caa a22 4500 469048697 CHVBK 20180323132824.0 cr unu---uuuuu 170328e19920601xx s 000 0 eng 10.1007/BF01324403 doi (NATIONALLICENCE)springer-10.1007/BF01324403 Recognition of depression by internal medicine residents [Elektronische Daten] [Robert Sliman, Thomas Donohue, David Jarjoura, Andre Ognibene] We studied the ability of internal medicine residents to recognize depressive symptoms in a population of lower socio-economic primary care patients. Four hundred twenty patients completed the short form of the Beck Depression Inventory (BDI). Simultaneously, the resident caring for the patient estimated the degree of depression for each patient. One-fourth of the patients scored at or above the moderately depressed level on the BDI and the residents rated 23 percent of their patients as at least moderately depressed. However, the accuracy of the residents' assessment of his or her individual patient was poor (correlation=0.42, sensitivity=0.46, specificity=0.84). Patients with a scored higher on the BDI and were given higher ratings of depression. No other pre-existing medical condition was significantly associated with a higher or lower BDI score. The amount of alcohol consumed and the amount smoked, were both associated with higher BDI scores. Residents varied in their sensitivity to their patients' BDI scores. Some showed high agreement with BDI scores, others low. There were no specific resident characteristics (e.g. year of training, resident gender) that could explain this variability. Patients with a history of depression were given lower resident ratings compared to other patients and patients with a history of depression were given lower resident ratings than predicted by their BDI scores. Residents' ability to accurately diagnose and treat depression in the underprivileged primary care patient can be facilitated by the institution of depression screening in the ambulatory clinic. Human Sciences Press, Inc., 1992 Sliman Robert aut Donohue Thomas aut Jarjoura David aut Ognibene Andre aut Journal of Community Health Kluwer Academic Publishers-Human Sciences Press 17/3(1992-06-01), 143-152 0094-5145 17:3<143 1992 17 10900 https://doi.org/10.1007/BF01324403 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01324403 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Sliman Robert aut NATIONALLICENCE 700 1- Donohue Thomas aut NATIONALLICENCE 700 1- Jarjoura David aut NATIONALLICENCE 700 1- Ognibene Andre aut NATIONALLICENCE 773 0- Journal of Community Health Kluwer Academic Publishers-Human Sciences Press 17/3(1992-06-01), 143-152 0094-5145 17:3<143 1992 17 10900 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer