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Impact of demographic factors on recognition of persons with depression and anxiety in primary care in Slovenia

Rifel, J; Svab, I; Ster, MP; Pavlic, DR; King, M; Nazareth, I; (2008) Impact of demographic factors on recognition of persons with depression and anxiety in primary care in Slovenia. BMC Psychiatry , 8 , Article 96. 10.1186/1471-244X-8-96. Green open access

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Abstract

Background: Research has repeatedly shown that family physicians fail to diagnose up to 70% of patients with common mental disorders. Objective of the study is to investigate associations between persons' gender, age and educational level and detection of depression and anxiety by their family physicians.Methods: We compared the results of two independent observational studies that were performed at the same time on a representative sample of family medicine practice attendees in Slovenia. 10710 patients participated in Slovenian Cross-sectional survey and 1118 patients participated in a first round of a cohort study (PREDICT-D study). Logistic regression was used to examine the effects of age, gender and educational level on detection of depression and anxiety.Results: The prevalence of major depression and Other Anxiety Syndrome (OAS) amongst family practice attendees was low. The prevalence of Panic Syndrome (PS) was comparable to rates reported in the literature. A statistical model with merged data from both studies showed that it was over 15 times more likely for patients with ICD-10 criteria depression to be detected in PREDICT-D study as in SCS survey. In PREDICT-D study it was more likely for people with higher education to be diagnosed with ICD-10 criteria depression than in SCS survey.Conclusion: People with higher levels of education should probably be interviewed in a more standardized way to be recognised as having depression by Slovenian family physicians. This finding requires further validation.

Type: Article
Title: Impact of demographic factors on recognition of persons with depression and anxiety in primary care in Slovenia
Open access status: An open access version is available from UCL Discovery
DOI: 10.1186/1471-244X-8-96
Publisher version: http://dx.doi.org/10.1186/1471-244X-8-96
Language: English
Additional information: © 2008 Rifel et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: GENERAL-PRACTICE ATTENDEES, COMMON MENTAL-DISORDERS, PREVALENCE, IDENTIFICATION, PHYSICIANS, DIAGNOSIS
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute of Epidemiology and Health > Primary Care and Population Health
URI: https://discovery.ucl.ac.uk/id/eprint/150228
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