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Cited by 479

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Screening for depression in primary care with two verbally asked questions: cross sectional study

Open access
Arroll, Bruce, Khin, Natalie, Kerse, Ngaire·2003·BMJ

Abstract

Objective To determine the diagnostic accuracy of two verbally asked questions for screening for depression. Design Cross sectional criterion standard validation study. Setting 15 general practices in New Zealand. Participants 421 consecutive patients not taking psychotropic drugs. Main outcome measures Sensitivity, specificity, and likelihood ratios of the two questions compared with the computerised composite international diagnostic interview. Results The two screening questions showed a sensitivity and specificity of 97% (95% confidence interval, 83% to 99%) and 67% (62% to 72%), respectively. The likelihood ratio for a positive test was 2.9 (2.5 to 3.4) and the likelihood ratio for a negative test was 0.05 (0.01 to 0.35). Overall, 37% (157/421) of the patients screened positive for depression. Conclusion Two verbally asked questions for screening for depression would detect most cases of depression in general practice. The questions have the advantage of brevity. As treatment is more likely when doctors make the diagnosis, these questions may have even greater utility.

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Metadata

Authors
Arroll, B., Khin, N., & Kerse, N.
Venue
BMJ
Publisher
BMJ
Published
2003-11-13
Volume
327
Issue
7424
Pages
1144-1146
ISSN
  • 0007-1447 (ISSN-L)
  • 0959-8138
  • 1468-5833
OpenAlex
W2152381040
Cited by
479
References
7
FWCI
23.04
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Screening for depression in primary care with two verbally asked questions: cross sectional study. https://app.cochat.ai/papers/10.1136/bmj.327.7424.1144
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Arroll, B., Khin, N., & Kerse, N. (2003). Screening for depression in primary care with two verbally asked questions: cross sectional study. BMJ. https://doi.org/10.1136/bmj.327.7424.1144

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