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Leslie Foldager

Psychiatric caseness is a marker of major depressive episode in general practice

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

Standard

Psychiatric caseness is a marker of major depressive episode in general practice. / Østergaard, Søren Dinesen; Foldager, Leslie; Allgulander, Christer; Dahl, Alv A; Huuhtanen, Marja-Terttu; Rasmussen, Ib; Munk-Jørgensen, Povl.

I: Scandinavian Journal of Primary Health Care, Bind 28, Nr. 4, 2010, s. 211-5.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

Harvard

Østergaard, SD, Foldager, L, Allgulander, C, Dahl, AA, Huuhtanen, M-T, Rasmussen, I & Munk-Jørgensen, P 2010, 'Psychiatric caseness is a marker of major depressive episode in general practice', Scandinavian Journal of Primary Health Care, bind 28, nr. 4, s. 211-5. https://doi.org/10.3109/02813432.2010.501235

APA

Østergaard, S. D., Foldager, L., Allgulander, C., Dahl, A. A., Huuhtanen, M-T., Rasmussen, I., & Munk-Jørgensen, P. (2010). Psychiatric caseness is a marker of major depressive episode in general practice. Scandinavian Journal of Primary Health Care, 28(4), 211-5. https://doi.org/10.3109/02813432.2010.501235

CBE

Østergaard SD, Foldager L, Allgulander C, Dahl AA, Huuhtanen M-T, Rasmussen I, Munk-Jørgensen P. 2010. Psychiatric caseness is a marker of major depressive episode in general practice. Scandinavian Journal of Primary Health Care. 28(4):211-5. https://doi.org/10.3109/02813432.2010.501235

MLA

Vancouver

Østergaard SD, Foldager L, Allgulander C, Dahl AA, Huuhtanen M-T, Rasmussen I o.a. Psychiatric caseness is a marker of major depressive episode in general practice. Scandinavian Journal of Primary Health Care. 2010;28(4):211-5. https://doi.org/10.3109/02813432.2010.501235

Author

Østergaard, Søren Dinesen ; Foldager, Leslie ; Allgulander, Christer ; Dahl, Alv A ; Huuhtanen, Marja-Terttu ; Rasmussen, Ib ; Munk-Jørgensen, Povl. / Psychiatric caseness is a marker of major depressive episode in general practice. I: Scandinavian Journal of Primary Health Care. 2010 ; Bind 28, Nr. 4. s. 211-5.

Bibtex

@article{1c8a8260b4f911dfb4b4000ea68e967b,
title = "Psychiatric caseness is a marker of major depressive episode in general practice",
abstract = "Abstract Objective. Screening for a major depressive episode (MDE) in high-risk groups of patients within the primary care setting has been suggested by several Central Health Organizations. The objective of this study was to investigate whether patients rated as {"}psychiatric cases{"} by their general practitioner (GP) were likely to suffer from MDE and therefore qualified for systematic diagnostic screening. Design. Cross-sectional survey of primary care patients assessed through depression screening questionnaires and GP consultations. Setting. A total of 676 general practices in Denmark, Finland, Norway, and Sweden. Subjects. A total of 8879 unselected primary care patients. Main outcome measures. Sensitivity, specificity, and Youden Index of the GPs' diagnoses of depression and psychiatric caseness versus patients' MDE status. Results. The proportion of primary care patients receiving a false-positive diagnosis of depression by their GP ranged from 12.4{\%} to 25.2{\%} depending on country. The corresponding numbers for the false-negative diagnoses were 0.5-2.5{\%}. Among patients with MDE, GPs recognize the disease in 56-75{\%} of cases. However, GPs recognize as many as 79-92{\%} of patients with MDE as {"}psychiatric cases{"}. Conclusions. This report confirms that misclassifications of MDE are common in the primary care setting. In addition, it shows that psychiatric caseness is a valid marker for the presence of MDE in primary care patients. This relationship should be considered in future screening recommendations.",
author = "{\O}stergaard, {S{\o}ren Dinesen} and Leslie Foldager and Christer Allgulander and Dahl, {Alv A} and Marja-Terttu Huuhtanen and Ib Rasmussen and Povl Munk-J{\o}rgensen",
year = "2010",
doi = "10.3109/02813432.2010.501235",
language = "English",
volume = "28",
pages = "211--5",
journal = "Scandinavian Journal of Primary Health Care",
issn = "0281-3432",
publisher = "Taylor & francis",
number = "4",

}

RIS

TY - JOUR

T1 - Psychiatric caseness is a marker of major depressive episode in general practice

AU - Østergaard, Søren Dinesen

AU - Foldager, Leslie

AU - Allgulander, Christer

AU - Dahl, Alv A

AU - Huuhtanen, Marja-Terttu

AU - Rasmussen, Ib

AU - Munk-Jørgensen, Povl

PY - 2010

Y1 - 2010

N2 - Abstract Objective. Screening for a major depressive episode (MDE) in high-risk groups of patients within the primary care setting has been suggested by several Central Health Organizations. The objective of this study was to investigate whether patients rated as "psychiatric cases" by their general practitioner (GP) were likely to suffer from MDE and therefore qualified for systematic diagnostic screening. Design. Cross-sectional survey of primary care patients assessed through depression screening questionnaires and GP consultations. Setting. A total of 676 general practices in Denmark, Finland, Norway, and Sweden. Subjects. A total of 8879 unselected primary care patients. Main outcome measures. Sensitivity, specificity, and Youden Index of the GPs' diagnoses of depression and psychiatric caseness versus patients' MDE status. Results. The proportion of primary care patients receiving a false-positive diagnosis of depression by their GP ranged from 12.4% to 25.2% depending on country. The corresponding numbers for the false-negative diagnoses were 0.5-2.5%. Among patients with MDE, GPs recognize the disease in 56-75% of cases. However, GPs recognize as many as 79-92% of patients with MDE as "psychiatric cases". Conclusions. This report confirms that misclassifications of MDE are common in the primary care setting. In addition, it shows that psychiatric caseness is a valid marker for the presence of MDE in primary care patients. This relationship should be considered in future screening recommendations.

AB - Abstract Objective. Screening for a major depressive episode (MDE) in high-risk groups of patients within the primary care setting has been suggested by several Central Health Organizations. The objective of this study was to investigate whether patients rated as "psychiatric cases" by their general practitioner (GP) were likely to suffer from MDE and therefore qualified for systematic diagnostic screening. Design. Cross-sectional survey of primary care patients assessed through depression screening questionnaires and GP consultations. Setting. A total of 676 general practices in Denmark, Finland, Norway, and Sweden. Subjects. A total of 8879 unselected primary care patients. Main outcome measures. Sensitivity, specificity, and Youden Index of the GPs' diagnoses of depression and psychiatric caseness versus patients' MDE status. Results. The proportion of primary care patients receiving a false-positive diagnosis of depression by their GP ranged from 12.4% to 25.2% depending on country. The corresponding numbers for the false-negative diagnoses were 0.5-2.5%. Among patients with MDE, GPs recognize the disease in 56-75% of cases. However, GPs recognize as many as 79-92% of patients with MDE as "psychiatric cases". Conclusions. This report confirms that misclassifications of MDE are common in the primary care setting. In addition, it shows that psychiatric caseness is a valid marker for the presence of MDE in primary care patients. This relationship should be considered in future screening recommendations.

U2 - 10.3109/02813432.2010.501235

DO - 10.3109/02813432.2010.501235

M3 - Journal article

C2 - 20624110

VL - 28

SP - 211

EP - 215

JO - Scandinavian Journal of Primary Health Care

JF - Scandinavian Journal of Primary Health Care

SN - 0281-3432

IS - 4

ER -