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Eva-Lisa Petersson, PhD, OTCarl Wikberg, PhD student
Agneta Pettersson, PhD studentCecilia Björkelund, Professor
Self-rating depression scales in the medical consultation
- A qualitative study on patients' perception of MADRS-S
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Self-rating depression scale MADRS-S
• Around 10-15% of the population in Sweden are affected by depression
• The effect of using instruments in doctor-patient communication is still unclear
• Patients with depression in primary care go
undetected
• Instruments used for detection and monitoring are not adapted for primary care
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• The study aims to explore how patients with mild to moderate depression perceive using MADRS-S, a self-administered depression scale, during the doctor consultation
Self-rating depression scale MADRS-S
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• Focus group
• Patients with mild to moderate depression were recruited purposively from an on-going RCT
• The patients completed MADRS-S depression scale together with their doctor at 4 consultations during 3 months
• MADRS-S is the patient administered version of the Montgomery-Åsberg Depression Rating Scale
Self-rating depression scale MADRS-S
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• Systematic Text Condensation by Malterud
• An overall impression to categorize themes
• Meaning units were identified
• Meaning units were condensed and labelled
• The condensations were summarised into a description
Self-rating depression scale MADRS-S
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• Be taken seriously
• Shortcut to diagnosis
• MADRS-S complement the consultation
• Questioning of reliability
• Confirmation of mental illness
Self-rating depression scale MADRS-S
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• MADRS-S helps to visualize depression and its progression
• Communication with doctor is important for patient
Conclusion
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Thank you for your attention!