Practice-Based Learning and Systems-Based Practice: Detection and Treatment Monitoring of Generalized Anxiety and Depression in Primary Care
| Autor: | Rajeev Kandukuri, Melanie Zupancic, Shilpa Singh, Siegfried Yu, Anna Tumyan |
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| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Generalized anxiety disorder Quality management business.industry Professional development Graduate medical education General Medicine medicine.disease Intervention (counseling) medicine Anxiety medicine.symptom business Psychiatry Environment and Context Quality assurance Depression (differential diagnoses) Clinical psychology |
| Zdroj: | Journal of Graduate Medical Education. 2:474-477 |
| ISSN: | 1949-8357 1949-8349 |
| DOI: | 10.4300/jgme-d-10-00014.1 |
| Popis: | Objectives Quality assurance/quality improvement projects are an important part of professional development in graduate medical education. The purpose of our quality improvement study was to evaluate whether (1) the Generalized Anxiety Disorder (GAD-7) scale questionnaire increases detection of anxiety and (2) the Quick Inventory for Depressive Symptomatology Self Report (QIDS-SR) increases detection of depression in a primary care setting. We also aimed to determine whether monitoring patients with depression or generalized anxiety using the QIDS-SR and GAD-7 scales influences treatment changes in the primary care setting. Methods Patients seen in a general internal medicine clinic between August 2008 and March 2009 were asked to fill out the QID-SR questionnaire and GAD-7 as part of a resident quality improvement project. We measured the prevalence of anxiety and depression during 6 months prior to the use of the GAD-7 and QIDS-SR instruments during the intervention period. We also compared the frequency of treatment changes initiated both 12 months prior to and during the intervention period. The aforementioned measures were performed with use of a retrospective chart review. Results The prevalence of anxiety was 15.2% in the pre-intervention period and 33.3% in the intervention period, and the prevalence of depression was 38.9% in the prescreening period and 54.8% during the screening period (P value for both was Conclusion Routine screening for depression and anxiety may help clinicians detect previously undiagnosed anxiety and depression and also may facilitate identification of needed treatment changes. Further work is needed to determine whether routine screening improves patient outcomes. |
| Databáze: | OpenAIRE |
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