Recognition and treatment of depression in primary care settings in 6 different countries: A retrospective file analysis by WHO

Hanan Munitz*, Avi Valevski, Abraham Weizman, Leonid Prilipko, Pavel Baudis, Citrad Skoda, Farid Boussaid, Driss Moussaoui, Maria A. Belyanchikova, Alexei E. Bobrov, Sergei Tsirkin, Gan Yifang, S. M. Channabasavanna

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

The rates of depression in patients with and without sufficient number of symptoms to diagnose depression were assessed in a multicultural study of primary health care records. The files of 1199 patients in 6 countries were examined in order to obtain information gathered in the prior three months to the file inspection. A category of 'diagnosable depression' was assigned when the sufficient number of symptoms according to ICD-10 criteria to diagnose depression were found in the file but the diagnosis of depression was not made. The low recognition rate by the primary care physicians replicated in this study appears to be a result of the lack of conceptualisation of depression by the physician and is not due to different clinical presentation. The diagnosable depression groups used health are resources to a higher degree when compared to the groups with no evidence for depression.

Original languageEnglish
Pages (from-to)85-93
Number of pages9
JournalEuropean Journal of Psychiatry
Volume14
Issue number2
StatePublished - Apr 2000

Keywords

  • Depression
  • Epidemiology of Depression
  • Treatment of Depression
  • WHO

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