PMID- 28599626
OWN - NLM
STAT- MEDLINE
DCOM- 20180507
LR  - 20181113
IS  - 1471-2296 (Electronic)
IS  - 1471-2296 (Linking)
VI  - 18
IP  - 1
DP  - 2017 Jun 9
TI  - Factors associated with general practitioners' awareness of depression in primary 
      care patients with heart failure: baseline-results from the observational 
      RECODE-HF study.
PG  - 71
LID - 10.1186/s12875-017-0641-1 [doi]
LID - 71
AB  - BACKGROUND: Depression is more prevalent in patients with heart failure (HF) than 
      in those without, but its detection is complicated by the symptom overlap between 
      the two diseases. General practitioners (GPs) are the first point of contact for 
      patients with HF. Therefore, this study aims to investigate GPs' awareness of 
      depression in their HF patients and factors associated with this awareness. 
      METHODS: In this cross-sectional, observational study 3224 primary care patients 
      with HF were screened for depressive symptomatology using an algorithm based on 
      the Hospital Anxiety and Depression Scale, the 9-item subscale on Depression of 
      the Patient Health Questionnaire, and selected items from the PROMIS Depression 
      and Anxiety scales. The 272 GPs of all patients involved in the study were 
      interviewed by telephone regarding their patients' somatic and psychological 
      comorbidities. The awareness rates of depressive symptomatology by the patients' 
      GPs are analyzed using descriptive statistics. Logistic regression analyses are 
      applied to investigate the patient- and GP-based factors associated with the GPs' 
      awareness of depressive symptomatology. RESULTS: GPs were aware of their 
      patients' depressive symptomatology in 35% of all cases. Factors associated with 
      the awareness of depressive symptomatology were: higher patient education levels, 
      a history of depression known to the GP, GP-consultations due to emotional 
      distress within the last 6 months, a higher frequency of GP-contacts within the 
      last 6 months, a higher New York Heart Association (NYHA) classification and more 
      severe depressive symptomatology. The GPs' characteristics, including further 
      education in psychology/psychiatry, were not associated with GP awareness. 
      CONCLUSIONS: Many aspects, including the definition of awareness and the 
      practical issues in primary care, may contribute to the unexpectedly low 
      awareness rates of depressive symptomatology in HF patients in primary care. 
      Awareness rates might increase, if GPs encouraged their patients to talk about 
      emotional distress, held detailed medical interviews including a patient's 
      history of depression and payed special attention to HF patients with low 
      education levels. However, it remains to be investigated whether GPs' judgement 
      of depressive symptomatology is a better or worse indicator for the future 
      prognosis and quality of life of HF patients than psychiatry based diagnostic 
      criteria.
FAU - Eisele, Marion
AU  - Eisele M
AUID- ORCID: 0000-0001-5123-3400
AD  - Department of Primary Medical Care, Center for Psychosocial Medicine, University 
      Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany. 
      m.eisele@uke.uni-hamburg.de.
FAU - Rakebrandt, Anja
AU  - Rakebrandt A
AD  - Department of Primary Medical Care, Center for Psychosocial Medicine, University 
      Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany.
FAU - Boczor, Sigrid
AU  - Boczor S
AD  - Department of Primary Medical Care, Center for Psychosocial Medicine, University 
      Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany.
FAU - Kazek, Agata
AU  - Kazek A
AD  - Department of Primary Medical Care, Center for Psychosocial Medicine, University 
      Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany.
FAU - Pohontsch, Nadine
AU  - Pohontsch N
AD  - Department of Primary Medical Care, Center for Psychosocial Medicine, University 
      Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany.
FAU - Okolo-Kulak, Magdalena
AU  - Okolo-Kulak M
AD  - Department of Primary Medical Care, Center for Psychosocial Medicine, University 
      Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany.
FAU - Blozik, Eva
AU  - Blozik E
AD  - Department of Primary Medical Care, Center for Psychosocial Medicine, University 
      Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany.
FAU - Trader, Jens-Martin
AU  - Trader JM
AD  - Department of Primary Medical Care, University of Luebeck, Ratzeburger Allee 160, 
      23538, Luebeck, Germany.
FAU - Stork, Stefan
AU  - Stork S
AD  - Comprehensive Heart Failure Center Wurzburg, University and University Hospital 
      Wurzburg, Straubmuhlweg 2a, 97078, Wurzburg, Germany.
FAU - Herrmann-Lingen, Christoph
AU  - Herrmann-Lingen C
AD  - University of Gottingen Medical Center and German Center for Cardiovascular 
      Research, partner site Gottingen, von-Siebold-Str. 5, D-37099, Gottingen, 
      Germany.
FAU - Scherer, Martin
AU  - Scherer M
AD  - Department of Primary Medical Care, Center for Psychosocial Medicine, University 
      Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany.
CN  - RECODE Study Group
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20170609
PL  - England
TA  - BMC Fam Pract
JT  - BMC family practice
JID - 100967792
SB  - IM
MH  - Aged
MH  - Algorithms
MH  - Cross-Sectional Studies
MH  - Depression/*diagnosis/etiology
MH  - Female
MH  - *General Practitioners
MH  - Heart Failure/complications/*psychology
MH  - Humans
MH  - Male
MH  - Practice Patterns, Physicians'
MH  - Primary Health Care
MH  - Psychiatric Status Rating Scales
MH  - Surveys and Questionnaires
PMC - PMC5466751
OTO - NOTNLM
OT  - Depression
OT  - Health care research
OT  - Heart failure
OT  - Observational study
OT  - Primary care
OT  - Recognition of depression
FIR - Adam, Winfried
IR  - Adam W
FIR - Behrens, Cassandra
IR  - Behrens C
FIR - Blozik, Eva
IR  - Blozik E
FIR - Boczor, Sigrid
IR  - Boczor S
FIR - Eisele, Marion
IR  - Eisele M
FIR - Harder, Malte
IR  - Harder M
FIR - Herrmann-Lingen, Christoph
IR  - Herrmann-Lingen C
FIR - Kazek, Agata
IR  - Kazek A
FIR - Luhmann, Dagmar
IR  - Luhmann D
FIR - Rakebrandt, Anja
IR  - Rakebrandt A
FIR - Roeper, Koosje
IR  - Roeper K
FIR - Scherer, Martin
IR  - Scherer M
FIR - Stork, Stefan
IR  - Stork S
FIR - Trader, Jens-Martin
IR  - Trader JM
EDAT- 2017/06/11 06:00
MHDA- 2018/05/08 06:00
PMCR- 2017/06/09
CRDT- 2017/06/11 06:00
PHST- 2016/12/29 00:00 [received]
PHST- 2017/05/24 00:00 [accepted]
PHST- 2017/06/11 06:00 [entrez]
PHST- 2017/06/11 06:00 [pubmed]
PHST- 2018/05/08 06:00 [medline]
PHST- 2017/06/09 00:00 [pmc-release]
AID - 10.1186/s12875-017-0641-1 [pii]
AID - 641 [pii]
AID - 10.1186/s12875-017-0641-1 [doi]
PST - epublish
SO  - BMC Fam Pract. 2017 Jun 9;18(1):71. doi: 10.1186/s12875-017-0641-1.