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. 2021 Sep;28(3):584-595.
doi: 10.1007/s10880-020-09746-0. Epub 2020 Oct 28.

Depression Screening in a Primary Care Setting: Examining Perceptions and Experiences of English- and Spanish-Speaking Patients

Nataliya Pilipenko  1   2 , Christian Vivar-Ramon  3
Affiliations

Depression Screening in a Primary Care Setting: Examining Perceptions and Experiences of English- and Spanish-Speaking Patients

Nataliya Pilipenko et al. J Clin Psychol Med Settings. 2021 Sep.

Abstract

Depression is highly prevalent in primary care settings, but screening rates remain sub-optimal and patients' screening perspectives are poorly understood. This study examined depression screening experiences and beliefs among primary care patients (N = 100, Mage = 51.9, SD = 17.03, 49% Spanish speakers). Participants completed a survey regarding screening experiences, stigma concerns, and perceptions of screening-related importance, barriers, and concerns. While 83% of participants were screened for depression, only 44.6% had screening results explained. Levels of depression treatment-related stigma concerns were low, with English speakers endorsing higher levels of such concerns. Importance and barriers of screening scores were significantly, negatively correlated rs = - .52, p < .001. Patients' self-identification as 'long-standing' to the clinic was associated with greater endorsed screening concerns t(98) = - 2.08, p < .05. Results suggest that improved understanding of patients' screening-related perceptions and experiences is critical to ensuring delivery of quality care. Communication practices around screening should be studied, reviewed, and revised to ensure the success of screening efforts.

Keywords: Depression screening; Patient beliefs; Patient perceptions; Primary care.

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