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

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

• 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

• 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

• 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

• Be taken seriously

• Shortcut to diagnosis

• MADRS-S complement the consultation

• Questioning of reliability

• Confirmation of mental illness

Self-rating depression scale MADRS-S

• MADRS-S helps to visualize depression and its progression

• Communication with doctor is important for patient

Conclusion

Thank you for your attention!