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Self-rating depression scales in the medical consultation
- A qualitative study on patients' perception
of MADRS-S
Eva-Lisa Petersson, PhD, OT
Carl Wikberg, PhD student
Agneta Pettersson, PhD student
Cecilia Björkelund, Professor
Self-rating depression scale MADRS-S
• Around 10-15% of the population in Sweden are
affected by depression
• The effect of using instruments in doctor-patient
communication is still unclear
• Patients with depression in primary care go undetected
• Instruments used for detection and monitoring are not
adapted for primary care
Self-rating depression scale MADRS-S
• The study aims to explore how patients with
mild to moderate depression perceive using
MADRS-S, a self-administered depression
scale, during the doctor consultation
Self-rating depression scale MADRS-S
• Focus group
• Patients with mild to moderate depression were
recruited purposively from an on-going RCT
• The patients completed MADRS-S depression scale
together with their doctor at 4 consultations during 3
months
• MADRS-S is the patient administered version of the
Montgomery-Åsberg Depression Rating Scale
Self-rating depression scale MADRS-S
• Systematic Text Condensation by Malterud
• An overall impression to categorize themes
• Meaning units were identified
• Meaning units were condensed and labelled
• The condensations were summarised into a description
Self-rating depression scale MADRS-S
• Be taken seriously
• Shortcut to diagnosis
• MADRS-S complement the consultation
• Questioning of reliability
• Confirmation of mental illness
Conclusion
• MADRS-S helps to visualize depression and its
progression
• Communication with doctor is important for
patient
Thank you for your attention!