Background
Methods
Study design
Study population
Measures
Outcome measure
Patient and GP related factors
Statistical methods
Results
Characteristics of the study population
Patient characteristics | |
---|---|
Mean (SD) age (years) | 54.3 (15.8) |
Married or living together (n = 439) | 294 (67.0%) |
Number of chronic medical conditionsa(range: 0–28), mean (SD) | 3 (2.1) |
4DSQb Distress score (range: 0–32), mean (SD) (n = 433) | 12.2 (7.6) |
4DSQ Depression score (range: 0–12), mean (SD) (n = 433) | 1.7 (2.7) |
4DSQ Anxiety score (range: 0–24), mean (SD) (n = 432) | 3.0 (3.7) |
4DSQ Somatisation score (range: 0–32), mean (SD) (n = 414) | 8.4 (5.9) |
Functional statusc(n = 427) | 23.9 (15.7) |
Need for care (n = 410) | 201 (49%) |
General Practitioner characteristics | |
DAQd mean score (SD) | |
Treatment attitudes (range 0–100) | 44.3 (7.2) |
Professional unease (range 0–100) | 44.9 (7.8) |
Depression malleability (range 0–100) | 40.1 (11.0) |
Depression identification (range 0–100) | 46.6 (11.1) |
REASONe mean score (SD) | |
Professional comfort with and competence in care of mental health problems (range 1–7) | 3.2 (0.4) |
GPs’ concerns about problems with the health care system for treatment of anxiety and depression (range 1–7) | 4.4 (0.8) |
The association of patient and GP characteristics with recognition
Independent variables (predictors) | Trivariate analysis | Multivariate analysis | |||||
---|---|---|---|---|---|---|---|
OR | 95% CI | P | OR | 95% CI | P | ||
Condition (intervention/control) | 1.50 | 0.94–2.39 | 0.087 | ‡ | 3.08 | 1.47–6.46 | 0.003 |
Age | 0.98 | 0.96–1.00 | 0.060 | ‡ | |||
ConditionaAge | 1.00 | 0.97–1.03 | 0.989 | ||||
Married or living together (ref. not married or living together) | 1.40 | 0.77–2.52 | 0.268 | ‡ | 1.25 | 0.67–2.35 | 0.478 |
ConditionaMarried or living together | 0.33 | 0.14–0.79 | 0.013 | ‡ | 0.39 | 0.16–0.95 | 0.039 |
Number of chronic medical conditionsa | 0.94 | 0.83–1.08 | 0.389 | ||||
ConditionaNumber of chronic medical conditions | 1.03 | 0.85–1.25 | 0.784 | ||||
4DSQb | |||||||
Distress | 1.03 | 0.99–1.07 | 0.098 | ‡ | 1.03 | 1.00–1.07 | 0.024 |
ConditionaDistress | 1.04 | 0.99–1.10 | 0.153 | ‡ | |||
Depression | 1.04 | 0.95–1.15 | 0.393 | ||||
ConditionaDepression | 1.03 | 0.89–1.16 | 0.666 | ||||
Anxiety | 1.02 | 0.94–1.10 | 0.615 | ||||
ConditionaAnxiety | 1.04 | 0.93–1.15 | 0.512 | ||||
Somatization | 1.01 | 0.96–1.06 | 0.736 | ||||
ConditionaSomatization | 1.04 | 0.97–1.11 | 0.301 | ||||
Need for care (ref. no need for care) | 2.77 | 1.56–4.91 | 0.001 | ‡ | 2.54 | 1.60–4.03 | 0.000 |
ConditionaNeed for care | 1.18 | 0.49–2.85 | 0.719 | ||||
DAQc | |||||||
Treatment Attitudes | 1.02 | 0.97–1.06 | 0.508 | ||||
ConditionaTreatment Attitudes | 0.96 | 0.88–1.04 | 0.294 | ||||
Professional Unease | 0.98 | 0.94–1.02 | 0.322 | ‡ | |||
ConditionaProfessional Unease | 1.05 | 0.99–1.11 | 0.137 | ‡ | |||
Depression Malleability | 0.98 | 0.95–1.00 | 0.084 | ‡ | |||
ConditionaDepression Malleability | 1.03 | 0.99–1.07 | 0.150 | ‡ | |||
Depression identification | 0.96 | 0.94–0.99 | 0.003 | ‡ | 0.97 | 0.95–0.99 | 0.018 |
ConditionaDepression identification | 1.04 | 0.99–1.10 | 0.089 | ‡ | |||
REASONd | |||||||
Comfort and competence with mental health care | 0.52 | 0.27–1.03 | 0.060 | ‡ | |||
ConditionaComfort and competence with mental health care | 2.52 | 0.90–7.07 | 0.079 | ‡ | |||
Concerns about difficulties with the health care system | 1.26 | 0.85–1.88 | 0.253 | ‡ | |||
ConditionaConcerns about difficulties with the health care system | 0.67 | 0.38–1.18 | 0.170 | ‡ | |||
Functional statuse | 1.00 | 0.98–1.02 | 0.662 | ‡ | |||
ConditionaFunctional status | 1.03 | 1.00–1.05 | 0.055 | ‡ |