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Randomized Controlled Trial
. 2016 Dec;34(4):434-442.
doi: 10.1080/02813432.2016.1248635. Epub 2016 Nov 2.

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

Carl Wikberg  1   2 , Agneta Pettersson  3   4 , Jeanette Westman  5 , Cecilia Björkelund  1 , Eva-Lisa Petersson  1   2
Affiliations
Randomized Controlled Trial

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

Carl Wikberg et al. Scand J Prim Health Care. 2016 Dec.

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.

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Figures

Figure 1.
Figure 1.
Flowchart of participants in the focus group study.
See this image and copyright information in PMC

References

    1. Swedish Council for Health Technology Assessment. Diagnosis and follow up of affective disorders - a systematic review. Report 212/2012. ISBN 978-91-85413-52-2. ISSN 1400–1403 [in Swedish].
    1. Montgomery SA, Asberg M.. A new depression scale designed to be sensitive to change. Br J Psychiatry. 1979;134:382–389. - PubMed
    1. Fantino B, Moore N.. The self-reported Montgomery-Asberg Depression Rating Scale is a useful evaluative tool in major depressive disorder. BMC Psychiatry. 2009;9:26. - PMC - PubMed
    1. Maguire P, Pitceathly C.. Key communication skills and how to acquire them. BMJ. 2002;325:697–700. - PMC - PubMed
    1. Ottosson J, editor. The patient-doctor relation – the art of medicine on scientific basis. Stockholm: Natur och Kultur, in collaboration with Swedish Council for Health Technology Assessment (SBU); 1999.

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