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Scand J Prim Health Care. 2016 Dec;34(4):434-442. Epub 2016 Nov 2.

Patients' perspectives on the use of the Montgomery-Asberg depression rating scale self-assessment version in primary care.

Author information

1
a Department of Public Health and Community Medicine, Section of Primary Health Care , Institute of Medicine, University of Gothenburg , Gothenburg , Sweden.
2
b Närhälsan Research and Development Primary Health Care , Region Västra Götaland , Sweden.
3
c Department of Learning, Informatics, Management and Ethics , Karolinska Institutet , Stockholm.
4
d Swedish Council on Health Technology Assessment (SBU) , Stockholm.
5
e Centre for Family Medicine, Department of Neurobiology, Care Sciences and Society , Karolinska Institutet , Huddinge , Sweden.

Abstract

OBJECTIVE:

The aim of the current study was to better understand how patients with depression perceive the use of MADRS-S in primary care consultations with GPs.

DESIGN:

Qualitative study. Focus group discussion and analysis through Systematic Text Condensation.

SETTING:

Primary Health Care, Region Västra Götaland, Sweden.

SUBJECTS:

Nine patients with mild/moderate depression who participated in a RCT evaluating the effects of regular use of the Montgomery-Åsberg Depression Self-assessment scale (MADRS-S) during the GP consultations.

MAIN OUTCOME MEASURE:

Patients' experiences and perceptions of the use of MADRS-S in primary care.

RESULTS:

Three categories emerged from the analysis: (I) confirmation; MADRS-S shows that I have depression and how serious it is, (II) centeredness; the most important thing is for the GP to listen to and take me seriously and (III) clarification; MADRS-S helps me understand why I need treatment for depression.

CONCLUSION:

Use of MADRS-S was perceived as a confirmation for the patients that they had depression and how serious it was. MADRS-S showed the patients something black on white that describes and confirms the diagnosis. The informants emphasized the importance of patient-centeredness; of being listened to and to be taken seriously during the consultation. Use of self-assessment scales such as MADRS-S could find its place, but needs to adjust to the multifaceted environment that primary care provides. Key Points Patients with depression in primary care perceive that the use of a self-assessment scale in the consultation purposefully can contribute in several ways. The scale contributes to Confirmation: MADRS-S shows that I have depression and how serious it is. Centeredness: The most important thing is for the GP to listen to and take me seriously. Clarification: MADRS-S helps me understand why I need treatment for depression.

KEYWORDS:

Depression; Sweden; communication; focus group; general practice; primary care; self-assessment scale

PMID:
27804312
PMCID:
PMC5217279
DOI:
10.1080/02813432.2016.1248635
[Indexed for MEDLINE]
Free PMC Article

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