Hostname: page-component-cd9895bd7-mkpzs Total loading time: 0 Render date: 2025-01-03T16:13:19.255Z Has data issue: false hasContentIssue false
  • English
  • Français

Extent of depressive symptomatology among patients seeking care in prepaid group practice

Published online by Cambridge University Press:  09 July 2009

Janet R. Hankin  and
Ben Z. Locke
Janet R. Hankin*
Affiliation:
Johns Hopkins University, BaltimoreNational Institute of Mental Health, Rockville, Maryland, USA
Ben Z. Locke
Affiliation:
Johns Hopkins University, BaltimoreNational Institute of Mental Health, Rockville, Maryland, USA
*
1Address for correspondence: Dr Janet Hankin, Center for Metropolitan Planning and Research, The Johns Hopkins University, Baltimore, MD 21218, USA.
Get access Rights & Permissions [Opens in a new window]

Synopsis

A total of 1921 consecutive adult patients seen in the Departments of Internal Medicine and Obstetrics–Gynaecology at a prepaid group practice completed a self-administered depressive symptomatology questionnaire, the Centre for Epidemiologic Studies Depression Scale (CES-D). New health practitioners and physicians, who were not mental health specialists, blindly judged the presence or absence of depressive symptomatology. Twenty-one per cent of the patients suffered from depressive symptoms according to the CES-D, but only 15% of these were judged to be depressed by their physician or new health practitioner. The variables which predict the recognition of depressive symptomatology are discussed.

Type
Research Article
Information
Psychological Medicine , Volume 13 , Issue 1 , February 1983 , pp. 121 - 129
Copyright
Copyright © Cambridge University Press 1983

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Blackwell, B. & Goldberg, D. P. (1968). Psychiatric interviews in general practice. British Medical Journal iv, 99–101.CrossRefGoogle Scholar
Cassano, G. B., Castrogiovanni, P., Conti, L. & Nardini, A. G. (1976). Depression as seen by nonpsychiatrist physicians. Comprehensive Psychiatry 17. 315–323.CrossRefGoogle ScholarPubMed
Comstock, G. W. & Helsing, K. J. (1976). Symptoms of depression in two communities. Psychological Medicine 6, 551–563.CrossRefGoogle ScholarPubMed
Eaton, W. W. & Kessler, L. G. (1981). Rates of symptoms of depression in a national sample. American Journal of Epidemiology 114 (4), 528–538.CrossRefGoogle ScholarPubMed
Frerichs, R. R., Aneshensel, C. S. & Clark, V. A. (1981). Prevalence of depression in Los Angeles County. American Journal of Epidemiology 113. 691–699.CrossRefGoogle ScholarPubMed
Goldberg, D. & Huxley, P. (1980). Mental Illness in the Community. Tavistock Publications: London.Google Scholar
Goldberg, D., Kay, C. & Thompson, L. (1976). Psychiatric morbidity in general practice and the community. Psychological Medicine 6, 565–569.CrossRefGoogle ScholarPubMed
Goldberg, D., Steele, J. J., Smith, C. & Spivey, L. (1980). Training Family Practice Residents to Recognise Psychiatric Disturbances. Final Report, NIMH Contract No. 278–78–003 (DB). Medical University of South Carolina: Charleston, South Carolina.Google Scholar
Grove, W. M. & Andreasen, N. C. (1982). Simultaneous tests of many hypotheses in exploratory research, Journal of Nervous and Mental Disease 170, 3–8.CrossRefGoogle ScholarPubMed
Hankin, J. R. (1982). Recognizing the depressed female patient. The Female Patient 7, 43–46.Google Scholar
Hankin, J. R. & Locke, B. Z. (1982). The persistence of depressive symptomatology among prepaid group practice enrollees: an exploratory study. American Journal of Public Health 72, 1000–1007.CrossRefGoogle ScholarPubMed
Hankin, J. & Oktay, J. S. (1979). Mental Disorder and Primary Medical Care: An Analytical Review of the Literature. NIMI Series D No. 5. DHEW Publication No. (ADM) 78–661: Washington, D.C.Google Scholar
Hoeper, E. W., Nycz, G. & Cleary, P. (1979). The Quality of Mental Health Services in an Organized Primary Health Care Setting. Final Report. NIMH Contract No. 278–77–0071 (DBE): Marshfield, Wisconsin.Google Scholar
Husaini, B. A., Neff, J. A., Harrington, J. B., Hughes, M. D. & Stone, R. H. (1980). Depression in rural communities: validating the CES-D Scale. Journal of Community Psychology 8, 20–27.3.0.CO;2-Y>CrossRefGoogle Scholar
Kline, N. S. (1976). Incidence, prevalence, and recognition of depressive illness. Diseases of the Nervous System 37, 10–14.Google ScholarPubMed
Locke, B. Z., Krantz, G. & Kramer, M. (1966). Psychiatric need and demand in a prepaid group practice program. American Journal of Public Health 56, 895–904.CrossRefGoogle Scholar
Marks, J. N., Goldberg, D. P. & Hillier, V. F. (1979). Determinants of the ability of general practitioners to detect psychiatric illness. Psychological Medicine 9, 337–353.CrossRefGoogle ScholarPubMed
Myers, J. K. & Weissman, M. M. (1980). Use of a self-report symptom scale to detect depression in a community sample. American Journal of Psychiatry 137, 1081–1084.Google Scholar
National Center for Health Statistics (1980). Basic Data on Depressive Symptomatology, United States 1974–1975. Vital and Health Statistics Series No. 216. DHEW Publication No. (PHS) 80–1666: Hyattsville, Maryland.Google Scholar
President's Commission on Mental Health (1978). Report to the President. US Government Printing Office: Washington, D.C.Google Scholar
Radloff, L. S. (1977). The CES-D Scale: a self-report depression scale for research in the general population. Applied Psychological Measurement 1 (3), 385–401.CrossRefGoogle Scholar
Regier, D. A., Goldberg, I. D. & Taube, C. A. (1978). The de facto US mental health services system. Archives of General Psychiatry 35, 685–693.CrossRefGoogle Scholar
Rubinfeld, D. L. & Pindyck, R. S. (1981). Econometric Models and Economic Forecasts. McGraw-Hill: New York.Google Scholar
Shepherd, M., Cooper, B., Brown, A. C. & Kalton, G. W. (1966). Psychiatric Illness in General Practice. Oxford University Press: London.Google Scholar
Steinwachs, D. M., Shapiro, S., Yaffe, R., Levine, D. M. & Seidel, H. (1976). The role of new health practitioners in a prepaid group practice: changes in the distribution of ambulatory care between physician and nonphysician providers of care. Medical Care 14, 95–120.CrossRefGoogle Scholar
Stoeckle, J. D. & Davidson, G. E. (1962). Bodily complaints and other symptoms of depressive reaction. Journal of the American Medical Association 180, 134–139.CrossRefGoogle ScholarPubMed
Von Mering, O. & Early, L. W. (1966). The diagnosis of problem patients. Human Organization 25, 20–23.CrossRefGoogle Scholar
Waggoner, R. W. & Waggoner, R. W. Jr (1969). Somatic concomitants of depression. Southern Medical Journal 62, 285–289.CrossRefGoogle ScholarPubMed
Weiner, M. F. (1969). Beyond the presenting complaint. Psychosomatics 10, 310–313.CrossRefGoogle ScholarPubMed
Weissman, M. M., Sholomskas, D., Pottenger, M., Prusoff, B. A. & Locke, B. Z. (1977). Assessing depressive symptoms in five psychiatric populations: a validation study. American Journal of Epidemiology 106, 203–214.CrossRefGoogle ScholarPubMed