logo BDSP

Base documentaire


Votre avis nous intéresse

Le réseau BDSP met en oeuvre un projet d'innovation et d'amélioration de ses services, dans le souci constant de proposer des contenus de qualité adaptés aux besoins des utilisateurs.

Identifier de nouvelles sources de financements est la condition nécessaire pour assurer la poursuite et la pérennité de cet outil unique qu'est la BDSP, tout en le faisant évoluer.

Pour définir un nouveau modèle économique, nous avons besoin de votre avis : merci de répondre à notre enquête (temps estimé : 5 minutes).

Participer maintenant
Participer plus tard J'ai déjà participé

  1. Diagnosis of depression by primary Care physicians versus a structured Diagnostic interview : Understanding discordance.

    Article - En anglais

    In this paper, false-negative and false-positive cases of depressive illness are examined, differentiating levels of disagreement between a primary care physician's diagnosis and a standardized research diagnosis.

    Two stratified random samples of primary care patients in Seattle, USA (N=373) and Groningen, The Netherlands (N=340) were examined with the Composite International Diagnostic Interview-Primary Health Care Version (CIDI-PHC).

    Physician's severity ratings and diagnosis of psychological disorder were obtained.

    Three levels of disagreement between physician and CIDI diagnosis were distinguished : 1) complete disagreement about the presence of psychiatric symptoms (true false-negative and true false-positive patients) ; 2) disagreement over severity of recognized psychological illness (underestimated or overestimated) ; and 3) disagreement over the specific psychiatric diagnosis among those given a diagnosis (misdiagnosed or given another CIDI diagnosis).

    All three levels of disagreement were common.

    Only 27% of the false-negative cases were due to complete disagreement (true false-negatives), and 55% of the false-positives were due to complete disagreement (true false-positives).

    The true false-negative patients were younger, more often employed, rated their own health more favorably, visited their doctor for a somatic complaint and made fewer visits than the underestimated, misdiagnosed, and concordant positive patients. (...)

    Mots-clés Pascal : Etat dépressif, Diagnostic, Médecin généraliste, Etude comparative, Entretien directif, Psychométrie, Accord interjuge, Soin santé primaire, Homme, Trouble humeur

    Mots-clés Pascal anglais : Depression, Diagnosis, General practitioner, Comparative study, Directive interview, Psychometrics, Interrater agreement, Primary health care, Human, Mood disorder

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0349333

    Code Inist : 002B18C07A. Création : 14/12/1999.