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A comparison of GP and GDS diagnosis of depression in late life among multimorbid patients - results of the MultiCare study

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A comparison of GP and GDS diagnosis of depression in late life among multimorbid patients - results of the MultiCare study. / Schwarzbach, Michaela; Luppa, Melanie; Hansen, Heike; König, Hans-Helmut; Gensichen, Jochen; Petersen, Juliana J; Schön, Gerhard; Wiese, Birgitt; Weyerer, Siegfried; Bickel, Horst; Fuchs, Angela; Maier, Wolfgang; van den Bussche, Hendrik; Scherer, Martin; Riedel-Heller, Steffi G; MultiCare Study Group.

in: J AFFECT DISORDERS, Jahrgang 168, 15.10.2014, S. 276-83.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Schwarzbach, M, Luppa, M, Hansen, H, König, H-H, Gensichen, J, Petersen, JJ, Schön, G, Wiese, B, Weyerer, S, Bickel, H, Fuchs, A, Maier, W, van den Bussche, H, Scherer, M, Riedel-Heller, SG & MultiCare Study Group 2014, 'A comparison of GP and GDS diagnosis of depression in late life among multimorbid patients - results of the MultiCare study', J AFFECT DISORDERS, Jg. 168, S. 276-83. https://doi.org/10.1016/j.jad.2014.06.020

APA

Schwarzbach, M., Luppa, M., Hansen, H., König, H-H., Gensichen, J., Petersen, J. J., Schön, G., Wiese, B., Weyerer, S., Bickel, H., Fuchs, A., Maier, W., van den Bussche, H., Scherer, M., Riedel-Heller, S. G., & MultiCare Study Group (2014). A comparison of GP and GDS diagnosis of depression in late life among multimorbid patients - results of the MultiCare study. J AFFECT DISORDERS, 168, 276-83. https://doi.org/10.1016/j.jad.2014.06.020

Vancouver

Schwarzbach M, Luppa M, Hansen H, König H-H, Gensichen J, Petersen JJ et al. A comparison of GP and GDS diagnosis of depression in late life among multimorbid patients - results of the MultiCare study. J AFFECT DISORDERS. 2014 Okt 15;168:276-83. https://doi.org/10.1016/j.jad.2014.06.020

Bibtex

@article{2e50a1e06a074cde88f9ff33d0da23ee,
title = "A comparison of GP and GDS diagnosis of depression in late life among multimorbid patients - results of the MultiCare study",
abstract = "BACKGROUND: The objective of the study was to compare General Practitioners׳ (GPs) diagnosis of depression and depression diagnosis according to Geriatric Depression Scale (GDS) and to identify potential factors associated with both depression diagnosis methods.METHODS: The data were derived from the baseline wave of the German MultiCare1 study, which is a multicentre, prospective, observational cohort study of 3177 multimorbid patients aged 65+ randomly selected from 158 GP practices. Data were collected in GP interviews and comprehensive patient interviews. Depressive symptoms were assessed with a short version of the Geriatric Depression Scale (15 items, cut-off 6). Cohen׳s kappa was used to assess agreement of GP and GDS diagnoses. To identify factors that might have influenced GP and GDS diagnoses of depression, binary logistic regression analyses were performed.RESULTS: Depressive symptoms according to GDS were diagnosed in 12.6% of the multimorbid subjects, while 17.8% of the patients received a depression diagnosis by their GP. The agreement between general practitioners and GDS diagnosis was poor. To summarize we find that GPs and the GDS have different perspectives on depression. To GPs somatic and psychological comorbid conditions carry weight when diagnosing depression, while cognitive impairment in form of low verbal fluency, pain and comorbid somatic conditions are relevant for a depression diagnosis by GDS.CONCLUSIONS: Each depression diagnosing method is influenced by different variables and therefore, has advantages and limitations. Possibly, the application of both, GP and GDS diagnoses of depression, could provide valuable support in combining the different perspectives of depression and contribute to a comprehensive view on multimorbid elderly in primary care setting.",
author = "Michaela Schwarzbach and Melanie Luppa and Heike Hansen and Hans-Helmut K{\"o}nig and Jochen Gensichen and Petersen, {Juliana J} and Gerhard Sch{\"o}n and Birgitt Wiese and Siegfried Weyerer and Horst Bickel and Angela Fuchs and Wolfgang Maier and {van den Bussche}, Hendrik and Martin Scherer and Riedel-Heller, {Steffi G} and {MultiCare Study Group}",
note = "Copyright {\textcopyright} 2014 Elsevier B.V. All rights reserved.",
year = "2014",
month = oct,
day = "15",
doi = "10.1016/j.jad.2014.06.020",
language = "English",
volume = "168",
pages = "276--83",
journal = "J AFFECT DISORDERS",
issn = "0165-0327",
publisher = "Elsevier",

}

RIS

TY - JOUR

T1 - A comparison of GP and GDS diagnosis of depression in late life among multimorbid patients - results of the MultiCare study

AU - Schwarzbach, Michaela

AU - Luppa, Melanie

AU - Hansen, Heike

AU - König, Hans-Helmut

AU - Gensichen, Jochen

AU - Petersen, Juliana J

AU - Schön, Gerhard

AU - Wiese, Birgitt

AU - Weyerer, Siegfried

AU - Bickel, Horst

AU - Fuchs, Angela

AU - Maier, Wolfgang

AU - van den Bussche, Hendrik

AU - Scherer, Martin

AU - Riedel-Heller, Steffi G

AU - MultiCare Study Group

N1 - Copyright © 2014 Elsevier B.V. All rights reserved.

PY - 2014/10/15

Y1 - 2014/10/15

N2 - BACKGROUND: The objective of the study was to compare General Practitioners׳ (GPs) diagnosis of depression and depression diagnosis according to Geriatric Depression Scale (GDS) and to identify potential factors associated with both depression diagnosis methods.METHODS: The data were derived from the baseline wave of the German MultiCare1 study, which is a multicentre, prospective, observational cohort study of 3177 multimorbid patients aged 65+ randomly selected from 158 GP practices. Data were collected in GP interviews and comprehensive patient interviews. Depressive symptoms were assessed with a short version of the Geriatric Depression Scale (15 items, cut-off 6). Cohen׳s kappa was used to assess agreement of GP and GDS diagnoses. To identify factors that might have influenced GP and GDS diagnoses of depression, binary logistic regression analyses were performed.RESULTS: Depressive symptoms according to GDS were diagnosed in 12.6% of the multimorbid subjects, while 17.8% of the patients received a depression diagnosis by their GP. The agreement between general practitioners and GDS diagnosis was poor. To summarize we find that GPs and the GDS have different perspectives on depression. To GPs somatic and psychological comorbid conditions carry weight when diagnosing depression, while cognitive impairment in form of low verbal fluency, pain and comorbid somatic conditions are relevant for a depression diagnosis by GDS.CONCLUSIONS: Each depression diagnosing method is influenced by different variables and therefore, has advantages and limitations. Possibly, the application of both, GP and GDS diagnoses of depression, could provide valuable support in combining the different perspectives of depression and contribute to a comprehensive view on multimorbid elderly in primary care setting.

AB - BACKGROUND: The objective of the study was to compare General Practitioners׳ (GPs) diagnosis of depression and depression diagnosis according to Geriatric Depression Scale (GDS) and to identify potential factors associated with both depression diagnosis methods.METHODS: The data were derived from the baseline wave of the German MultiCare1 study, which is a multicentre, prospective, observational cohort study of 3177 multimorbid patients aged 65+ randomly selected from 158 GP practices. Data were collected in GP interviews and comprehensive patient interviews. Depressive symptoms were assessed with a short version of the Geriatric Depression Scale (15 items, cut-off 6). Cohen׳s kappa was used to assess agreement of GP and GDS diagnoses. To identify factors that might have influenced GP and GDS diagnoses of depression, binary logistic regression analyses were performed.RESULTS: Depressive symptoms according to GDS were diagnosed in 12.6% of the multimorbid subjects, while 17.8% of the patients received a depression diagnosis by their GP. The agreement between general practitioners and GDS diagnosis was poor. To summarize we find that GPs and the GDS have different perspectives on depression. To GPs somatic and psychological comorbid conditions carry weight when diagnosing depression, while cognitive impairment in form of low verbal fluency, pain and comorbid somatic conditions are relevant for a depression diagnosis by GDS.CONCLUSIONS: Each depression diagnosing method is influenced by different variables and therefore, has advantages and limitations. Possibly, the application of both, GP and GDS diagnoses of depression, could provide valuable support in combining the different perspectives of depression and contribute to a comprehensive view on multimorbid elderly in primary care setting.

U2 - 10.1016/j.jad.2014.06.020

DO - 10.1016/j.jad.2014.06.020

M3 - SCORING: Journal article

C2 - 25080391

VL - 168

SP - 276

EP - 283

JO - J AFFECT DISORDERS

JF - J AFFECT DISORDERS

SN - 0165-0327

ER -