Julia Gledhill1, Tami Kramer, Steven Iliffe, M Elena Garralda. 1. The Academic Unit of Child and Adolescent Psychiatry, Faculty of Medicine, Imperial College of Science, Technology and Medicine, London, UK. j.gledhill@ic.ac.uk
Abstract
BACKGROUND: Depressive disorders are common in adolescent general practice attenders. METHOD: Adolescent attenders were screened/interviewed for depressive disorders, general practitioners (GPs) completed a checklist indicating recognition of psychopathology prior to and following GP training in the identification/management of adolescent depression. RESULTS: One hundred and thirty consecutive adolescent attenders were screened before and 184 after training. Ten GPs completed the training. Psychiatric interviews with 38 adolescents with high depressive scores prior to and 44 following training identified 10 (26%) and 21 (48%), respectively, as clinically depressed. Sensitivity of GP identification improved from 2/10 (20%) to 9/21 (43%) without loss of specificity; predictive validity from 2/6 (33%) to 9/12 (75%). Adolescents interviewed appreciated the intervention. CONCLUSIONS: Training GPs is feasible and may improve recognition of adolescent depression.
BACKGROUND:Depressive disorders are common in adolescent general practice attenders. METHOD: Adolescent attenders were screened/interviewed for depressive disorders, general practitioners (GPs) completed a checklist indicating recognition of psychopathology prior to and following GP training in the identification/management of adolescent depression. RESULTS: One hundred and thirty consecutive adolescent attenders were screened before and 184 after training. Ten GPs completed the training. Psychiatric interviews with 38 adolescents with high depressive scores prior to and 44 following training identified 10 (26%) and 21 (48%), respectively, as clinically depressed. Sensitivity of GP identification improved from 2/10 (20%) to 9/21 (43%) without loss of specificity; predictive validity from 2/6 (33%) to 9/12 (75%). Adolescents interviewed appreciated the intervention. CONCLUSIONS: Training GPs is feasible and may improve recognition of adolescent depression.
Authors: Steve Iliffe; Georgina Williams; Victoria Fernandez; Mar Vila; Tami Kramer; Julia Gledhill; Lisa Miller Journal: Br J Gen Pract Date: 2009-03 Impact factor: 5.386
Authors: Laura P Richardson; Elizabeth McCauley; David C Grossman; Carolyn A McCarty; Julie Richards; Joan E Russo; Carol Rockhill; Wayne Katon Journal: Pediatrics Date: 2010-11-01 Impact factor: 7.124
Authors: Steve Iliffe; Ceri Gallant; Tami Kramer; Julia Gledhill; Amanda Bye; Victoria Fernandez; Mar Vila; Lisa Miller; M Elena Garralda Journal: Br J Gen Pract Date: 2012-03 Impact factor: 5.386
Authors: Gregory Clarke; Lynn L DeBar; John A Pearson; John F Dickerson; Frances L Lynch; Christina M Gullion; Michael C Leo Journal: Pediatrics Date: 2016-05 Impact factor: 7.124