Screeningstest for depression i almen praksis. COOP/WONCA-kort
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Screeningstest for depression i almen praksis. COOP/WONCA-kort. / Pedersen, J K; Damsbo, N; Kragstrup, J.
I: Ugeskrift for Laeger, Bind 161, Nr. 6, 08.02.1999, s. 787-90.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Screeningstest for depression i almen praksis. COOP/WONCA-kort
AU - Pedersen, J K
AU - Damsbo, N
AU - Kragstrup, J
PY - 1999/2/8
Y1 - 1999/2/8
N2 - Depressed patients in general practice may be difficult to identify. Questionnaires may be used for screening but some of the existing instruments are difficult to use and have only to a limited degree been introduced in general practice. In this study 798 patients' answers to the COOP/WONCA chart "Feelings" were compared to GPs' diagnosis according to ICD-10 criteria for depressive single episode (F32). At cut-off2/3 (slight/moderate problems) the chart had a sensitivity of 89% (76-100%) and specificity of 75% (72-78%). The predictive value of a positive test was not higher than 33% for any cut-off point and the predictive value of a negative test never less than 98%. A two-phased diagnostic strategy with the COOP/WONCA chart as step one is suggested as a possible and relatively simple way to optimize recognition of depressive patients in general practice.
AB - Depressed patients in general practice may be difficult to identify. Questionnaires may be used for screening but some of the existing instruments are difficult to use and have only to a limited degree been introduced in general practice. In this study 798 patients' answers to the COOP/WONCA chart "Feelings" were compared to GPs' diagnosis according to ICD-10 criteria for depressive single episode (F32). At cut-off2/3 (slight/moderate problems) the chart had a sensitivity of 89% (76-100%) and specificity of 75% (72-78%). The predictive value of a positive test was not higher than 33% for any cut-off point and the predictive value of a negative test never less than 98%. A two-phased diagnostic strategy with the COOP/WONCA chart as step one is suggested as a possible and relatively simple way to optimize recognition of depressive patients in general practice.
KW - Denmark/epidemiology
KW - Depression/classification
KW - Depressive Disorder/classification
KW - Emotions
KW - Evaluation Studies as Topic
KW - Family Practice/statistics & numerical data
KW - Humans
KW - Mass Screening/methods
KW - Predictive Value of Tests
KW - Psychiatric Status Rating Scales/standards
KW - Registries
KW - Sensitivity and Specificity
M3 - Tidsskriftartikel
C2 - 10028883
VL - 161
SP - 787
EP - 790
JO - Ugeskrift for Laeger
JF - Ugeskrift for Laeger
SN - 0041-5782
IS - 6
ER -
ID: 324191847