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‘Do you think you suffer from depression?’ Reevaluating the use of a single item question for the screening of depression in older primary care patients
Author(s) -
Ayalon Liat,
Goldfracht Margalit,
Bech Per
Publication year - 2010
Publication title -
international journal of geriatric psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.28
H-Index - 129
eISSN - 1099-1166
pISSN - 0885-6230
DOI - 10.1002/gps.2368
Subject(s) - depression (economics) , primary care , psychiatry , medicine , psychology , gerontology , family medicine , economics , macroeconomics
Objectives The majority of older adults seek depression treatment in primary care. Despite impressive efforts to integrate depression treatment into primary care, depression often remains undetected. The overall goal of the present study was to compare a single item screening for depression to existing depression screening tools. Methods A cross sectional sample of 153 older primary care patients. Participants completed several depression‐screening measures (e.g. a single depression screen, Patient Health Questionnaire‐9, Major Depression Inventory, Visual Analogue Scale). Measures were evaluated against a depression diagnosis made by the Structured Clinical Interview for DSM‐IV. Results Overall, 3.9% of the sample was diagnosed with depression. The most notable finding was that the single‐item question, ‘do you think you suffer from depression?’ had as good or better sensitivity (83%) than all other screens. Nonetheless, its specificity of 83% suggested that it has to be followed up by a through diagnostic interview. Additional sensitivity analyses concerning the use of a single depression item taken directly from the depression screening measures supported this finding. Conclusions An easy way to detect depression in older primary care patients would be asking the single question, ‘do you think you suffer from depression?’ Copyright © 2009 John Wiley & Sons, Ltd.