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Identification of somatic and anxiety symptoms which contribute to the detection of depression in primary health care

Published online by Cambridge University Press:  16 April 2020

Katrin Barkow ,
Reinhard Heun ,
T. Bedirhan Üstün ,
Mathias Berger ,
Isaac Bermejo ,
Wolfgang Gaebel ,
Martin Härter ,
Frank Schneider ,
Rolf-Dieter Stieglitz  and
Wolfgang Maier
Katrin Barkow*
Affiliation:
Department of Psychiatry, University of Bonn, Sigmund-Freud-Str. 25, 53105Bonn, Germany
Reinhard Heun
Affiliation:
Department of Psychiatry, University of Bonn, Sigmund-Freud-Str. 25, 53105Bonn, Germany
T. Bedirhan Üstün
Affiliation:
World Health Organization, Geneva, Switzerland
Mathias Berger
Affiliation:
Department of Psychiatry, University of Freiburg, Germany
Isaac Bermejo
Affiliation:
Department of Psychiatry, University of Freiburg, Germany
Wolfgang Gaebel
Affiliation:
Department of Psychiatry, University of Düsseldorf, Germany
Martin Härter
Affiliation:
Department of Psychiatry, University of Freiburg, Germany
Frank Schneider
Affiliation:
Department of Psychiatry, University of Düsseldorf, Germany Department of Psychiatry and Psychotherapy, University Hospital, Aachen, Germany
Rolf-Dieter Stieglitz
Affiliation:
University Psychiatric Outpatient Department, University of Basel, Switzerland
Wolfgang Maier
Affiliation:
Department of Psychiatry, University of Bonn, Sigmund-Freud-Str. 25, 53105Bonn, Germany
*
*Corresponding author. E-mail address: [email protected] (K. Barkow).
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Abstract

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.

Keywords

DepressionPrimary careDetectionScreening instrumentsSomatisationAnxiety
Type
Original article
Information
European Psychiatry , Volume 19 , Issue 5 , August 2004 , pp. 250 - 257
Copyright
Copyright © 2004 European Psychiatric Association

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