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http://hdl.handle.net/1956/1910
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| Tittel: | General practitioners' self-perceived ability to recognize severity of common mental disorders: an underestimated factor in case identification? |
| Forfattere: | Olssøn, Ingrid
Mykletun, Arnstein
Dahl, Alv A. |
| Dato: | 30-Aug-2006 |
| Forlag: | BioMed Central |
| Serie/Rapport nr.: | Clinical Practice and Epidemiology in Mental Health 2(21) |
| Sammendrag: | Background: Several studies have shown that general practitioners (GPs) under-diagnose
common mental disorders, and that training courses hardly improve this practice. The influence of
GPs' self-perceived ability to recognize the severity of such disorders on these facts has not been
investigated. This study explores: 1) GPs' perceived ability to recognize major depressive episode
(MDE) and generalized anxiety disorder (GAD) in their patients; 2) The GPs' observed ability to
recognize severity of these disorders; and 3) If the observed ability to recognize severity is
associated with their perceived ability.
Methods: In a cross-sectional design 40 Norwegian GPs examined 15 – 28 patients each (total N
= 724). The GPs' rated their perceived ability to recognize MDE and GAD on a four-point Likertscale.
The GPs' observed ability to recognize severity was defined as the mean of the correlations
between the GPs rating of Clinical Global Impression-Severity Scale and the diagnostic reference
standards for MDE and GAD filled in by patients.
Results: Twenty-two GPs considered their perceived ability to recognize MDE as rather good, and
the other 18 as moderate/bad. For GAD 12 GPs' perceived their ability as rather good, while 28
considered their ability to be moderate/bad. The observed ability to recognize severity concerning
MDE was 0.63 and concerning GAD 0.45. There was no significant association between GPs'
perceived and observed abilities to recognize MDE (p = 0.19) and GAD (p = 0.34)
Conclusion: This study found a discrepancy between the GPs' perceived and observed ability to
recognize common mental disorders. The lack of association between GPs' perceived and observed
ability to recognize such disorders indicate low understanding of own recognition abilities. This
might contribute to explain the low effectiveness of interventions aimed to increase GPs' abilities
to recognize mental disorders. |
| URI: | http://dx.doi.org/10.1186/1745-0179-2-21
http://hdl.handle.net/1956/1910 |
| Vises i samlingene: | Department of Education and Health Promotion
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