick, 4.2% of all primary care attenders fulfilled criteria for a major depressive episode according to DSM-IV; considerably higher rates of 11.3% were obtained using the ICD-10 criteria for mild depressive episodes. Rates of depression were higher in females, increased by age, and were also elevated in those retired, unemployed as well as non-working housemen/wives. Taking the doctors' decision of definite or probable depression, 75% of all DSM and 59% of all ICD-10 diagnoses were recognized by the treating physician. However, doctors also assigned diagnose…
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“Dieses Ergebnis reiht sich in die inkonsistenten Befunde früherer Studien ein, die teils eine höhere Inanspruchnahme psychisch belasteter Frauen im Vergleich zu psychisch belasteten Männern aufzeigten [ 30 , 41 , 51 -53 ] und teils keinen Zusammenhang berichteten [ 33 , 54 ] .”
From Inanspruchnahmebereitschaft und Inanspruchnahmeverhalten von Behandlungen aufgrund psychischer Belastungen bei Patienten der somatischen Rehabilitation (2012) · cites this paper as [33]
In the citing paper
“Dies zeigt sich auch in verschiedenen früheren Studien [ 32 , 33 , 55 ] , während in anderen Studien höhere Bildung mit höherer Inanspruchnahme einherging [ 31 , 53 ] .”
From Inanspruchnahmebereitschaft und Inanspruchnahmeverhalten von Behandlungen aufgrund psychischer Belastungen bei Patienten der somatischen Rehabilitation (2012) · cites this paper as [33]
Citations
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Clinical diagnosis of depression in primary care: a meta-analysis
Mitchell, A. J., Vaze, A., & Rao, S. (2009) · The Lancet · doi:10.1016/s0140-6736(09)60879-5 · Cited by 1,251
Anderson, I. M., Ferrier, I. N., Baldwin, R., Cowen, P. J., Howard, L. M., Lewis, G., Matthews, K., McAllister-Williams, H., Peveler, R. C., Scott, J. L., et al. (2008) · Journal of Psychopharmacology · doi:10.1177/0269881107088441 · Cited by 909
Cleare, A., Pariante, C., Young, A., Anderson, I., Christmas, D., Cowen, P., Dickens, C., Ferrier, I., Geddes, J., Gilbody, S., et al. (2015) · Journal of Psychopharmacology · doi:10.1177/0269881115581093 · Cited by 759
Olssøn, I., Mykletun, A., & Dahl, A. A. (2005) · BMC Psychiatry · doi:10.1186/1471-244x-5-46 · Cited by 580
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Metadata
- Authors
- Wittchen, H.-U., H??fler, M., & Meister, W.
- Affiliations
- Max Planck Institute of Psychiatry (DE)
- Venue
- International Clinical Psychopharmacology
- Published
- 2001-05
- Volume
- 16
- Issue
- 3
- Pages
- 121-135
- ISSN
- 0268-1315 (ISSN-L)
- OpenAlex
- W2005528619
- Cited by
- 163
- References
- 21
- Citations by year
- 2024: 4 · 2023: 2 · 2022: 3 · 2021: 1 · 2020: 4 · 2019: 6 · 2018: 1 · 2017: 9 · 2016: 4 · 2015: 15 · 2014: 9 · 2013: 8 · 2012: 9
- FWCI
- 8.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Clinical Psychopharmacology (publishedVersion)
- PubMed (publishedVersion)
- Max Planck Institute for Plasma Physics (submittedVersion)
- MPG.PuRe (Max Planck Society) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- depressive disorders, depression prevalence, primary care, depression detection, underdiagnosis, antidepressant treatment, DSM-IV, ICD-10, major depressive episode, psychomotor retardation, psychiatric referral, physician characteristics, Germany, gender differences, psychosocial factors
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Antidepressive Agents, Cross-Sectional Studies, Depressive Disorder, Drug Utilization, Female, Germany, Humans, Male, Mass Screening, Middle Aged, Personality Inventory, Primary Health Care, Psychiatric Status Rating Scales, Incidence
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