[Prevalence of major depression in primary care practices in Hungary].
Depression is frequent in primary care, but correct diagnosis of these disorders is a challenge for general practitioners. Our current study describes the point prevalence of affective syndromes meeting DSM-IV criteria for depression in 984 adult patients visiting primary care practices. General practitioners applied the Beck Depression Inventory and the PRIME-MD screening tool. In case of all depressive disorders according to DSM-IV criteria (major depression, major depression in partial remission, dysthymia, minor depression) current prevalence rate was 18.5%, while point prevalence of only major depressive episode was 7.3%. Using the Beck Depression Inventory, general practitioners could diagnose current depression with a sensitivity of 95% and a specificity of 56%, while in case of major depressive episode sensitivity was 83% and specificity was 23%. These results parallel earlier data from Hungary as well as from other countries and they also support that the PRIME-MD and the Beck Depression Inventory may be a useful screening tool for depressive disorders in general practice.
Péter
Torzsa
T
Semmelweis Egyetem AOK, Családorvosi Tanszek, Budapest.
Zoltán
Rihmer
R
Xénia
Gonda
G
Bea
Sebestyen
S
Nora
Szokontor
S
Laszlo
Kalabay
K
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003863:Depression / Q000175:diagnosis / Q000453:epidemiology; D003865:Major Depressive Disorder / Q000175:diagnosis* / Q000453:epidemiology*; D039721:Diagnostic and Statistical Manual of Mental Disorders; D019263:Dysthymic Disorder / Q000175:diagnosis / Q000453:epidemiology; D005260:Female; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011320:Primary Health Care / Q000706:statistics & numerical data*; D011569:Psychiatric Status Rating Scales; D012680:Sensitivity and Specificity; D055815:Young Adult