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Table 3 Comparison of clinical status and past history between GPs' patients and psychiatrists' patients (n = 7537)

From: Roles and practices of general practitioners and psychiatrists in management of depression in the community

 

GPs' patients

n = 6104

n (%)

Psychiatrists' patients

n = 1433

n (%)

OR [IC95]*

Status at the time of the clinical diagnosis of the current depressive episode

DSM-IV diagnosis of MDD

   

Yes

5223 (85.6)

1355 (94.6)

2.91 [2.28 – 3.70]

No

880 (14.4)

77 (5.4)

1.0

Number of symptoms of MDD on criterion A**

   

5–6

2397 (45.9)

416 (30.7)

1.0

7–9

2826 (54.1)

939 (69.3)

1.90 [1.67 – 2.16]

CGI-severity

   

Normal to moderately ill

1350 (22.8)

215 (15.1)

1.0

Markedly to among the most ill

4562 (77.2)

1207 (84.9)

1.67 [1.43 – 1.97]

Psychiatric antecedents

   

Past depressive episode

   

Yes

3068 (51.8)

836 (58.8)

1.43 [1.27 – 1.61]

No

2853 (48.2)

585 (41.2)

1.0

Hospitalization for depressive problem

   

Yes

940 (15.6)

371 (26.1)

2.03 [1.77 – 2.34]

No

5076 (84.4)

1050 (73.9)

1.0

Suicide attempt

   

Yes

665 (11.1)

258 (18.2)

1.73 [1.48 – 2.03]

No

5312 (88.9)

1161 (81.8)

1.0

Bipolar disorder

   

Yes

295 (4.9)

107 (7.5)

1.70 [1.35 – 2.15]

No

5703 (95.1)

1311 (92.5)

1.0

Alcohol dependence

   

Yes

613 (10.2)

137 (9.6)

0.93 [0.76 – 1.14)

No

5412 (89.8)

1284 (90.4)

1.0

Anxiety disorder

   

Yes

4798 (79.5)

1050 (74.3)

0.76 [0.67 – 0.87]

No

1239 (20.5)

363 (25.7)

1.0

Current chronic somatic disorder ***

   

Yes

2830 (47.5)

500 (35.8)

0.72 [0.63 – 0.83]

No

3123 (52.5)

898 (64.2)

1.0

  1. In bold: statistically significant odds ratio (p < 0.05) and less than 0.5 or higher than 2.0
  2. * GPs' patient are the reference, odd ratio adjusted on gender and on age as a quantitative variable
  3. ** Excluding patient with no MDD diagnosis. Criteria A are depressed mood (A1), anhedonia (A2), weight loss when no dieting or weight gain (A3), insomnia or hypersomnia (A4), psychomotor agitation or retardation (A5), fatigue or loss of energy (A6), feeling of worthlessness or guilt (A7), diminished ability to think or concentrate (A8), suicidal behavior (A9)
  4. *** Neurological, cardiovascular, pulmonary, hepato-gastro-enterological, endocrinological and others (including cancer)