The Reach of Depression Screening Preceding Treatment: Are There Patterns of Patients' Self-Selection?
This study evaluated the reach of depression screening followed by treatment programs for subsyndromal depression and explored demographic and clinical characteristics of patients who were reached versus those who were not. A two-item Patient Health Questionnaire-Depression was sent to 4196 type 2 d...
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| Language: | English |
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Wiley
2012-01-01
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| Series: | International Journal of Endocrinology |
| Online Access: | http://dx.doi.org/10.1155/2012/148145 |
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| author | Dea Ajduković Mirjana Pibernik-Okanović Mario Šekerija Norbert Hermanns |
| author_facet | Dea Ajduković Mirjana Pibernik-Okanović Mario Šekerija Norbert Hermanns |
| author_sort | Dea Ajduković |
| collection | DOAJ |
| description | This study evaluated the reach of depression screening followed by treatment programs for subsyndromal depression and explored demographic and clinical characteristics of patients who were reached versus those who were not. A two-item Patient Health Questionnaire-Depression was sent to 4196 type 2 diabetic patients. Positively screened patients were interviewed to assess the severity of depression, and those with subclinical symptoms were invited to treatment groups. The reach of screening procedure was evaluated by the total response rate, proportion of positive depression screenings, and proportion of eligible patients entering treatment programs. Predictors of responsiveness to screening and of participation in treatment were determined using logistic regression. Of the 34% of patients who returned the questionnaire (n=1442), 40% reported depressive symptoms and a need for professional help (n=581). Age (OR = 1.06, 95% CI = 1.05–1.08), BMI (OR = 1.02, 95% CI = 1.00–1.04), HbA1C (OR = .92, 95% CI = .86–.99), and LDL-cholesterol (OR = .90, 95% CI = .81–1.00) correlated with response to screening. Willingness to accept treatment was predicted by professional status (OR = 3.24, 95% CI = 1.53–6.87), education (OR = 1.21, 95% CI = 1.05–1.38), and BMI (OR = .91, 95% CI = .85–.98). Older patients with better diabetes control were more likely to be reached by postal screening for depressive symptoms. Professionally inactive, better-educated persons and those with lower BMI were more likely to participate in the intervention for subsyndromal depression. |
| format | Article |
| id | doaj-art-e439a9b98ea3441293fa599cfd6a24ea |
| institution | Kabale University |
| issn | 1687-8337 1687-8345 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Endocrinology |
| spelling | doaj-art-e439a9b98ea3441293fa599cfd6a24ea2025-02-03T05:51:23ZengWileyInternational Journal of Endocrinology1687-83371687-83452012-01-01201210.1155/2012/148145148145The Reach of Depression Screening Preceding Treatment: Are There Patterns of Patients' Self-Selection?Dea Ajduković0Mirjana Pibernik-Okanović1Mario Šekerija2Norbert Hermanns3Unit for Psychological Medicine, Vuk Vrhovac University Clinic, Merkur Teaching Hospital, Zajčeva 19, 10000 Zagreb, CroatiaUnit for Psychological Medicine, Vuk Vrhovac University Clinic, Merkur Teaching Hospital, Zajčeva 19, 10000 Zagreb, CroatiaService for the Epidemiology of Non-Communicable Diseases, Croatian National Institute of Public Health, Rockefellerova 7, 10000 Zagreb, CroatiaForschungsinstitut Diabetes-Akademie Bad Mergentheim (FIDAM GmbH), Diabetes Zentrum Mergentheim, Johann-Hammer-Straße 24, 97980 Bad Mergentheim, GermanyThis study evaluated the reach of depression screening followed by treatment programs for subsyndromal depression and explored demographic and clinical characteristics of patients who were reached versus those who were not. A two-item Patient Health Questionnaire-Depression was sent to 4196 type 2 diabetic patients. Positively screened patients were interviewed to assess the severity of depression, and those with subclinical symptoms were invited to treatment groups. The reach of screening procedure was evaluated by the total response rate, proportion of positive depression screenings, and proportion of eligible patients entering treatment programs. Predictors of responsiveness to screening and of participation in treatment were determined using logistic regression. Of the 34% of patients who returned the questionnaire (n=1442), 40% reported depressive symptoms and a need for professional help (n=581). Age (OR = 1.06, 95% CI = 1.05–1.08), BMI (OR = 1.02, 95% CI = 1.00–1.04), HbA1C (OR = .92, 95% CI = .86–.99), and LDL-cholesterol (OR = .90, 95% CI = .81–1.00) correlated with response to screening. Willingness to accept treatment was predicted by professional status (OR = 3.24, 95% CI = 1.53–6.87), education (OR = 1.21, 95% CI = 1.05–1.38), and BMI (OR = .91, 95% CI = .85–.98). Older patients with better diabetes control were more likely to be reached by postal screening for depressive symptoms. Professionally inactive, better-educated persons and those with lower BMI were more likely to participate in the intervention for subsyndromal depression.http://dx.doi.org/10.1155/2012/148145 |
| spellingShingle | Dea Ajduković Mirjana Pibernik-Okanović Mario Šekerija Norbert Hermanns The Reach of Depression Screening Preceding Treatment: Are There Patterns of Patients' Self-Selection? International Journal of Endocrinology |
| title | The Reach of Depression Screening Preceding Treatment: Are There Patterns of Patients' Self-Selection? |
| title_full | The Reach of Depression Screening Preceding Treatment: Are There Patterns of Patients' Self-Selection? |
| title_fullStr | The Reach of Depression Screening Preceding Treatment: Are There Patterns of Patients' Self-Selection? |
| title_full_unstemmed | The Reach of Depression Screening Preceding Treatment: Are There Patterns of Patients' Self-Selection? |
| title_short | The Reach of Depression Screening Preceding Treatment: Are There Patterns of Patients' Self-Selection? |
| title_sort | reach of depression screening preceding treatment are there patterns of patients self selection |
| url | http://dx.doi.org/10.1155/2012/148145 |
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