TY - JOUR
KW - Anxiety Disorders/diagnosis
KW - Cross-Sectional Studies
KW - Depression/diagnosis
KW - Diagnosis, Differential
KW - Follow-Up Studies
KW - Humans
KW - Interview, Psychological
KW - Logistic Models
KW - Primary Health Care
KW - Prospective Studies
KW - Questionnaires
KW - Reproducibility of Results
KW - Sensitivity and Specificity
KW - Somatoform Disorders/diagnosis
KW - World Health Organization
AU - K. Barkow
AU - R. Heun
AU - T. B. Ustun
AU - M. Berger
AU - I. Bermejo
AU - W. Gaebel
AU - M. Harter
AU - F. Schneider
AU - R. D. Stieglitz
AU - W. Maier
A1 - 
AB - Somatic symptoms and anxiety symptoms are often disregarded in the detection of depression in primary care. The present investigation examined to what extent somatic and anxiety symptoms recorded with the Composite International Diagnostic Interview-Primary Health Care Version (CIDI-PHC) can improve the detection of depression as compared to the General Health Questionnaire-12-item version alone. Data from the World Health Organization study on Psychological Problems in General Health Care were used. The study sample consisted of primary care attenders from 15 centres from all over the world who underwent a psychiatric examination with the CIDI-PHC. Medically unexplained somatic symptoms (back pain, feelings of heaviness/lightness in parts of the body, periods of bodily weakness, seizures/convulsions, permanent tiredness, exhaustion after a minimum of effort) and-to a smaller extent-diverse anxiety symptoms (e.g. feelings of anxiousness/nervousness, feelings of tension, difficulties relaxing) significantly contributed to the detection of depression in a logistic regression analysis. The results confirm the observation that in primary care somatic symptoms play an important role in the manifestation of depressive disorders. The items investigated herein could prove beneficial for future depression screening instruments to improve the detection of depressive disorders in primary care.
BT - European psychiatry : the journal of the Association of European Psychiatrists
C5 - Medically Unexplained Symptoms
CP - 5
CY - France
DO - 10.1016/j.eurpsy.2004.04.015
IS - 5
JF - European psychiatry : the journal of the Association of European Psychiatrists
N2 - Somatic symptoms and anxiety symptoms are often disregarded in the detection of depression in primary care. The present investigation examined to what extent somatic and anxiety symptoms recorded with the Composite International Diagnostic Interview-Primary Health Care Version (CIDI-PHC) can improve the detection of depression as compared to the General Health Questionnaire-12-item version alone. Data from the World Health Organization study on Psychological Problems in General Health Care were used. The study sample consisted of primary care attenders from 15 centres from all over the world who underwent a psychiatric examination with the CIDI-PHC. Medically unexplained somatic symptoms (back pain, feelings of heaviness/lightness in parts of the body, periods of bodily weakness, seizures/convulsions, permanent tiredness, exhaustion after a minimum of effort) and-to a smaller extent-diverse anxiety symptoms (e.g. feelings of anxiousness/nervousness, feelings of tension, difficulties relaxing) significantly contributed to the detection of depression in a logistic regression analysis. The results confirm the observation that in primary care somatic symptoms play an important role in the manifestation of depressive disorders. The items investigated herein could prove beneficial for future depression screening instruments to improve the detection of depressive disorders in primary care.
PP - France
PY - 2004
SN - 0924-9338; 0924-9338
SP - 250
EP - 257
EP - 
T1 - Identification of somatic and anxiety symptoms which contribute to the detection of depression in primary health care
T2 - European psychiatry : the journal of the Association of European Psychiatrists
TI - Identification of somatic and anxiety symptoms which contribute to the detection of depression in primary health care
U1 - Medically Unexplained Symptoms
U2 - 15276656
U3 - 10.1016/j.eurpsy.2004.04.015
VL - 19
VO - 0924-9338; 0924-9338
Y1 - 2004
ER -