Screening for depression in high-risk groups: prospective cohort study in general practice

K. D. Baas; K. A. Wittkampf; H. C. van Weert; P. Lucassen; J. Huyser; H. Van den Hoogen; E. Van de Lisdonk; P. E. Bindels; C. L. H. Bockting; H. G. Ruhé; A. H. Schene

doi:10.1192/bjp.bp.107.046052

Screening for depression in high-risk groups: prospective cohort study in general practice

K. D. Baas, K. A. Wittkampf, H. C. van Weert, P. Lucassen, J. Huyser, H. Van den Hoogen, E. Van de Lisdonk, P. E. Bindels, C. L. H. Bockting, H. G. Ruhé, A. H. Schene

University of Groningen

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

BACKGROUND: Currently only about half of the people who have major depressive disorder are detected during regular health care. Screening in high-risk groups might be a possible solution.

AIMS: To evaluate the effectiveness of selective screening for major depressive disorder in three high-risk groups in primary care: people with mental health problems, people with unexplained somatic complaints and people who frequently attend their general practitioner.

METHOD: Prospective cohort study among 2005 people in high-risk groups in three health centres in The Netherlands.

RESULTS: Of the 2005 people identified, 1687 were invited for screening and of these 780 participated. Screening disclosed 71 people with major depressive disorder: 36 (50.7%) already received treatment, 14 (19.7%) refused treatment and 4 individuals did not show up for an appointment. As a final result of the screening, 17 individuals (1% of 1687) started treatment for major depressive disorder.

CONCLUSIONS: Screening for depression in high-risk populations does not seem to be effective, mainly because of the low rates of treatment initiation, even if treatment is freely and easily accessible.

Original language	English
Pages (from-to)	399-403
Journal	British Journal of Psychiatry
Volume	194
Issue number	5
DOIs	https://doi.org/10.1192/bjp.bp.107.046052
Publication status	Published - 2009
Externally published	Yes

Keywords

COMORBID MEDICAL ILLNESS
Adult
Algorithms
Cohort Studies
Depressive Disorder
Family Practice
Female
Humans
Male
Mass Screening
COMORBID DEPRESSION
Netherlands
Patient Acceptance of Health Care
Risk Factors

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1192/bjp.bp.107.046052

Cite this

Baas, K. D., Wittkampf, K. A., van Weert, H. C., Lucassen, P., Huyser, J., Van den Hoogen, H., Van de Lisdonk, E., Bindels, P. E., Bockting, C. L. H., Ruhé, H. G., & Schene, A. H. (2009). Screening for depression in high-risk groups: prospective cohort study in general practice. British Journal of Psychiatry, 194(5), 399-403. https://doi.org/10.1192/bjp.bp.107.046052

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abstract = "BACKGROUND: Currently only about half of the people who have major depressive disorder are detected during regular health care. Screening in high-risk groups might be a possible solution.AIMS: To evaluate the effectiveness of selective screening for major depressive disorder in three high-risk groups in primary care: people with mental health problems, people with unexplained somatic complaints and people who frequently attend their general practitioner.METHOD: Prospective cohort study among 2005 people in high-risk groups in three health centres in The Netherlands.RESULTS: Of the 2005 people identified, 1687 were invited for screening and of these 780 participated. Screening disclosed 71 people with major depressive disorder: 36 (50.7%) already received treatment, 14 (19.7%) refused treatment and 4 individuals did not show up for an appointment. As a final result of the screening, 17 individuals (1% of 1687) started treatment for major depressive disorder.CONCLUSIONS: Screening for depression in high-risk populations does not seem to be effective, mainly because of the low rates of treatment initiation, even if treatment is freely and easily accessible.",

keywords = "COMORBID MEDICAL ILLNESS, Adult, Algorithms, Cohort Studies, Depressive Disorder, Family Practice, Female, Humans, Male, Mass Screening, COMORBID DEPRESSION, Netherlands, Patient Acceptance of Health Care, Risk Factors",

author = "Baas, {K. D.} and Wittkampf, {K. A.} and {van Weert}, {H. C.} and P. Lucassen and J. Huyser and {Van den Hoogen}, H. and {Van de Lisdonk}, E. and Bindels, {P. E.} and Bockting, {C. L. H.} and Ruh{\'e}, {H. G.} and Schene, {A. H.}",

year = "2009",

doi = "10.1192/bjp.bp.107.046052",

language = "English",

volume = "194",

pages = "399--403",

journal = "British Journal of Psychiatry",

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T1 - Screening for depression in high-risk groups

T2 - prospective cohort study in general practice

AU - Baas, K. D.

AU - Wittkampf, K. A.

AU - van Weert, H. C.

AU - Lucassen, P.

AU - Huyser, J.

AU - Van den Hoogen, H.

AU - Van de Lisdonk, E.

AU - Bindels, P. E.

AU - Bockting, C. L. H.

AU - Ruhé, H. G.

AU - Schene, A. H.

PY - 2009

Y1 - 2009

N2 - BACKGROUND: Currently only about half of the people who have major depressive disorder are detected during regular health care. Screening in high-risk groups might be a possible solution.AIMS: To evaluate the effectiveness of selective screening for major depressive disorder in three high-risk groups in primary care: people with mental health problems, people with unexplained somatic complaints and people who frequently attend their general practitioner.METHOD: Prospective cohort study among 2005 people in high-risk groups in three health centres in The Netherlands.RESULTS: Of the 2005 people identified, 1687 were invited for screening and of these 780 participated. Screening disclosed 71 people with major depressive disorder: 36 (50.7%) already received treatment, 14 (19.7%) refused treatment and 4 individuals did not show up for an appointment. As a final result of the screening, 17 individuals (1% of 1687) started treatment for major depressive disorder.CONCLUSIONS: Screening for depression in high-risk populations does not seem to be effective, mainly because of the low rates of treatment initiation, even if treatment is freely and easily accessible.

AB - BACKGROUND: Currently only about half of the people who have major depressive disorder are detected during regular health care. Screening in high-risk groups might be a possible solution.AIMS: To evaluate the effectiveness of selective screening for major depressive disorder in three high-risk groups in primary care: people with mental health problems, people with unexplained somatic complaints and people who frequently attend their general practitioner.METHOD: Prospective cohort study among 2005 people in high-risk groups in three health centres in The Netherlands.RESULTS: Of the 2005 people identified, 1687 were invited for screening and of these 780 participated. Screening disclosed 71 people with major depressive disorder: 36 (50.7%) already received treatment, 14 (19.7%) refused treatment and 4 individuals did not show up for an appointment. As a final result of the screening, 17 individuals (1% of 1687) started treatment for major depressive disorder.CONCLUSIONS: Screening for depression in high-risk populations does not seem to be effective, mainly because of the low rates of treatment initiation, even if treatment is freely and easily accessible.

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KW - Algorithms

KW - Cohort Studies

KW - Depressive Disorder

KW - Family Practice

KW - Female

KW - Humans

KW - Male

KW - Mass Screening

KW - COMORBID DEPRESSION

KW - Netherlands

KW - Patient Acceptance of Health Care

KW - Risk Factors

U2 - 10.1192/bjp.bp.107.046052

DO - 10.1192/bjp.bp.107.046052

M3 - Article

SN - 0007-1250

VL - 194

SP - 399

EP - 403

JO - British Journal of Psychiatry

JF - British Journal of Psychiatry

IS - 5

ER -

Screening for depression in high-risk groups: prospective cohort study in general practice

Abstract

Keywords

UN SDGs

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