Recognition of depression in a university-based family medicine residency program.

B. V. Reifler, J. T. Okimoto, F. E. Heidrich, Thomas Inui

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Physicians diagnosed depression in 4.5 percent (59/1,321) of all patient encounters in this study conducted in a university based family medicine residency program. A subset of residents permitted the investigators to interview those patients who were diagnosed as depressed or who were judged to be at high risk for a missed diagnosis of depression. Of the six patients whom the residents diagnosed as depressed and who agreed to be interviewed, two did not meet the criteria for depression but in neither case was this discrepancy judged clinically significant. Of the 24 patients at high risk for a missed diagnosis who agreed to be interviewed, four met the diagnostic criteria and three of these four missed diagnoses were judged as possibly of clinical significance. While the physicians in this study diagnosed depression more frequently than in previous similar studies, this does not appear to represent over-diagnosis, although the small number of patients interviewed requires that interpretations be made cautiously. The authors suggest that if a primary care physician diagnoses depression in less than 2 percent of patient encounters, he or she should consider the possibility of missed diagnoses.

Original languageEnglish
Pages (from-to)623-628
Number of pages6
JournalJournal of Family Practice
Volume9
Issue number4
StatePublished - Oct 1979
Externally publishedYes

Fingerprint

Internship and Residency
Medicine
Depression
Physicians
Primary Care Physicians
Research Personnel
Interviews

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Recognition of depression in a university-based family medicine residency program. / Reifler, B. V.; Okimoto, J. T.; Heidrich, F. E.; Inui, Thomas.

In: Journal of Family Practice, Vol. 9, No. 4, 10.1979, p. 623-628.

Research output: Contribution to journalArticle

Reifler, B. V. ; Okimoto, J. T. ; Heidrich, F. E. ; Inui, Thomas. / Recognition of depression in a university-based family medicine residency program. In: Journal of Family Practice. 1979 ; Vol. 9, No. 4. pp. 623-628.
@article{eeb7047db1fd4824930233e24c47996b,
title = "Recognition of depression in a university-based family medicine residency program.",
abstract = "Physicians diagnosed depression in 4.5 percent (59/1,321) of all patient encounters in this study conducted in a university based family medicine residency program. A subset of residents permitted the investigators to interview those patients who were diagnosed as depressed or who were judged to be at high risk for a missed diagnosis of depression. Of the six patients whom the residents diagnosed as depressed and who agreed to be interviewed, two did not meet the criteria for depression but in neither case was this discrepancy judged clinically significant. Of the 24 patients at high risk for a missed diagnosis who agreed to be interviewed, four met the diagnostic criteria and three of these four missed diagnoses were judged as possibly of clinical significance. While the physicians in this study diagnosed depression more frequently than in previous similar studies, this does not appear to represent over-diagnosis, although the small number of patients interviewed requires that interpretations be made cautiously. The authors suggest that if a primary care physician diagnoses depression in less than 2 percent of patient encounters, he or she should consider the possibility of missed diagnoses.",
author = "Reifler, {B. V.} and Okimoto, {J. T.} and Heidrich, {F. E.} and Thomas Inui",
year = "1979",
month = "10",
language = "English",
volume = "9",
pages = "623--628",
journal = "Journal of Family Practice",
issn = "0094-3509",
publisher = "Appleton-Century-Crofts",
number = "4",

}

TY - JOUR

T1 - Recognition of depression in a university-based family medicine residency program.

AU - Reifler, B. V.

AU - Okimoto, J. T.

AU - Heidrich, F. E.

AU - Inui, Thomas

PY - 1979/10

Y1 - 1979/10

N2 - Physicians diagnosed depression in 4.5 percent (59/1,321) of all patient encounters in this study conducted in a university based family medicine residency program. A subset of residents permitted the investigators to interview those patients who were diagnosed as depressed or who were judged to be at high risk for a missed diagnosis of depression. Of the six patients whom the residents diagnosed as depressed and who agreed to be interviewed, two did not meet the criteria for depression but in neither case was this discrepancy judged clinically significant. Of the 24 patients at high risk for a missed diagnosis who agreed to be interviewed, four met the diagnostic criteria and three of these four missed diagnoses were judged as possibly of clinical significance. While the physicians in this study diagnosed depression more frequently than in previous similar studies, this does not appear to represent over-diagnosis, although the small number of patients interviewed requires that interpretations be made cautiously. The authors suggest that if a primary care physician diagnoses depression in less than 2 percent of patient encounters, he or she should consider the possibility of missed diagnoses.

AB - Physicians diagnosed depression in 4.5 percent (59/1,321) of all patient encounters in this study conducted in a university based family medicine residency program. A subset of residents permitted the investigators to interview those patients who were diagnosed as depressed or who were judged to be at high risk for a missed diagnosis of depression. Of the six patients whom the residents diagnosed as depressed and who agreed to be interviewed, two did not meet the criteria for depression but in neither case was this discrepancy judged clinically significant. Of the 24 patients at high risk for a missed diagnosis who agreed to be interviewed, four met the diagnostic criteria and three of these four missed diagnoses were judged as possibly of clinical significance. While the physicians in this study diagnosed depression more frequently than in previous similar studies, this does not appear to represent over-diagnosis, although the small number of patients interviewed requires that interpretations be made cautiously. The authors suggest that if a primary care physician diagnoses depression in less than 2 percent of patient encounters, he or she should consider the possibility of missed diagnoses.

UR - http://www.scopus.com/inward/record.url?scp=0018533970&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0018533970&partnerID=8YFLogxK

M3 - Article

VL - 9

SP - 623

EP - 628

JO - Journal of Family Practice

JF - Journal of Family Practice

SN - 0094-3509

IS - 4

ER -