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首页> 外文期刊>The British journal of psychiatry : >Dimensional perspective on the recognition of depressive symptoms in primary care
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Dimensional perspective on the recognition of depressive symptoms in primary care

机译：初级保健中抑郁症状识别的立体视角

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Background Most studies of the recognition of depression in primary care have used a categorical definition of depression. This may overstate the extent of the problem. Aims Our objective was to investigate the relationship between severity and recognition of depression, and its modification by patient and practitioner characteristics. Method An association study in multiple consecutive adult cohorts of 18 414 primary care consultations drawn from a representative sample of 156 general practitioners in Hampshire, UK. Results There was a curvilinear relationship between the severity of depression and practitioners' ratings of depression. One case of probable depression was missed in every 28.6 consultations. Anxiety and unemployment altered the chances of recognition, but age, gender and deprivation scores did not. Conclusions A dimensional approach to severity of depression shows that general practitioners may be better able to recognise depression than previous categorical studies have suggested. Efforts to improve the care of depression should therefore focus on doctors who have been shown to have difficulty making the diagnosis and on improving the treatment of identified patients.
机译：背景技术大多数在初级保健中认识到抑郁症的研究都使用了抑郁症的分类定义。这可能会夸大问题的范围。目的我们的目的是研究抑郁症的严重程度与认知度之间的关系，以及其根据患者和执业医生的特征而改变的程度。方法一项联合研究来自英国汉普郡的156名全科医生的代表性样本中，进行了18 414次初级保健咨询的多个连续成人队列。结果抑郁的严重程度与医生的抑郁等级之间存在曲线关系。每28.6次诊治中漏诊1例可能的抑郁症病例。焦虑和失业改变了被承认的机会，但是年龄，性别和贫困分数却没有改变。结论对抑郁症严重程度的量纲研究表明，与以前的分类研究相比，全科医生可能更能识别抑郁症。因此，改善抑郁症治疗的努力应集中于已被证明难以诊断和改善已查明患者治疗的医生。

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