DIAGNOSIS
Review: non-psychiatric physicians have low accuracy for recognising depression in their patients
| The first 150 words of the full text of this article appear below. |
Dr M Cepoiu
Correspondence to: Dr M Cepoiu, University of Calgary, Calgary, Alberta, Canada; monica.cepoiu@ucalgary.ca
QUESTION
How accurate are non-psychiatric physicians in recognising depression in their patients?
REVIEW SCOPE
Studies selected evaluated the accuracy of non-psychiatric physicians in recognising depression in adult patients who attended primary care facilities, emergency departments, or outpatient clinics, or were admitted to hospital. "Recognition" was ascertained directly by an explicit statement or rating of depression by the physician (physician diagnosis method) or indirectly by chart review indicating antidepressant medication prescription, referral to a mental health specialist, or identification of depressive symptoms (chart review method). The reference standard for depression was diagnosis by a psychiatrist or by research staff using a structured clinical interview or rating scale with a specified cutpoint. Outcomes were summary sensitivity, specificity, and diagnostic odds ratio.
REVIEW METHODS
Medline, EMBASE/Excerpta Medica, CINAHL, and PsycINFO (to 2006); and reference lists were searched for studies published in English or
University of Lincoln, Lincoln, UK
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